Experienced Healthcare Billing specialist that accepts the responsibility to support both external clients and internal management. Broad understanding of healthcare data including billing claims, clinical data, quality metrics, and health outcomes. Capable of analyzing problems and designing recommendations, including workflows, processes, and procedures.
Overview
23
23
years of professional experience
Work History
Account Specialist/Patient Billing Services
Memorial Sloan-Kettering Cancer Center
04.2008 - Current
Ability to work independently to resolve patients, caregivers and insurance inquires by making wise decisions under the MSKCC billing guidelines
Collaborate with Physicians, Patient Accounts and other MSKCC regional sites; to investigate billing concerns
Serve as a learning partner in MSK's mentoring program for new hires
Searched authorizations/pre-certifications in EPIC to oversee insurance denials
Establish payment plans and settlement agreements with clients who express financial hardship
Analyze quarterly reports for patient outstanding balances and process collection agency referrals
Resolve compliance issues and perform charge corrections that prohibit claims from being processed correctly
Physician Office Assistant II/Pathology
Memorial Sloan-Kettering Cancer Center
01.2006 - 04.2008
Communicated with patients, family members, and MSKCC staff to ensure timely and efficient provision of surgical reports were processed
Transcribed and finalized Pathologist medical reports
Retrieved patients slides from other health facilities for review
Unit Clerk/Critical Care
New York Presbyterian Hospital
07.2003 - 12.2005
Assisted Division Chief and clinical staff with time sensitive projects and reports related to department operations
Directed patients and visitors in locating specific departments and services, and kept department updated on patients' status, procedures and appointment referrals
Coordinated Critical Care department admissions and transfers within the New York Presbyterian Hospital and outside facilities
Managed patient records, verified that all forms, lab work and referrals were properly documented
Assistant Manager
Lori's Gift Shop
09.2001 - 07.2003
Conducted assessments of potential team candidates, trained new employees, performed team building and employee development
Motivated sales team to increase weekly sales goals
Compiled employee time, production, and payroll data from time sheets and other records
Supervised weekly shifts to deliver outstanding quality service
Education
Certification - Medical Billing And Coding
Coding With Sandy LLC
03-2020
Health Care Administration -
Berkeley College
01-2019
Skills
Strong understanding of healthcare operations
Effective communication and interpersonal skills to work collaboratively with diverse teams
Ability to prioritize and manage task in a fast-paced environment
POSTDOCTORAL RESEARCH ASSOCIATE at Memorial Sloan Kettering Cancer Center, Sloan Kettering Institute, Cell Biology DepartmentPOSTDOCTORAL RESEARCH ASSOCIATE at Memorial Sloan Kettering Cancer Center, Sloan Kettering Institute, Cell Biology Department
Site Supervisor at New York Cancer & Blood Specialist (Affiliated with Memorial Sloan Kettering Cancer Center)Site Supervisor at New York Cancer & Blood Specialist (Affiliated with Memorial Sloan Kettering Cancer Center)
Guest Service Representative/Concierge at Memorial Sloan Kettering Cancer Center Josie Robertson Surgery CenterGuest Service Representative/Concierge at Memorial Sloan Kettering Cancer Center Josie Robertson Surgery Center
TEAM LEAD, Outpatient & Hospital Operations at Memorial Sloan Kettering Cancer Center – Evelyn H. Lauder Breast CenterTEAM LEAD, Outpatient & Hospital Operations at Memorial Sloan Kettering Cancer Center – Evelyn H. Lauder Breast Center