RACQUEL PROFITT-SIMMS
936 REDA COURT,GA
Summary
Expert Billing Supervisor successful at operating department efficiently. Knowledgeable about invoicing, payment processing and account reconciliations. Accounts receivable expertise and 10 years of experience in billing and payments. Proven track record of maintaining efficient office operations. Expertise in scheduling and coordinating meetings, managing travel and expense reports, and transcribing minutes. Detail-oriented and methodical medical biller offering over 10 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Overview
13
13
years of professional experience
1
1
Certification
Work History
WC/NF BILLING SUPERVISOR
CENTRAL ORTHOPEDIC GROUP
11.2021 - Current
- Developed and maintained billing procedures to make timely payments.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Oversaw financial operations, producing invoices, processing payments and preparing deposits.
- Researched and resolved billing discrepancies to enable accurate billing.
- Reviewed documentation for compliance with requirements and accuracy of information.
- Prepared and submitted monthly billing reports to management for financial overview.
Medical Biller, Accounts Receivable
CENTRAL ORTHOPEDIC GROUP
01.2019 - Current
- Prepared billing statements for patients and verified correct diagnostic coding.
- Delivered timely and accurate charge submissions.
- Medicare billing compliance, Ensure all CMS guidelines and mandatory rules are applied for all billing/ coding and reimbursement.
- Ensure that Medicare ABN forms are completed accurately.
- HIPPA Compliance (Health Insurance Portabilityv and Accountability Act)
- Updated aging reports based on daily audits.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted customer payments by recording cash, checks, and credit card transactions.
- Collected payments and applied to patient accounts.
- Verified discrepancies and resolved clients' billing issues
- Liaised between patients, insurance companies, and billing office.
Medical Biller
South Shore Neurologic Associates P.C
Islip, NY
06.2015 - 01.2020
- Generated monthly billing and posting reports for management review.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Utilized various software programs to process customer payments.
- Collected payments and applied to patient accounts.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Medical Billing Specialist
ISLAND GYNECOLOGIC ONCOLOGY
BRIGHTWATERS, NY
01.2013 - 07.2015
- Precisely evaluated and verified benefits and eligibility.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Liaised between patients, insurance companies, and billing office.
- Located errors and promptly refiled rejected claims.
- Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Medical Biller
Central Physical Therapy And Fitness
GARDEN CITY, NY
07.2010 - 08.2014
- Generated monthly billing and posting reports for management review.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Utilized various software programs to process customer payments.
- Collected payments and applied to patient accounts.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Handled account payments and provided information regarding outstanding balances.
- Delivered timely and accurate charge submissions.
- Verified insurance of patients to determine eligibility.
Education
Associate of Science -
Nassau Community College
Garden City, NY05.2006
Skills
- Computerized Maintenance Management Systems
- Billing Systems and Software
- Month-End Closing Procedures
- Medical Billing and Collections
- Billing Dispute Resolution
- Accounts Receivable Expertise
- Claim Processing
- Employee Timesheet Processing
- Excel
- Monthly Reconciliations
- Powerpoint
- Correspondence Writing
- Staff Meetings
- Monthly Billing Management
- A/P and A/R Expertise
- Motivational Leadership
- Time Management
- Staff Scheduling
- New Hire Orientation
- Team Leadership
- Microsoft Office Suite
- Accounts Payable and Receivable
- Intuit QuickBooks
Certification
- Certified medical Billing and Coding License -
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
WC/NF BILLING SUPERVISOR
CENTRAL ORTHOPEDIC GROUP
11.2021 - Current
Medical Biller, Accounts Receivable
CENTRAL ORTHOPEDIC GROUP
01.2019 - Current
Medical Biller
South Shore Neurologic Associates P.C
06.2015 - 01.2020
Medical Billing Specialist
ISLAND GYNECOLOGIC ONCOLOGY
01.2013 - 07.2015
Medical Biller
Central Physical Therapy And Fitness
07.2010 - 08.2014
Associate of Science -
Nassau Community College
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