
Dedicated and detail-oriented Insurance follow-up investigator with 10+ years experience in the field. Management experience organizing and overseeing financial aid/presumptive eligibility department of medical billing agency (5 years).
Ran creative marketing projects from booking to installation in production dept of marketing agency.
Extremely high, detail intensive volume of work requiring multitasking between specific jobs and various computer programs (SketchUp, Adobe Illustrator, all Google applications - gmail-drive-sheets-tasks-etc, Slack, Microsoft Teams, Monday.com) while maintaining strict project deadlines. Collaborated weekly on projects with creative team, field team, account managers (client facing) and leadership to design, plan and execute marketing installations all across the country (including duty free shop at JFK airport, Hudson Yards, Sherry Lehmann in NYC, Citifield as well as hundreds of individual businesses).
Coordinated with supervisor in assigning work to meet on-time production and quality goals. Reviewed daily workload distribution to prioritize and distribute job assignments. Coordinated with production lines and created schedules to meet promised delivery. Entered information into system to update status reports.
Maintained records and personnel files to drive administration and office support while also complying with HIPAA regulations and requirements. Delivered exceptional customer service through direct communication with patients, legal offices and team members. Performed office automation duties using email, desktop publishing and spreadsheets. Updated patient/insurance demographics info and balances paid/due as needed on Eagle/Invision/etc. Trained newer employees to understand and implement the departments processes and workflow.
Maintained follow up of claims for full portfolio of various different hospitals within the Northwell Health network - ranging from contact with insurance reps and disputing denials to direct patient contact when necessary and generating full claim appeals with medical records addressing specific denials.
Supervised presumptive eligibility department (in which patients are pre-approved for charity care and balances are automatically reduced for eligible patients based on credit and income information). Performed balance adjustments in Eagle based on calculations of patients' ability to pay. Also maintained contact with patients who chose to apply for financial aid and processed submitted F/A applications.
Processed all credit card payments for Network Recovery Services - including charging credits cards and maintaining balance sheets of all credit cards charged on a daily basis with itemized spreadsheets. Posted payments and balance adjustments to Eagle daily.
Worked as an insurance follow up rep with Network as well - disputing denied claims and having corrected claims and appeals generated when necessary.
Proficiency in Eagle, Meditech, Invision, SSI UB-04 generating program, Change healthcare, GECB, Excel
Familiar with all insurance company claim status and eligibility portals (ranging from but not limited to) - Blue Cross (Availity), United Healthcare, Emblem, Affinity, Fidelis, Wellcare, Magnacare and others
Vincent Ferraro - Billing/Insurance Follow Up Manager, Network Recovery Sevices
516-622-6736