Sheila Finley, CBCS
Bronx,NY
Summary
To secure a medical coding position in a reputable facility that can utilize skills and provide opportunities for professional advancement. Successful at efficiently handling client inquiries, billing, and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence. Detail-oriented Billing Specialist with a strong understanding of bookkeeping principles and customer service. Experienced in developing and managing efficient billing and posting processes. Considered focused and organized team player.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Billing Specialist
The New York Foundling
06.2016 - Current
- Review delayed/held claims for scrubbing and processing for timely claim submission
- Reviewed and reconciled customer accounts to manage accuracy of payments
- Verified accuracy of accounts payable payments, resulting in 85% reduction in payment errors and check re
- Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurance to obtain timely and accurate payments
- Researched and resolved billing discrepancies to enable accurate billing
Data Analyst
United Bronx Parents
11.2015 - 06.2016
- Processing and collecting data to be entered into a computer
- Keeping sensitive client or company information confidential
- Knowledge of BAHN software
- Analyzed data to identify root causes of problems and recommend corrective actions
Medical Biller
AHRC, Access Community Health Center
10.2012 - 06.2015
- Prepare /submit medical claims electronically (and when applicable by paper) to governmental, private pay, and commercial insurance carriers
- Identify and resolve any claim delay issues that impact billing and collections
- Experience with Article 16 and Nextgen software program
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
- Collected payments and applied to patient accounts
- Responded to customer concerns and questions on daily basis
Medical Biller
Betances Health Center
10.2010 - 09.2012
- Charge entry and payment posting
- Process denials/EOB and follow-up
- Electronic billing out of ECW, Sage, and Dental software programs
- Verified accuracy of accounts payable payments, resulting in 75% reduction in payment errors and check reissues
- Collected payments and applied to patient accounts
Education
Medical Billing and Coding Certificate Program An intensive 900-hour course comprised of theoretical and practical applications in essential medical billing and coding skills which include: Administrative Skills-Health Insurance Claims Processing, Medical office applications, Medisoft Billing Software Medical Course- Medical Terminology, Anatomy, and Physiology Coding Skills-CPT-4, ICD-9-CM -
Sanford Brown Institute
New York, NY09.2010
Associates Degree - Medical Office Systems Management
The College of Westchester
White Plains, NY09.2009
Associates Degree - Accounting
Hostos Community College of The City University of New York
The Bronx, NY09.1996
Skills
- CPT Coding and ICD-10-CM
- Insurance confirmation
- Monthly billing management
- Teamwork And Collaboration
- 13 years billing experience
Certification
- Certified Billing and Coding Specialist, NHA - 02/26/23
Timeline
Billing Specialist
The New York Foundling
06.2016 - Current
Data Analyst
United Bronx Parents
11.2015 - 06.2016
Medical Biller
AHRC, Access Community Health Center
10.2012 - 06.2015
Medical Biller
Betances Health Center
10.2010 - 09.2012
Medical Billing and Coding Certificate Program An intensive 900-hour course comprised of theoretical and practical applications in essential medical billing and coding skills which include: Administrative Skills-Health Insurance Claims Processing, Medical office applications, Medisoft Billing Software Medical Course- Medical Terminology, Anatomy, and Physiology Coding Skills-CPT-4, ICD-9-CM -
Sanford Brown Institute
Associates Degree - Medical Office Systems Management
The College of Westchester
Associates Degree - Accounting
Hostos Community College of The City University of New York
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