Provided support to other departments within the organization as needed.
Processed credit card transactions through Point-of-Sale terminals or online systems.
Resolved discrepancies between customers' remittances and invoices received.
Calculated billing charges, prepared and submitted claims to insurance companies.
Maintained accurate records of collections, adjustments and denials in the system.
Worked closely with patients to discuss payment arrangements when needed.
Developed financial reports detailing accounts receivable aging status.
Investigated incorrect billings and processed refunds as necessary.
Verified insurance coverage and identified third-party payers for billing purposes.
Reviewed medical records to ensure accuracy of billing information and patient data.
Worked with team members to identify and develop process improvements.
Billing Supervisor
North Shore Hematology Oncology Associates
East Setauket
01.2013 - 09.2014
Managed multiple projects simultaneously while meeting strict deadlines.
Assisted in the preparation of annual budgeting process for billing department operations.
Ensured compliance with HIPAA regulations by implementing privacy protocols throughout the organization.
Developed and maintained effective billing processes for medical office.
Resolved any billing issues that arose in a timely manner.
Managed day-to-day operations of the medical billing team including setting goals, assigning tasks.
Provided guidance and training to new medical billers on coding practices.
Monitored accounts receivable reports on a weekly basis to ensure timely payments from insurers.
Maintained up-to-date knowledge of CPT and HCPCS codes, Medicare regulations, and other third-party requirements.
Created monthly financial reports summarizing revenue cycle performance metrics such as denials, payment lag time.
Reviewed claims for coding accuracy.
Medical Biller
North Shore Hematology Oncology Associates
East Setauket
01.2008 - 01.2013
Submitted electronic claims to various insurance carriers.
Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
Maintained accurate patient data in electronic health records system.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Ensured compliance with HIPAA guidelines when handling confidential patient information.
Compiled and processed data for billing purposes utilizing billing software programs.
Completed and submitted appeals for denied claims.
Applied HIPAA privacy and security regulations while handling patient information.
Resolved issues with rejected claims in a timely manner.
Submitted clean claims electronically via various clearinghouses or direct-to-payer connections.
Maintained daily logs of charges entered into the system.
Verified insurance eligibility and benefits for services rendered.
Assisted with researching denied claims and preparing appeals when necessary.
Collaborated with clinical staff to ensure accurate coding of services provided by providers.
Medical Receptionist
North Shore Hematology Oncology Associates
East Setauket
05.2004 - 01.2008
Answered incoming calls, responding to inquiries from patients and other medical offices.
Greeted and checked in patients, updating patient information in computer system.
Scheduled patient appointments, verifying accuracy of appointment times with providers.
Maintained supply inventory for office area, ordering items as needed and stocking shelves.
Verified insurance coverage for appointments and collected co-payments as required.
Delivered high-quality administrative and customer service to sustain patient and work flows.
Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.