Janelle Trenchfield
West Babylon,USA
Summary
Experienced Medical Billing and Coding professional with 17 years of expertise in streamlining billing processes and improving workflow efficiency. Skilled in coordinating with providers, analyzing medical records, and ensuring accurate claims submissions. Strong track record in reducing discrepancies and enhancing customer satisfaction through effective data analysis and organizational skills. Dedicated to optimizing billing systems and financial postings.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Senior Physician Billing Clerk
Mount Sinai South Nassau Hospital
Hicksville, USA
03.2022 - Current
- Progressive experience in third-party, managed care, Medicare, Medicaid, Commercial payers, collections, UB04/1500 billing procedures, cash applications, balancing and reconciliation processes
- Responsible for all aspects of processing billing and AR transactions
- Prioritize and manage AR accounts daily to ensure all departmental metrics and regulatory requirements are handled timely, thoroughly, and appropriately
- Overturn claim denials by applying coding and billing guidelines
- Managed and collaborated with management in developing plans to reduce aging of medical accounts over 90 days for 6 medical practices
DIC Senior Authorization Associate
Northwell Health
05.2018 - 03.2022
- Obtain all financial, demographic, and medical record information from IT systems and external referral sources
- Initiate communications with insurance carriers to obtain new/additional/corrected authorization for imaging service
- Maintained ongoing communication with referring clinical teams during authorization process to provide timely updates on outcomes of requests for services from insurance carriers
- Documented authorization approvals and denials in computer systems include authorization numbers and associated codes, dates, and other related information maintaining accurate records
- Contact patients to schedule and reschedule appointments, if needed
- Maintained awareness of insurance carrier authorization requirements for imaging based on existing service line guidelines to increase approvals by 10%
- Participated in team projects, demonstrating an ability to work collaboratively and effectively
Billing Clerk
South Nassau Urology, PC
Freeport, USA
01.2016 - 05.2018
- Increased productivity by Identifying and resolving patient billing and payment issues
- Interact with providers and other medical professionals regarding billing and documentation policies, procedures, and regulations to increase insurance payments
- Perform coding and billing for surgical procedures, inpatient and outpatient services
- Actively maintain current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols, and third-party requirements regarding billing
- Mediate between South Nassau Urology and South Nassau Communities Hospital providing monthly practice reports
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification
Medical Biller Coder
McCally & Ring Urology Associates
05.2007 - 12.2015
- Submitted claims to ensure timely processing
- Coded and billed surgeries and hospital visits increase revenue
- Reviewed and prepared medical records for Insurance carriers on-site and mailed chart audits
- Assisted with resolution of claims edits, rejections, and appeals
- Posted payments and adjustments where needed
- Managed up to fifty patient calls daily to process payments and inquiries
- Expert knowledge of all HMO, PPO, Medicare, and Medicaid Billing
Education
Certification - Medical Billing and Coding
Career Institute of Health and Technology
Garden City, NY05.2007
High School Diploma -
Roosevelt Junior Senior High School
Roosevelt, NY06.1993
Skills
- - Medical Billing Software
- ICD-10 and CPT Coding
- Claims Denial Management
- Insurance Verification
- Workflow Optimization
Affiliations
- American Academy of Professional Coders - Active member
Certification
- CPC
Timeline
Senior Physician Billing Clerk
Mount Sinai South Nassau Hospital
03.2022 - Current
DIC Senior Authorization Associate
Northwell Health
05.2018 - 03.2022
Billing Clerk
South Nassau Urology, PC
01.2016 - 05.2018
Medical Biller Coder
McCally & Ring Urology Associates
05.2007 - 12.2015
- CPC
Certification - Medical Billing and Coding
Career Institute of Health and Technology
High School Diploma -
Roosevelt Junior Senior High School
Similar Profiles
Akerah HightowerAkerah Hightower
Food and Nutrition Assistant at Mount Sinai South Nassau HospitalFood and Nutrition Assistant at Mount Sinai South Nassau Hospital
Nadine JohnsonNadine Johnson
PATIENT CARE TECHNICIAN at Mount Sinai South Nassau HospitalPATIENT CARE TECHNICIAN at Mount Sinai South Nassau Hospital
Catherine TorborgCatherine Torborg
Clinical Nursing Supervisor at Mount Sinai South Nassau HospitalClinical Nursing Supervisor at Mount Sinai South Nassau Hospital