Ny'Asia Fairley-Rich
Newark,NJ
Summary
Dynamic healthcare specialist with over four years of experience in medical billing, insurance verification, and patient coordination. Recognized for strong team collaboration and adaptability, and consistently driving improvements. Proven ability to work effectively under pressure and meet tight deadlines, consistently delivering high-quality work. Strong time management skills, effective task prioritization, and consistent meeting of deadlines. Possesses a continuous improvement mindset, seeking opportunities to enhance processes and optimize outcomes. Excellent customer service skills, prioritizing client satisfaction, and building lasting relationships.
Overview
5
5
years of professional experience
2
2
Certifications
Work History
Medicare Billing Specialist
Hudson Regional Hospital
Clifton, New Jersey
03.2025 - Current
- Processed Medicare claims using electronic billing systems efficiently.
- Reviewed patient information for accuracy and compliance with regulations.
- Communicated with healthcare providers to resolve billing inquiries promptly.
- Maintained organized records of submitted claims and patient accounts.
- Monitored changes in Medicare policies and updated billing practices accordingly.
- Provided support during audits by preparing necessary documentation and reports.
- Trained new employees on proper procedures for handling Medicare claims submissions.
- Investigated denied claims and followed up on appeals as needed.
- Maintained a working knowledge of CPT and HCPCS codes, ICD-10 codes, modifiers, fee schedules, insurance plans.
- Reviewed medical records, identified relevant diagnosis codes, and applied appropriate procedure codes for billing purposes.
- Performed insurance verification, pre-certification and pre-authorization.
INSURANCE REVERIFICATION SPECIALIST/ TEMP POSITION
Novartis Pharmaceuticals
East Hanover, New Jersey
10.2024 - 03.2025
- Verified insurance benefits for patients in a fast-paced healthcare environment.
- Communicated with insurance providers to clarify coverage details and requirements.
- Coordinated with healthcare staff to gather necessary documentation for claims.
- Utilized electronic health record systems to update patient insurance information.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated patient and insurance data and input changes into company computer system.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
SURGICAL COORDINATOR/LEAD FRONT DESK SCHEDULER
New Jersey Urology
Bloomfield, New Jersey
06.2020 - 01.2024
- Coordinated surgical schedules for multiple urology procedures across various locations.
- Communicated effectively with patients regarding pre-operative and post-operative instructions.
- Managed patient records and updated information in electronic health systems accurately.
- Educated patients on insurance coverage and financial responsibilities prior to surgery.
- Managed scheduling of multiple surgeries on a daily basis, coordinating availability of surgeons and anesthesiologists.
- Reviewed incoming referrals from primary care providers before scheduling any procedure or appointment.
- Scheduled follow-up appointments and managed patient flow efficiently throughout the day.
- Called patients to confirm scheduled appointments and obtain additional details.
Education
Associate of Science - Nursing
Essex County College
Newark, New Jersey, NJ06-2027
High School Diploma -
NEWARK VOCATIONAL TECHNICAL SCHOOL
Newark, NJ06-2020
Skills
- Patient communication
- Insurance verification
- Medical billing
- Electronic health records
- Claims processing
- Appointment scheduling
- Team collaboration
- Adaptability in learning
- Denial management strategies
- Medical terminology fluency
- Effective communication
- Scheduling proficiency
Certification
CNA - Certified Nurse Assistant Certification
Timeline
Medicare Billing Specialist
Hudson Regional Hospital
03.2025 - Current
INSURANCE REVERIFICATION SPECIALIST/ TEMP POSITION
Novartis Pharmaceuticals
10.2024 - 03.2025
SURGICAL COORDINATOR/LEAD FRONT DESK SCHEDULER
New Jersey Urology
06.2020 - 01.2024
Associate of Science - Nursing
Essex County College
High School Diploma -
NEWARK VOCATIONAL TECHNICAL SCHOOL