To secure a position within this organization to utilize my education, qualifications and skills to strengthen a facility’s operation. My excellent communication and problem-solving skills, combined with a strong work ethic, make me a valuable asset to any organization.
Overview
7
7
years of professional experience
Work History
Financial Representative-Inpatient and Outpatient Claims Follow up
Mount Sinai Health System/Beth Israel/St. Lukes
11.2022 - Current
Updates insurance and/patient information in the billing system
Posts pertinent memos as needed
Utilizes third party system (i.e.Omnipro, E-Paces, PC, etc.)
Handle all patient, third party or other department's request or inquiries (via telephone or face to face)
Requests and utilizes medical records and/or other pertinent documents to verify patient accounts
Identifies and reports billing issues and/or system problems, in a timely manner, to immediate supervisor for handling or resolution
Utilizes trial balance and other reports to identify and resolve outstanding accounts and bring to a final resolution
Compiles and prepares reports
Performs breakdowns
Cash/voucher, EOB mail lists) in a timely and accurate manner
Determines appropriate general accounts postings
Maintains accurate filing and record keeping
Review Medicaid claim denials and resubmit with changes if allowed according to Medicaid’s regulations
Work over 100 claims daily
Lead Medical Billing Specialist
Metro Vein Centers
08.2020 - 11.2022
Provides financials for all Spanish speaking patients for entire company including Michigan, NJ, and New York
Submits prior authorization and appeals for outpatient surgical venous procedures
Overseeing the work of billing staff to ensure work productivity/company deadlines/company standards; work collaboratively with billing manager regarding LIC billing progress
Accounts receivable-will all insurances
Schedules audits with insurance companies such as HEDIS with blue cross blue shield
Medical Records Management
Assist in the hiring process of LIC and Spanish speaking billers
Quality assurance will billing team to listen to customer service skills and coach as needed
Verify NY insurance requirements and medical policies are up to date
Knowledge of certain ICD 10 diagnosis codes and CPT codes
Scheduling Coordinator and Prior Authorization Specialist
New York Medical Imaging and Associates
08.2018 - 07.2020
Scheduled over 60 appointments for MRI’s, CT scan, Mammograms, Ultrasounds, PET scans and more
Triaged each call according to exam that is needed
Entered and verified all personal and billing information
Answered high call volume with 21 open lines
Submitted prior authorization for exams and appeals
Handled all medical records request
Education
Certified Professional Coder -
Lehman College
Bronx, NY
03-2025
Associates Degree - Healthcare Information Technology
ASA College
New York, NY
02.2022
Skills
Knowledge of Medical Terminology
Medical Record Management
Ability to prioritize Medical Emergencies
Reimbursement Methodologies
Insurance Claims Processing
Coding diagnosis and procedures
ICD-10-CM, CPT, HCPCS
Proficient in GE Centricity and Epic
Microsoft Office
Exceptional organizational interpersonal and communication skills
Proficiency in Medical Office administration Procedures
Medical Report Writing
Transcription
Bilingual English/Spanish
Payment processing
Data analysis
Financial reviews
Medical Report Writing
Transcription
Bilingual English/Spanish
Payment processing
Data analysis
Financial reviews
Exceptional interpersonal skills
Proficiency in Medical Office administration Procedures
Medical Report Writing
Transcription
Bilingual English/Spanish
Relationship building
Payment processing
Data analysis
Financial reviews
Timeline
Financial Representative-Inpatient and Outpatient Claims Follow up
Mount Sinai Health System/Beth Israel/St. Lukes
11.2022 - Current
Lead Medical Billing Specialist
Metro Vein Centers
08.2020 - 11.2022
Scheduling Coordinator and Prior Authorization Specialist
New York Medical Imaging and Associates
08.2018 - 07.2020
Associates Degree - Healthcare Information Technology
ASA College
Certified Professional Coder -
Lehman College
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