Joanny Paulino
Paterson,NJ
Summary
Work in a professional environment, as a team player where I can utilize my technical skills to perform my job duties for the growth of the company and my personal development. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
21
21
years of professional experience
Work History
Patient Accounts Representative/Billing Specialist
Specialized Therapy Associates
01.2023 - Current
- Researched billing errors and discrepancies to initiate corrective action.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
- Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
- Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
- Prepared reports detailing billing actions, flags and other key information.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
- Contacted patients after insurance was calculated to obtain payments.
- Responded to customer inquiries and provided detailed account information.
- Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Providing excellent customer service by promptly answering patient inquiries.
- Established relationships with customers to encourage payment of delinquent accounts.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Posted payments and processed refunds.
- Generated and distributed monthly customer statements.
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Organized and detail-oriented with a strong work ethic.
Billing clerk/ Biller
The Mental Health Clinic Of Passaic
01.2019 - 12.2022
- Behavioral health billing with a variety of payers
- Posting transactions and customer data such as efts, Commercial claims, prepaid vouchers and credit cards
- Confirmed and verified all customers personal information with confidentiality
- Collect payments owed by patients and keep accurate records of patients' account balances
- Worked in an expeditious and professional matter
- Responsible for calling insurance claims for denials.
Bilingual Customer Service Specialist
Panalpina Inc.
06.2016 - 03.2018
- Emailed consumers regarding orders for stores such as Nordstrom, Neiman Marcus, Saks, Barney, Net-A-Porter, Zappos Dover Street and Mass Beverly
- Answered calls when operator was not available and responded promptly to telephone and all electronic inquiries
- Assisted with quality assurance process as required
- Performed data entry services on company computers accurately and completely
- Processing 30+ orders daily.
Bilingual Medical Coder
Pulse Medical Transportation
11.2007 - 04.2014
- Analyze complex billing using medical terminology for Medicaid and Medicare
- Efficiently manage Medical Billing and Posting
- Process patients billing, statements, claims reimbursements
- Post transactions and customer data
- Maintained customer records, such as prepaid vouchers, overpayments, and charges showed on customer's accounts
- Responsible for calling insurance claims for denials and following up on unpaid accounts, handled incoming calls
- Confirmed and verified all customers personal information with confidentiality.
Bilingual Medical Coder
Pulmonary Treatment Center
06.2003 - 09.2006
- Worked in an expeditious and professional matter
- Process patients billing, claims reimbursements, Post transactions and customer data
- Responsible for calling insurance claims for denials and following up on unpaid accounts.
Education
Hemodialysis Technician program-Completed -
Star Academy
Clifton, NJMedical Billing-Completed -
BTI Institute
Wayne, NJSkills
- Fluent English/Spanish
- Business growth and retention
- Paperwork Processing
- Account Posting
- Cost Reporting
- Financial statement analysis
- Data Entry
- Word Processing
- Customer Service
- Billing and Invoicing
- Administrative Support
- Charges and Rates Documentation
- Statement preparation
- Flexible and Adaptable
Timeline
Patient Accounts Representative/Billing Specialist
Specialized Therapy Associates
01.2023 - Current
Billing clerk/ Biller
The Mental Health Clinic Of Passaic
01.2019 - 12.2022
Bilingual Customer Service Specialist
Panalpina Inc.
06.2016 - 03.2018
Bilingual Medical Coder
Pulse Medical Transportation
11.2007 - 04.2014
Bilingual Medical Coder
Pulmonary Treatment Center
06.2003 - 09.2006
Hemodialysis Technician program-Completed -
Star Academy
Medical Billing-Completed -
BTI Institute
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