Summary
Overview
Work History
Education
Skills
Timeline
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Mario Eguiarte

Bayshore

Summary

Insurance Billing Specialist with extensive experience in the medical billing industry. Knowledgeable in revenue generating processes, billing procedures and adept in the analysis and interpretation of medical codes and documentation. Possesses strong financial literacy, advanced organizational skills and expert time management principles. A comprehensive background in insurance billing and policy servicing has cultivated the ability to manage a large billing portfolio, while completing prompt submissions and abiding by state and federal regulations. Recognized for contributing team spirit, creative problem solving, and driving result.

Overview

13
13
years of professional experience

Work History

Senior Accounts Receivable Representative

Northwell Health Back Ops-Commercial Billing
09.2013 - Current
  • Use specialized knowledge of insurance and billing policies to analyze medical procedure codes, confirm payment and alter entitlements.
  • Ensure medical claims as submitted with sufficient documentation to secondary payors for claim reimbursement.
  • Research/Evaluate accounts Receivable and Outstanding Balances.
  • Complete all administrative, data entry and patient verification processes for accelerating the medical billing process.
  • Amending charges in applicable hospital facility billing systems to ensure proper billing.
  • Working in specialized worklists by Analyzing and Resolving with providing specific documentation from exclusive systems.
  • Developed and implemented strategies to improve collection processes and reduce overdue payments.
  • Assist several colleagues who work specific assignments in order to bring down the workflow.


Collections Representative

Advanced Dermotology P.C.
09.2011 - 09.2013
  • Processed payments and contracts on accounts.
  • Counseled debtors on payment options and arranged installment agreements.
  • Handled 80 outbound and inbound calls daily with goal of collecting owed debt.
  • Improved collections efficiency by implementing strategic negotiation techniques and customer service skills.
  • Reviewed collection reports to determine status of collections and amounts of outstanding balances.
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
  • Played a key role in reducing account aging by proactively identifying at-risk accounts and initiating early intervention measures.
  • Adapted quickly to changing priorities, maintaining a high level of performance and attention to detail in the fast-paced collections environment.

Education

Certification - Medical Billing

Sanford Brown Institute
Garden City

Skills

  • Insurance Diagnosis Codes/ICD 10 Coding Laws
  • Medical & insurance Terminology Savvy
  • GECB, Invision, Keane and Eagle Software Proficiency
  • Highly Proficient in Microsoft Office Applications
  • Adept in HIPPA & patient Confidentiality Laws
  • Award Winning Customer Service Reputation
  • Excellent Data Entry & recordkeeping Reputation
  • Strong Written, Verbal & Oral Communication Skills
  • Advanced Organizational & Detail Orientation Skills
  • Expert Problem Identification & Resolution Skills
  • Multi Project Management in Fast Paced Environments
  • Bilingual: Fluent in English & Spanish
  • Digital Marketing

Timeline

Senior Accounts Receivable Representative

Northwell Health Back Ops-Commercial Billing
09.2013 - Current

Collections Representative

Advanced Dermotology P.C.
09.2011 - 09.2013

Certification - Medical Billing

Sanford Brown Institute

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Mario Eguiarte