Jennifer LaTorre
West Babylon,NY
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Competent medical billing professional manages busy medical office and delivers excellent customer service to patients.
Overview
17
17
years of professional experience
Work History
Authorization Associate
Professional Occupational & Physical Therapy, PLLC
09.2021 - 06.2023
- Obtained authorization on the BCBS team through insurance companies that required authorization
- Effectively communicated with other departments in the RCO to assist with patient accounts.
- Offered supervisor and manager with immediate feedback on issues affecting workflow, reimbursement and customer service.
- Collaborated with team members to meet department deadlines and benchmarks.
- Completed referrals and prior authorizations according to department guidelines and workflows.
- Researched missing or inaccurate information to establish insurance eligibility and patient liabilities.
- Received patient type change notification and took action necessary to meet third-party payer care and coverage guidelines.
Customer Service Rep/Medical Billing and Collections Specialist
All American Medical Supply Corp
09.2019 - 09.2021
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Updated account information to maintain customer records.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Received, sorted and distributed incoming mail.
- Contacted customers and third party payers to pursue payments.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments and collections on regular basis.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Used data entry skills to accurately document and input statements.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Office Assistant/Medical Biller
Premier Orthopedics
04.2018 - 08.2019
- Completed clerical tasks such as filing, copying, and distributing mail.
- Maintained and updated office records, both digital and physical.
- Managed daily data entry and kept clerical information accurate and up-to-date.
- Ordered office supplies and kept office stocked with needed resources to operate smoothly.
- Reviewed files, records and other documents to obtain information to respond to requests.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Filed and updated patient information and medical records.
- Communicated effectively and extensively with other departments to resolve claims issues.
Receptionist
Atlantic Dermatologic Associates
01.2012 - 01.2017
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Kept reception area clean and neat to give visitors positive first impression.
- Answered phone promptly and directed incoming calls to correct offices.
- Responded to inquiries from callers seeking information.
- Resolved customer problems and complaints.
- Corresponded with clients through email, telephone, or postal mail.
- Handled cash transactions and maintained sales and payments records accurately.
- Managed multiple tasks and met time-sensitive deadlines.
- Completed data entry and filing to keep records updated for easy retrieval.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Maintained confidentiality of sensitive data to protect customer and business information.
- Handled assignments independently with good judgement and critical thinking skills.
- Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
Office Manager
Drs. Friedenstab & Lum
04.2006 - 08.2008
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Addressed and remedied all patient or team member issues.
- Developed close working relationships with front office and back office staff.
- Oversaw accounting, budgeting, and financial reporting.
- Developed policies and procedures for effective practice management.
- Consulted with healthcare professionals on business decisions.
- Assisted with regulatory issues such as compliance.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Recommended ways to reduce overhead and cut printing costs.
- Coordinated office events, seminars and meetings for staff and clients.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Completed bi-weekly payroll for 8 employees.
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
- Negotiated and executed contracts on behalf of department.
- Created reports, presentations and other materials for executive staff.
- Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
Education
AAS - Business Admin
Briarcliffe College
Bethpage, NYSkills
- Proficient in running day to day operations in an office setting
- Knowledge in credentialing, correspondence, insurance verification and payroll
- Billing Codes
- Procedural Codes
- Operations Management
- Customer Satisfaction
- Microsoft Word
- Calendar Software
- Office Administration
- Electronic Systems
- Microsoft Excel
Timeline
Authorization Associate
Professional Occupational & Physical Therapy, PLLC
09.2021 - 06.2023
Customer Service Rep/Medical Billing and Collections Specialist
All American Medical Supply Corp
09.2019 - 09.2021
Office Assistant/Medical Biller
Premier Orthopedics
04.2018 - 08.2019
Receptionist
Atlantic Dermatologic Associates
01.2012 - 01.2017
Office Manager
Drs. Friedenstab & Lum
04.2006 - 08.2008
AAS - Business Admin
Briarcliffe College
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