Gillian Ramsammy
The Bronx,NY
Summary
Accomplished Credit and Collection Analyst with a proven track record at Westchester Medical Center Health Network. Demonstrated expertise in ICD-10 proficiency and a commitment to enhancing billing accuracy and reimbursement processes. Proficient in utilizing advanced software applications such as Invision and Epremis while ensuring HIPAA-compliant data management. Recognized for fostering interdepartmental collaboration to optimize patient account handling.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Credit and Collection Analyst
Westchester Medical Center Health Network
09.1998 - 12.2024
- Participated in the development of educational materials and manuals.
- Educated and trained revenue cycle team, specifically in Patient Accounts, on system operability in an efficient manner.
- Prepared and distributed training aids, instructional materials, handouts and visual aids.
- Provides relevant guidance, direction, and training to Patient Account department who perform revenue cycle functions, both reporting to and not reporting to revenue cycle leadership.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Posted payments from insurance companies and patients, maintaining accurate records of financial transactions in billing software.
- Reconciled payment variances and identified patterns of claim underpayments, escalating complex issues to senior management for resolution.
- Followed up on unpaid claims from Medicare, Medicaid, and commercial insurance providers, ensuring all outstanding balances were addressed within appropriate timelines.
- Submitted appeals using provider portals and phone communication.
- Collaborated with billing and coding departments to ensure accurate coding and billing practices for insurance claims submission.
- Maintained patient information confidentiality in accordance with HIPAA regulations.
- Maintained knowledge of evolving regulations through participation in professional development programs.
- Created a supportive atmosphere by assisting colleagues.
- Exhibited mastery in understanding processes related to Remittance Advice and Explanation of Benefits.
Education
Associate of Science - Accounting And Finance
Mercy College
Dobbs Ferry, NY01-1987
Skills
- Commitment to team excellence
- Envision (SMS), Epremis, 3M, and Huron software applications proficiency
- Electronic health records experience
- Medicare and medicaid process
- HIPAA compliance certification
- CERNER
- Payer contract management
- Accurate payment posting
- Proactive account follow-up
- Effective multitasking
- Problem-solving skills
- Effective verbal communication
- Financial reimbursement management
- CMS-1500 billing forms
- CPT expertise
- HIPAA regulations knowledge
Affiliations
- Volunteer at the Brooklyn Tabernacle.
- Member of the YMCA.
Certification
- CPT/HCPCS and ICD Certified
Timeline
Credit and Collection Analyst
Westchester Medical Center Health Network
09.1998 - 12.2024
Associate of Science - Accounting And Finance
Mercy College
References
References available upon request.
Education and Training
other