Detail-oriented billing professional with extensive experience supporting healthcare revenue cycles. Skilled in reviewing patient accounts, correcting claim edits, verifying insurance, and resolving account discrepancies. Focused on accurate payment posting, timely reimbursement, and smooth account workflows.
Overview
1
1
Language
11
11
years of professional experience
Work History
Patient Financial Services Billing Representative
Mount Sinai Health System
08.2018 - Current
Verified insurance eligibility and benefits, updating account details to reduce billing errors.
Reviewed patient accounts for billing accuracy, resolving discrepancies in charges, payments, and insurance coverage.
Processed claims and corrected claim edits to support timely submission and reimbursement.
Communicated with patients and payers regarding balances, statements, and payment arrangements.
Tracked denied claims, analyzed rejection reasons, and initiated follow-up for resubmission.
Maintained compliance with healthcare billing policies, payer guidelines, and confidentiality requirements.
Used patient accounting systems to document account activity, adjustments, and resolution steps.
Reviewed and solved account and billing discrepancies.
Coordinated with internal departments to research account issues and streamline billing workflows.
Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
Administrative Assistant
West Nassau Dialysis Center
06.2015 - 08.2018
Coordinated patient scheduling and appointment changes to support smooth daily dialysis operations.
Maintained accurate patient records, files, and documentation in compliance with office procedures.
Managed phone calls, messages, and front-desk inquiries with professionalism and discretion.
Processed referrals, forms, and correspondence to support clinical and administrative workflows.
Verified insurance information and updated patient demographics for accurate records and billing support.
Prepared reports, letters, and office documents using strong data entry and formatting skills.
Supported nursing and management staff with clerical tasks, calendar coordination, and follow-up communication.
Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions.
Patient Financial Services Representative at Jerold Phelps Community HospitalPatient Financial Services Representative at Jerold Phelps Community Hospital