Mary Cifuni
Port Jefferson,NY
Summary
Competent Medical Billing professional with ability to manage a busy medical office and provide excellent customer service to all patients. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with a background overseeing accounts and handling records management tasks. Considered a team-oriented person with great decision-making skills. Competent Medical Biller/Coder providing Over 20 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
35
35
years of professional experience
Work History
Medical Biller/Medical Coder
Dr. Hesham M. Atwa
East Setauket, NY
08.2012 - Current
- Reviewed medical records to select appropriate coding sequences.
- Used Raintree and NextGen and Medisoft to input information into computerized patient record system.
- Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
- Researched and followed up on denied insurance claims.
- Adhered to established standards to safeguard all patients' health information.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Set up and maintained new electronic billing system.
- Reviewed services rendered and completed to reconcile codes.
- Posted payments and collections on regular basis.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Delivered timely and accurate charge submissions utilizing NextGen.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Verified proper ICD-10 coding on claims.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Maintained current accounts through aged revenue reporting.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Reviewed outgoing bills for eligibility and accurateness.
- Liaised between patients, insurance companies and billing office.
- Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
- Posted surgical charges for 3 surgeons for General Surgery and Bariatrics.
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Assisted patients by determining financial assistance available and setting up payment plans.
Medical Biller/Coder
North Shore Psychiatry
Smithtown, NY
05.1989 - 09.1997
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reviewed medical records to select appropriate coding sequences.
- Maintained current accounts through aged revenue reporting.
- Efficiently collected payments and communicated with clients.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Reviewed outgoing bills for eligibility and accurateness.
- Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
- Researched and followed up on denied insurance claims.
- Confirmed backup and proper storage of sensitive information in event of data breach or outage.
- Posted charges, payments and write-ups for all inpatient and outpatient psychiatric service's.
Education
Associate of Science - Early Childhood Education
Suffolk Community College
Selden, NYMedical Billing/Coding Specialist
Eastern Suffolk BOCES Adult Career & Continuing Ed
Bellport, NY06.2012
Skills
- Medical Billing
- CPT Coding
- Medical Records Management
- Medical Coding Knowledge
- Payment Posting
- Insurance Knowledge
- Account Reconciliation
- Medical Coding
- Billing Systems
- Medical Records Review
- Billing Inquiries
- Collection Calls
- Accounts Receivable Management
- Medical claims submission
- Medical terminology expert
- Billing knowledge
- General Surgery/Bariatric Surgery/Psychiatric/Orthopedic billing knowledge
- Records Maintenance
- Medicare and Medicaid process
- Accounting remittances
- Cash Flow analysis
- Payment processing
30 hours per year of CME Continuing Education (CEU) credits
The Medical Society of the State of New York requires a minimum of 30 credit hours per year to keep the Medical Biller/Coder certification up to date.
Timeline
Medical Biller/Medical Coder
Dr. Hesham M. Atwa
08.2012 - Current
Medical Biller/Coder
North Shore Psychiatry
05.1989 - 09.1997
Associate of Science - Early Childhood Education
Suffolk Community College
Medical Billing/Coding Specialist
Eastern Suffolk BOCES Adult Career & Continuing Ed