PENNY ZAZERSKY
PINE BUSH,USA
Summary
Dynamic Accounts Receivable and Medical Billing Specialist with expertise from Columbia Doctors Monroe, adept at enhancing revenue through meticulous claims processing and denial resolutions. Proficient in CPT and ICD-10 coding, coupled with strong problem-solving skills, ensuring timely payment collection and accuracy in patient account management.
Overview
25
25
years of professional experience
Work History
Accounts Receivable / Medical Billing Specialist
Columbia Doctors Monroe, Goshen and Hudson Valley
12.2020 - Current
- Accounts Receivable and Charge Review in professional billing and coding, patient account management, detailed investigation, problem solving, and denial resolutions enhancing revenue, and improving metrics
- Followed up with insurance companies, performed charge corrections, appeals, and investigate chart documentation to identify and coding inaccuracies
- Specialized in outstanding invoices, ensuring timely payment collection from insurance companies by reviewing accounts for billing discrepancies to ensure highest level of revenue capture
- Updated any accounts with coordination of benefit denials
- Verified accuracy and integrity of motor vehicle and Analyzed workers' compensation claims through careful research and analysis
- Performed insurance reporting/verification
- Documented decisions on each claim based on research findings and applicable benefit plans.
- Reviewed and verified insurance policy information to assess coverage and determine appropriate claims processing procedures.
- Utilized claims processing software to streamline workflow and increase efficiency.
Medical Billing Specialist
Columbia Doctors Monroe, Goshen and Hudson Valley
11.2015 - 12.2020
- Company Overview: Division of Cardiology, Department of Medicine, Columbia University Medical Center, Ambulatory Medical Practices MSO
- Division of Cardiology, Department of Medicine, Columbia University Medical Center, Ambulatory Medical Practices MSO
- Precisely completed appropriate paperwork and system entry regarding claims.
- Analyzed claim data to identify trends and recommend process improvements.
- Reviewed claims for coding accuracy.
- Processed claims electronically or manually as needed.
Internal Claims Examiner/Internal Claims adjuster/Operations Expert (Supervisor)
Empire Blue Cross Blue Shield
Middletown, USA
01.2000 - 12.2015
- Navigate through multiple systems to investigate, research claims and interpret inquiries, taking appropriate action to resolve the inquiries, including performing claims adjustments, correspondence, coding and documenting the results of each inquiry to ensure workflows, procedures are accurate and complete in a timely manner
- Provided operational training assisting associates by answering technical questions
- Reviewed and interpret and maintains records of service level, quality accuracy and productivity
- Including reviews of departmental policy and procedures and work with the training department to ensure these are accurate and complete
Education
Certificate - Computers and Office Training
L&S Computer Tutors, Inc.
Poughkeepsie, NY01-2000
Diploma -
Wallkill Senior High School
Wallkill, New York06.1981
Skills
- GE IDX
- MS Office Applications - Excel
- MS Office Applications - Word
- Crown/Allscripts EHR
- Epic EHR
- Professional Billing & Coding
- CPT proficiency
- HCPCS proficiency
- ICD-10 proficiency
- Medical coding
- Claims processing
- Problem solving
- Effective communication
- Time management
- Accounts receivable
- Insurance verification
- Attention to detail
- CPT knowledge
Computer And Office Training
Word, Excel, EPIC, Electronic Medical Records (EMR), Crown platform, Medical Billing and Terminology, Medical Billing Certificate, 01/01/20
Timeline
Accounts Receivable / Medical Billing Specialist
Columbia Doctors Monroe, Goshen and Hudson Valley
12.2020 - Current
Medical Billing Specialist
Columbia Doctors Monroe, Goshen and Hudson Valley
11.2015 - 12.2020
Internal Claims Examiner/Internal Claims adjuster/Operations Expert (Supervisor)
Empire Blue Cross Blue Shield
01.2000 - 12.2015
Certificate - Computers and Office Training
L&S Computer Tutors, Inc.
Diploma -
Wallkill Senior High School
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