Maritza Negron-Rosario
Rochester,NY
Summary
Dynamic Billing and Scheduling Coordinator with extensive experience at Robert H. Oliver MD PLLC, excelling in claims processing and insurance verifications. Known for exceptional problem-solving skills and meticulous attention to detail, I effectively resolved patient billing issues, ensuring accurate and timely submissions while enhancing patient satisfaction. Bilingual and resourceful, I thrive in fast-paced environments.
Overview
21
21
years of professional experience
Work History
Billing and Scheduling Coordinator
Robert H. Oliver MD PLLC
Rochester, NY
05.2019 - Current
- Perform charge entry and scheduling tasks efficiently.
- Conduct insurance verifications to ensure accurate billing.
- Answer phone inquiries regarding billing questions promptly.
- Obtain prior authorizations for surgeries and radiology procedures.
- Identify and resolve patient billing and payment issues efficiently.
Charge Entry Specialist
University of Rochester Medical Center
Rochester, NY
09.2015 - 05.2019
- Accurately posted charges in Flowcast and IDX systems.
- Assured correct CPT codes and ICD-10 diagnoses for billing.
- Ensured timely claim filing, and maintained necessary documentation.
- Processed personal payments to respective accounts efficiently.
Patient Access Specialist
Unity Health Systems
Rochester, NY
03.2011 - 04.2016
- Verified insurance coverage and copays for inpatient and observation admissions.
- Confirmed patient demographics and secured signatures on required admission paperwork.
- Filed essential documentation in patient charts to ensure accuracy.
- Maintained strict confidentiality of patient information throughout processes.
Billing Specialist
Rochester Cardiopulmonary Group P.C.
Rochester, NY
02.2004 - 09.2015
- Accurately completed claims paperwork and documentation, ensuring precise system entry.
- Verified patient eligibility, benefits, and claims status with insurance agencies.
- Determined prior authorizations for outpatient procedures, surgeries, and radiology services.
- Submitted electronic and paper claims documentation for timely filing.
- Managed correspondence with insurance companies to address inquiries.
- Posted and adjusted payments from insurance companies to maintain accurate records.
- Identified and resolved patient billing and payment issues efficiently.
Education
Regents Diploma -
Pittsford Mendon High School
06.1998
Skills
- Insurance knowledge and procedures
- Claims processing and collections
- Insurance benefits understanding
- Problem solving skills
- Resourcefulness and reliability
- Attention to detail
- Office administration support
- Verbal communication skills
- Bilingual
- Experience with Allscripts, Epic/Careconnect, Flowcast, IDX and Macpractice
References
References available upon request.
Timeline
Billing and Scheduling Coordinator
Robert H. Oliver MD PLLC
05.2019 - Current
Charge Entry Specialist
University of Rochester Medical Center
09.2015 - 05.2019
Patient Access Specialist
Unity Health Systems
03.2011 - 04.2016
Billing Specialist
Rochester Cardiopulmonary Group P.C.
02.2004 - 09.2015
Regents Diploma -
Pittsford Mendon High School
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