Maria Mora
SHRUB OAK,NY
Summary
Dedicated and organized financial professional with outstanding relationship-building and problem-solving skills. Driven to exceed expectations and operate effectively in fast-paced, high-pressure environments. Self-motivated team player adept at cultivating partnerships and building lasting relationships across all demographics and management levels. Dynamic and reliable with exceptional customer service and communication skills. Hardworking Financial Counselor proudly offering over 10 years of experience in processing financial forms and obtaining healthcare documents. Highly trained professional with background in patient account management and meeting tight deadlines. Offering exemplary time management and issue resolution skills.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Financial Counselor
NYP Hudson Valley Hospital Center
Shrub Oak, NY
10.2016 - Current
- Coordinate with the patient, physician, insurance company, and hospital on the complete pre-certification process, including second opinions and tertiary referrals.
- Review provider and chemotherapy schedules, checking patients’ accounts for outstanding insurance claims over 60 days and communicating with the biller to request additional claim follow up.
- Review patient chemotherapy protocols and determine insurance benefits and patient responsibility.
- Establish payment arrangements with the patient and document appropriately in the practice management system
- Work with pharmaceutical companies and other resources to obtain grants and financial aid for patients in need.
Billing Clerk
Digitech
Briarcliff Manor, NY
03.2012 - 08.2015
- Coded invoices properly based upon patient services and medical records.
- Investigated and resolved issues to maintain billing accuracy.
- Maintained confidentiality on all patient record data.
Billing Account Representative
Westchester Health Associate
Katonah, NY
03.2008 - 01.2012
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance.
- Reviewed and submitted workers' compensation claims.
- Managed revenue cycle process from point of prior authorizations to payment receipt.
Education
Master of Business Administration - Business Administration And Management
University of Phoenix
Tempe, AZ03-2024
Master of Healthcare Administration - Health Administration
University of Phoenix
Tempe, AZ03-2024
Skills
- Customer service skills
- Well-trained in Epic, Cerner
- Great active listening skills
- Leadership skills
Languages
Spanish
Professional
Certification
- Certified Application Counselors, New york Sate of Health - 2018
References
References available upon request.
Timeline
Financial Counselor
NYP Hudson Valley Hospital Center
10.2016 - Current
Billing Clerk
Digitech
03.2012 - 08.2015
Billing Account Representative
Westchester Health Associate
03.2008 - 01.2012
Master of Business Administration - Business Administration And Management
University of Phoenix
Master of Healthcare Administration - Health Administration
University of Phoenix
- Certified Application Counselors, New york Sate of Health - 2018
Similar Profiles
Lorrena KirkwoodLorrena Kirkwood
Patient Care Director at NYP Hudson Valley HospitalPatient Care Director at NYP Hudson Valley Hospital
Regina CaputoRegina Caputo
Patient Care Technician at NYP Hudson Valley HospitalPatient Care Technician at NYP Hudson Valley Hospital
Asha SundeepAsha Sundeep
Staff Development Instructor at NYP Hudson Valley HospitalStaff Development Instructor at NYP Hudson Valley Hospital