Mery Ann Florentino
Lodi,NJ
Overview
16
16
years of professional experience
Work History
Talent Acquisition Specialist
Savista
Remote, NJ
07.2022 - 06.2024
- Partnered with hiring managers and recruiter to prioritize critical hiring needs
- Created and drove talent acquisition in various sites (i.e., LinkedIn and Indeed) to attached diverse candidates
- Post job on Indeed and LinkedIn
- Coordinated and manage scheduling of phone and video interviews
- Administered Pre-Employment Assessments for Medical Coding
- Sourced qualified candidates
- Generated offer letters in Workday
- Sent additional offer documents and new hire packets through Adobe for electronic signature
- Scheduled internal and external candidate for screening calls with the TA Partners and interviews with Hiring Managers
- Collaborated with Talent Acquisition Senior Director to developed hiring goals and strategies based on company objectives
- Built strong relationships and partnerships across broader HR functions
- Partnered with recruiter to meet the recruitment deliverables (candidate quality, hire target dates, time to fill, hiring managers satisfaction)
- Managed a high volume of requisitions ensuring timely completion
- Provide daily report to the Talent Acquisition team on the recruiting activities; candidates interviewed, assessments, and any movement on the hiring process
AR Specialist 1
Savista Revenue Cycle
Remote, NJ
07.2019 - 07.2022
- Conduct phone conversation with insurance payer to review underpayment claims
- Submitted necessary supportive medical records for claim resolution
- Updated patient demographics or insurance in the AR systems
- Researched status on unpaid claims and denied claim on the payer's website or on the phone
- Tracked claims for missing information or rejection on the clearing house
- Communicated management for any potential payer 's denial trends for avoid upfront future denials
- Obtained payer provider billing guidelines to optimize claim's reimbursement
- Assisted on special project from client to reduce claim aging and resolution reimbursement on high dollar claims
Denial Billing Representative
GeneDx Revenue Cycle
Elmwood Park, NJ
02.2017 - 07.2019
- Monitored denial reports to identify root causes of denials and implement the proper action plan for resolution
- Worked EOB denials for underpayments and contact the assigned carriers via phone for provider payment's disputes
- Submitted appeal letters along with supportive medical records for medical necessity denials
- Initiate retro respective review request via the phone or fax with supportive medical records
- Monitored and track denials, and appeals workflow to ensure timely submission of the required appeal
- Recorded all actions made on claims with the insurances in details on the billing software
- Created variance reports to identify denial trends and communicate high-risk patterns from the contracted insurance carriers to management and payer relations
- Gathered and document a detailed and comprehensive understanding of our insurance contracts from 2017 and 2018 by CPT codes, product, and insurance carriers
- Worked collaboratively between the payer relations department and the insurance companies, to receive payment on underpaid claims
- Undertook special projects for manager as needed/requested
Patient Account Representative
Valley Hospital
Ridgewood, NJ
09.2008 - 02.2017
- Reviewed remittance advice, worked with insurance companies and health care providers to get claims processed and paid
- Researched outstanding insurance claims and assesses accounts on the aging report for corrections and resubmission
- Held weekly conference calls with BCBS of NJ designated representative and reviewed aging accounts from 30 to 90 days and high dollar claims for proper reimbursement based on our contract
- Received letter of agreements for non-participated insurances and negotiated for prompt payments on outstanding claims
- Researched and initiated refund process for insurance companies
- Disputed recoupments made by the insurance carriers on old accounts in error
- Responsible to review and process correspondence from patients and insurance carriers
- Cross-trained new employees in the follow-up and denial areas of billing revenue cycle
- Undertake special projects for the manager as needed/requested
Unemployment
06.2024 - Current
- Collect weekly unemployment
- Attending WILLIAM PATERSON UNIVERSITY to obtain Human Resources Certificate since December 2024 expect to graduate April 2025
Timeline
Unemployment
06.2024 - Current
Talent Acquisition Specialist
Savista
07.2022 - 06.2024
AR Specialist 1
Savista Revenue Cycle
07.2019 - 07.2022
Denial Billing Representative
GeneDx Revenue Cycle
02.2017 - 07.2019
Patient Account Representative
Valley Hospital
09.2008 - 02.2017
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