Nalinie Kisten
Springfield Gardens,NY
Summary
Motivated Medical Billing and Coding Specialist over 10 years of experience in health operations management, billing and coding. Expertise in ICD-10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue goals.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Certified Medical Biller and Coding Specialist
Village MD
09.2022 - Current
- Worked with patients to ensure accurate processing of claims
- Inpatient and outpatient claim processing
- Verification of insurance eligibility
- Follow up on correspondence, unprocessed, rejected, and claims not paid in a timely manner
- Research and resolve incorrect payments EOB rejections and other issues with outstanding accounts balance
- Provide insurance companies with additional documentation or records (if requested) to expedite payments and resolve denials
- Send appeals and reconsideration letters to insurance companies
- Check claims status via provider portal
Medical Billing /Collections/Coding
New York Gastroenterology
03.2012 - 01.2021
- AR Collection and follow up
- Performed insurance verification, Pre-certification, and Preauthorization
- Knowledge in workers compensation and auto accident claims processing
- Followed up on all unpaid insurance claims answered patients questions regarding their bills, processed all refunds, performed insurance and patient collections
- Following up with insurance companies to ascertain the appeal letters have been received, as well as, checking the status of the appeal letters.
Education
Certified Medical Biller and Coder - undefined
Certified Medical Assistant - undefined
Skills
- Excellent organizational skills detail oriented, strong analytical skills and ability to prioritize, multi-task and meet deadlines
- Demonstrated analytical, problem-solving and organizational skills
- Excellent attention to detail, time management, and organizational skills
- High level of interpersonal skills, including the ability to respond calmly and make rational decisions in stressful situations
- Demonstrated ability to deal effectively with all employees and external business contacts while conveying a positive, service-oriented attitude
- Good verbal communication skills, and basic typing ability
Certification
Billing and coding
Timeline
Certified Medical Biller and Coding Specialist
Village MD
09.2022 - Current
Medical Billing /Collections/Coding
New York Gastroenterology
03.2012 - 01.2021
Certified Medical Biller and Coder - undefined
Certified Medical Assistant - undefined
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