SINETRA RIZZUTO
SURPRISE
Summary
With 30 years of experience as a dedicated customer service representative, including 29 years with Northwell Health, I am seeking a new career opportunity after relocating to Arizona. I thrive in fast-paced environments and have a proven track record of managing high-volume call centers, resolving customer satisfaction issues and improving customer satisfaction. I am eager to leverage my extensive experience and skills in a new role within the healthcare administration field. Passionate about customer service and committed to continuous improvement.
Overview
31
31
years of professional experience
Work History
AZPD Pain Management
04.2025 - Current
- Process customer payments and post within patient billing system.
- Coaching front office personnel in correct payment collection methods.
- Run monthly patient statements and applies updates to patient account.
- Clarifies customer billing inquiries over phone and through emails.
Insurance Follow up
HOPCO Orthopedic
03.2024 - 06.2024
- Correct unpaid claims or medical codes to get them reprocessed and paid.
- Update providers credentials to allow reprocessing of unpaid claims.
- Charge corrections, write-offs and adjustments as needed.
Senior PFS Representative
Banner Gastroenterology
03.2023 - 10.2023
- Oversees and assists with insurance verification and appointment scheduling.
- Managed team of 9 employees to facilitate patient intake and checkout processes.
- Oversees scheduling of any subsequent surgeries or follow-up procedures.
Accounts Receivable Representative
LLJ Northwell
10.2016 - 03.2023
- Responsible for appealing claims for higher reimbursement.
- Responsible for requesting medical records and coding review when necessary.
- Responsible for submitting insurance claims for processing.
- Charge corrections, write-offs and adjustments as needed.
- Completes Medicare project assignments.
Commercial & Managed Care A/R Representative
LLJ Northwell
11.2008 - 10.2016
- Conduct extensive follow-up on all unpaid Commercials & Managed care claims.
- Responsible for requesting medical records and coding review when necessary.
- Followed up with patient and/or insurance issues until resolved.
- Responsible for submitting insurance claims for processing.
- Manage multiple priorities and maintain effective results in a quota driven workplace.
- Responsible for appealing claims for higher reimbursement.
- Charge corrections, write-offs, and adjustments as needed.
- Assisted management daily with trends.
Clinical Practice Plan Cash Application Clerk
LLJ Northwell
03.1994 - 11.2008
- Provided effective and timely resolution of a range of customer inquiries.
- Process third party refund check with accuracy.
- Coordinate and calculate Medicare deposits.
- Post responsible party payment checks.
- Assisted in the training of new customer service representatives.
- Apply payment to outstanding claims, which updates the Accounts Receivable.
- Monitor delinquent payments and troubleshoot problems as they arise.
Skills
- Word, Excel, PowerPoint, Outlook, and various Medical Billing Software
Timeline
AZPD Pain Management
04.2025 - Current
Insurance Follow up
HOPCO Orthopedic
03.2024 - 06.2024
Senior PFS Representative
Banner Gastroenterology
03.2023 - 10.2023
Accounts Receivable Representative
LLJ Northwell
10.2016 - 03.2023
Commercial & Managed Care A/R Representative
LLJ Northwell
11.2008 - 10.2016
Clinical Practice Plan Cash Application Clerk
LLJ Northwell
03.1994 - 11.2008
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