MARIA FUSCO
Whitehouse Station,NJ
Summary
Competent Medical Billing Specialist with eight years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
15
15
years of professional experience
Work History
Medical Billing Specialist
Foster Family and Sports Chiropractic
05.2022 - 06.2024
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Collected payments and applied to patient accounts.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Insurance Billing Specialist
Total Rehabilitation and Sports Medicine
05.2009 - 06.2014
- Claims processing, Quality control, Answered customer invoice questions and resolved issues discovered during invoicing and collection process
- Contacted insurance providers to verify insurance information and obtain billing authorization
- Investigated and resolved issues to maintain billing accuracy
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections
- Established, enforced and optimized billing procedures to streamline operations and minimize aging balances
- Liaised with patients, insurance companies and billing personnel to create and post bills, obtain payments and update system
- Scheduled patients and updated insurance, payment history and personal information
- Reviewed and submitted workers' compensation claims
- Posted surgical charges for providers across facilities
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management
- Performed insurance verification, pre-certification and pre-authorization
- Assessed billing statements for correct diagnostic codes and identified problems with coding
- Submitted claims to insurance companies
- Checked claims coding for accuracy with ICD-10 standards.
Education
Bachelor of Arts in Psychology -
Rutgers, The State University of New Jersey
Skills
- Medical billing and collections
- Billing dispute resolution
- Patient Billing
- CPT Knowledge
- Denial Management
- ICD-10 Proficiency
- Medicare and Medicaid process
- ICD-10
- Claims review
- Accounts Receivable
- Electronic Health Record Software
City
NJ
Zip
08889
Street
Whitehouse Station
Timeline
Medical Billing Specialist
Foster Family and Sports Chiropractic
05.2022 - 06.2024
Insurance Billing Specialist
Total Rehabilitation and Sports Medicine
05.2009 - 06.2014
Bachelor of Arts in Psychology -
Rutgers, The State University of New Jersey
Similar Profiles
Kailee KirbyKailee Kirby
Chiropractic Assistant at Sports And Family Chiropractic Group Of Brigham CityChiropractic Assistant at Sports And Family Chiropractic Group Of Brigham City
Rachel BeiermannRachel Beiermann
Front Desk Receptionist at Frisco Family And Sports ChiropracticFront Desk Receptionist at Frisco Family And Sports Chiropractic
MAKENZIE BILLINGSMAKENZIE BILLINGS
Care Coordinator/Rehab Specialist at Advanced Sports And Family ChiropracticCare Coordinator/Rehab Specialist at Advanced Sports And Family Chiropractic