Stephanie Zebro
Toms River
Summary
A motivated determined employee with over 20 years of medical clerical and data entry, insurance verification, collections & customer service experience. High achiever, who is challenge-oriented and loves learning every aspect of a job given, a dependable, energetic person, who will help out as a team member at all times but can also work independently due to extreme discipline. Many of my qualities include traits such as trustworthy, reliable, loyal and extremely competitive in a healthy way. I put 150 % into everything I do and take pride in my work.
to obtain a position where I can utilize my experiences and to learn more and grow in the company, to bring forth a positive attitude and show my dedication and strong skills and extreme empathy and care for patients which can have a valuable application to the success and growth of a business.
Overview
29
29
years of professional experience
Work History
Surgical Biller/Scheduler/insurance verifier
Seashore Surgical Institute LLC
Brick, NJ
01.2013 - Current
- Verifying whether or not a patient needs pre authorization for a procedure and also trained how to process an authorization or referral.
- Responsible for calculating patient responsibilities with their insurance policies with surgery center contracts with patients insurance.
- Proficient with Navi Net, Availity, Zir Med, One Medical Passport, & insurance payer provider portals.
- Responsible for patient payment and appropriate adjustments from insurance companies to patients accounts.
- Also responsible for adding appropriate charges for patients procedures at the ambulatory center.
- Scheduling appointments for patients having surgery or procedures at the surgery center.
- Responsible for patient's accounts that are delinquent and also helping patients to set up payment plans to pay off their accounts if they are having financial hardship.
- Accepting payments and posting them to patients accounts via email or credit card, care credit payments over the phone as well as checks or credit card payments at the front desk.
Patient Account Representative
Barnabas Healthcare system (Medassets)
Oceanport, NJ
01.2003 - 01.2013
- Responsible for the daily download of patients accounts affiliated with St Barnabas Health care system, hospitals include: St Barnabas Medical Center, Clara Maass Medical Center, Newark Beth Israel Center, Community Medical Ct, Monmouth Medical center and Kimball Medical Center.
- Patient account Representatives are responsible for all inpatient and outpatient payers whether through hardcopy or electronic submission in an accurate and timely manner.
- Collecting any/all information to make sure all bills are to be sent out in a correct and timely manner, including requesting medical records (when needed) and any other documents ensuring accurate billing.
- In the event a bill does not pass automated edits a billing rep. must determine what is required to clear a claim in order to pass claim edits.
- Process daily lockbox payments, file appeals to the hospital, and credit card payments made from the patient.
- Conduct imaging and outgoing mail and distribution.
- Work daily functions through Affinity, SMS, RAS, RASI, Word, XClaim, and EXCEL.
- Balancing Medicare and Medicaid and all EFT payers through the electronic 835 report.
- Responsible for all cash application EFT logs and live deposit logs on an EXCEL spread sheet to show all transactions being posted to patients accounts daily.
Claims Processor
Horizon Blue Cross Blue Shield
Neptune, NJ
01.1997 - 01.2003
- Responsible for managing and updating patient information base.
- Prepared daily invoices and claim maintenance.
- Performed operations in Blue Choice which are processed on NASCO sys. via IMAGE processor.
- Maintained communication with active patients with BCBS.
Education
High School Diploma -
Lakewood High School
Lakewood, NJ06.1995
Skills
- Billing
- Data entry proficiency
- Regulatory compliance
- Invoice processing
- Collections
- Balancing out all transactions for surgery ctr
- Insurance Verification
- Helping patients understand their health ins polices and our is pocket expenses
Timeline
Surgical Biller/Scheduler/insurance verifier
Seashore Surgical Institute LLC
01.2013 - Current
Patient Account Representative
Barnabas Healthcare system (Medassets)
01.2003 - 01.2013
Claims Processor
Horizon Blue Cross Blue Shield
01.1997 - 01.2003
High School Diploma -
Lakewood High School