MARIE MANSARAY
Newport News,VA
Summary
Professional summary detail oriented and organized healthcare professional with hands-on experience in medical claims processing, patent account managements, and revenue cycle operations. Skilled in analyzing explanation of benefits (EOBs) processing claims with HCFA 1500 and UB04 forms, and ensuring timely resolution of accounts. experienced in navigating complex payor systems, handling government and non-government payors, and maintaining compliance with healthcare regulations. seeking to leverage this expertise in a patent account representative role to improve collections and revenue cycle efficiency.
Overview
13
13
years of professional experience
Work History
Assistant Teacher
A castle for class kids
Brooklyn, NY
10.2015 - 12.2024
- Processed and submitted medical claims using CMS-1500 and UB04 forms, ensuring accuracy in coding and payer details.
- Analyzed explanation of benefits (EOBs) to resolve claim denials and discrepancies, working directly with payors to address issues.
- Followed up on a claim submission to ensure timely payment and resolution of disputed balances.
- Documented all actions taken on accounts, maintaining detailed and accurate notes in the patient accounting system.
- Worked collaboratively with management and team members to streamline claim processing and identify areas for improvement.
Revenue Cycle Coordinator
New York City Administration for Children's Services
New York, NY
09.2011 - 08.2014
- Managed patient accounts from claim creation through payment, ensuring proper submission and follow-up on insurance claims.
- Reviewed contracts and identified potential billing or coding issues to facilitate accurate claims submission and processing.
- Monitored aging accounts and escalated unresolved claims to management to avoid delays in collection.
- Worked closely with patients, third-party payors, and medical records to gather additional information for account resolution.
Education
Associate of Science - Healthcare Management
Globe Institute of Technology
New York, NY06-2013
High School Diploma -
Manhattan International High School
New York, NY06-2009
Skills
- Medical claims processing(commercial, Managed Care Medicare, Medicaid)
- Revenue cycle management
- Analyzing EOBs, HCFA 1500, and UB04 forms
- CMS-1500 claims submission
- Payor interaction & insurance collections
- Patient account management
- Compliance with state & federal healthcare regulations
- Microsoft office suite(word, excel)
- Data entry and account documentation
- Strong analytical & problem-solving skills professional experience
- Medical claims specialist
Affiliations
- CPR
- Virginia Annual Health and Safety Update Training for Child Care Staff
- Virginia Preservice Training for Child Care Staff
Accomplishments
- Expertise in processing claims and submitting billing forms (CMS-1500 and UB04) ensuring compliance with payor requirements successfully analyzed EOBs and resolved claim denials, reducing account aging and increasing collections
- Proven ability to manage multiple patient accounts, track account progress, and meet productivity and quality goals.
Timeline
Assistant Teacher
A castle for class kids
10.2015 - 12.2024
Revenue Cycle Coordinator
New York City Administration for Children's Services
09.2011 - 08.2014
Associate of Science - Healthcare Management
Globe Institute of Technology
High School Diploma -
Manhattan International High School
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