Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Nadya Gorden

Lawrence,NY

Summary

Dynamic Medical Billing and Collection Specialist with proven success at Progressive Urology, enhancing cash flow and reducing claim denials through expert denial resolution and professional communication. Proficient in medical billing software, I consistently achieve revenue recovery while fostering strong relationships with insurance representatives to expedite claims processing.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Medical Billing and Collection Specialist

Progressive Urology
07.2018 - 04.2025
  • Managed outstanding accounts receivable balances to improve cash flow efficiency.
  • Ensured timely responses to inquiries from patients and insurance providers.
  • Pursued underpaid or denied claims through appeals, maximizing revenue recovery.
  • Followed up diligently on outstanding insurance claims, reducing aged receivables.
  • Generated and distributed monthly patient statements for clear financial communication.
  • Researched billing discrepancies to initiate corrective actions promptly.
  • Negotiated favorable payment terms, achieving prompt settlements of overdue accounts.
  • Ensured accurate data entry by meticulously reviewing all claim submissions before sending them to insurance companies for processing.
  • Contacted patients to discuss past-due accounts and negotiated payment plans.
  • Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
  • Maintained excellent relationships with insurance representatives to expedite claims processing and secure timely reimbursements for services rendered.
  • Increased overall collection rates with a focus on reducing aged receivables and minimizing writeoffs.
  • Ensured compliance with industry regulations by staying up-to-date on changes to medical billing procedures and guidelines.

Medical Billing Supervisor/Credentialing Coordinator

Advanced Urology Associates
09.2006 - 06.2018
  • Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
  • Analyzed medical records to satisfy insurance company mandates.
  • Managed a team of medical billers, providing guidance and support for their professional development.
  • Conducted regular audits to ensure compliance with federal, state, and industry guidelines.
  • Maintained current accounts through aged revenue reporting.
  • Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
  • Prepared records for site visits and file audits.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Developed strong relationships with insurance representatives, facilitating smoother negotiations when resolving disputes over claims payments.
  • Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Posted payments and collections on regular basis.
  • Assisted in maintaining accreditation status by preparing necessary reports and materials for site visits and audits.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.

Medical Biller

Central Surgical Supplies
03.2004 - 09.2006
  • Filed and updated patient information and medical records.
  • Verified insurance of patients to determine eligibility.
  • Accurately entered patient demographic and billing information in billing system.
  • Posted payments and collections on regular basis.

Front Desk Coordinator

Kew Gardens Medical and Rehabilitation Center
08.1999 - 02.2004
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Performed various administrative tasks by filing, copying and faxing documents.

Education

CPC Training

Medco Consultant
Flushing, NY
05-2017

Medical Office Management

American Training Center, Inc
Rego Park, NY
06-1999

Skills

  • Denial resolution
  • Medical billing software proficiency
  • HIPAA compliance
  • Electronic health records experience
  • Professional communication
  • Accounts receivable management

Certification

  • CPC

Languages

English
Full Professional
Russian
Native or Bilingual
Ukrainian
Native or Bilingual
Spanish
Elementary

Timeline

Medical Billing and Collection Specialist

Progressive Urology
07.2018 - 04.2025

Medical Billing Supervisor/Credentialing Coordinator

Advanced Urology Associates
09.2006 - 06.2018

Medical Biller

Central Surgical Supplies
03.2004 - 09.2006

Front Desk Coordinator

Kew Gardens Medical and Rehabilitation Center
08.1999 - 02.2004

CPC Training

Medco Consultant

Medical Office Management

American Training Center, Inc

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Nadya Gorden