Erania Peralta
South Plainfield
Summary
Experienced with billing systems and financial operations, ensuring accuracy and efficiency in invoicing processes. Utilizes advanced knowledge of billing software to resolve discrepancies and enhance payment cycles. Track record of teamwork and problem-solving in dynamic environments.
Overview
19
19
years of professional experience
Work History
Billing Technician
Rutgers
06.2018 - Current
- Review the claims edits received from the claims clearing house and correct accordingly
- Review daily credit balance report and determine appropriate corrections
- Review daily the aged trial balance for assigned accounts and follow-up on payments
- Assist with patient phone calls as necessary
- Process patient payments over the phone
- In coordination with the supervisor, prioritize account follow-up to optimize cash collections
- Respond to inquiries of customers and clinicians regarding regulations, procedures, and billing as observed by supervisor
- Complete transfers and adjustments in accordance with policy and procedures.
Patient Services Representative
Change Healthcare, A McKesson
04.2017 - 05.2018
- Assist patients with all aspects of insurance billing resolution or payments and documented any information or conversations in the computer regarding patient’s accounts
- Work Charge Hold error report daily
- Verify patient insurance for claims processing
- Update client information to ensure prompt collections
- Resolve problems or forwarded to managers as needed to diffuse intense situations and frustrated callers
- Work on workman comp claims and submit for payment
- Medical billing and coding ICD9/CPT
- Work Charity Care accounts and adjust accordingly.
- Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
- Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
Money Gram Kiosk Representative
Millennium Sales
05.2015 - 10.2015
- Hired as a kiosk representative for Money Gram
- Assisted customers in registering on the kiosk machine and doing money transfers
- Assisted with bill pay to various payers
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
- Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
AR Representative
Children’s Specialized Hospital Mountainside
10.2010 - 02.2011
- Hired to work on psychiatric hospital accounts
- Contacted various insurance companies to check status of claims
- Resubmitted claims to various insurance carriers
- Adjusted accounts for write off
- Worked with psychiatric codes
- Wrote appeal letters
- Appealed and resubmitted Medicaid claims.
Medical Biller
Urology Group of NJ, LLC
04.2009 - 08.2010
- Preauthorizing for infertility procedures, payment posting and claim submissions
- Corrected and resubmitted claims for various insurance carriers
- Medical billing and coding ICD9/CPT
- Reviewed and corrected daily transmission file report
- Assisted with a wide range of patients to ensure proper billing procedures
- Daily troubleshooting of all insurance issues to ensure accurate payments
- Update and maintain medical billing databases
- Quality customer service to a wide range of patients, insurance representatives, medical faculty and staff
- Diligently perform additional duties as assigned to meet or exceed company standards.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Patient Financial Services Manager
Neighborhood Health Services Corp
01.2006 - 02.2008
- Supervised all medical billing staff
- Prepared weekly schedule to ensure all departments were fully staffed
- Prepared medical encounter forms for daily posting of charges
- Attended meetings and trainings to keep up with changes in Medicaid, NJ Family Care ect
- Prepared payroll on a weekly basis
- Affectively trained new employees in all aspects of their position.
- Reduced outstanding account receivables by diligently monitoring patient accounts and addressing discrepancies.
- Championed initiatives to improve overall patient experience by addressing concerns promptly and implementing feedback-driven improvements in the department''s operations.
Education
High School Diploma -
New Brunswick High School
New Brunswick, NJ07-1997
Skills
- HCPCS coding
- HIPAA compliance
- Claim submission
- Verbal communication
- Insurance verification
- Payment posting
- Customer service
- Patient account management
- Denial management
Languages
Spanish
Full Professional
Timeline
Billing Technician
Rutgers
06.2018 - Current
Patient Services Representative
Change Healthcare, A McKesson
04.2017 - 05.2018
Money Gram Kiosk Representative
Millennium Sales
05.2015 - 10.2015
AR Representative
Children’s Specialized Hospital Mountainside
10.2010 - 02.2011
Medical Biller
Urology Group of NJ, LLC
04.2009 - 08.2010
Patient Financial Services Manager
Neighborhood Health Services Corp
01.2006 - 02.2008
High School Diploma -
New Brunswick High School
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