Summary
Overview
Work History
Education
Skills
Timeline
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Rio Laygo

Wallingford,CT

Summary

Seeking a challenging position that offers growth opportunities.

Experienced professional skilled in Medical and Pharmacy Billing, financial reporting, and excel at analytical thinking, problem-solving, and time management. Achieve accuracy and meet deadlines in fast-paced environments.

Overview

21
21
years of professional experience

Work History

Accounting Associate

Direct Success Inc.
Farmingdale, USA
01.2013 - 12.2019
  • Manage and verify all received Rx's via fax and e-scribe systems
  • Analyze and review financial reports for accuracy before client billing
  • Handled pharmacy billing operations efficiently
  • Efficiently managed both manual payment postings and electronic 835 files.
  • Ensured denied claims were re-evaluated
  • Evaluate claims scheduled for adjudication prior to shipment
  • Managed end-of-month accounting processes

Psychiatrist

Dr. Peter Benet
South Windsor, USA
05.2011 - 01.2013
  • Managed daily office operations including scheduling and phone handling
  • Executed call scripts for patients and managed billing for all payers.
  • Directs efforts in managing Suboxone treatment for opioid dependency
  • Managed Medicare, Medicaid, HMO, and PPO payer.

Women's Health
Avon, USA
01.2005 - 04.2011
  • Process eligibility checks and status updates for claims filed to insurance companies.
  • Assisted various departments in achieving their objectives.
  • Participate in month-end closing processes by executing entries.
  • Developed guidelines for processing Medicaid submissions.

Collections and Customer Service

Planned Parenthood of CT
New Haven, USA
01.2003 - 01.2005
  • Conduct comprehensive scans of charges across 19 locations.
  • Managed medical insurance billing encompassing various providers, such as Medicare, Medicaid, and others.
  • Contributed to accurate data entry for billing activities.

Office Manager/Billing Manager

Dr. Thomas E Conley (Neurologist)
Greenwich, CT
01.2002 - 11.2003
  • Bookkeeping, Payroll, and Check Balancing.
  • Scheduled all consultation appointments
  • Arranged time slots for Electromyography assessments at Greenwich Hospital.
  • Resolved patient billing questions efficiently.
  • Managed diverse patient claims, including Workers' Compensation, Motor Vehicle Accident, Medicare, and Medicaid.

Medical Billing Specialist

Byram Healthcare
Greenwich, CT
01.1999 - 10.2002
  • Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
  • Provided customer service support to patients who had questions about their bills or payments due.
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
  • Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
  • Applied payments, adjustments, and denials into medical manager system.

Education

High School Diploma -

Orville H. Platt High School
Meriden, CT
01-1996

Skills

  • Month-end closing
  • Payment Processing
  • Year-end closing
  • Electronic verification
  • Statement preparation
  • Accounts receivable management
  • Accounts payable management
  • Microsoft Word
  • Excel
  • Quickbooks

Timeline

Accounting Associate

Direct Success Inc.
01.2013 - 12.2019

Psychiatrist

Dr. Peter Benet
05.2011 - 01.2013

Women's Health
01.2005 - 04.2011

Collections and Customer Service

Planned Parenthood of CT
01.2003 - 01.2005

Office Manager/Billing Manager

Dr. Thomas E Conley (Neurologist)
01.2002 - 11.2003

Medical Billing Specialist

Byram Healthcare
01.1999 - 10.2002

High School Diploma -

Orville H. Platt High School

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Rio Laygo