SUSAN RAY
Stormville,NY
Summary
Well-qualified Revenue Cycle Management professional proficient in healthcare billing structures, insurance practices and medical coding procedures. Knowledgeable about related laws and insurance, managed care and federal program practices. Maintain full compliance with HIPAA and other requirements. Business-minded professional tackling any job task with gusto and precision while delivering exceptional service and responding to questions and inquiries quickly. Demonstrating a positive attitude to adapt to any situation.
Overview
29
29
years of professional experience
Work History
Revenue Cycle Billing Representative
Village MD -Summit Health-Optum360
Purchase, NY
01.2006 - 02.2024
- Accounts receivable biller for a large award winning multi specialty medical practice with a team of 500 top physicians and advance care provider
- Maintained detailed records of billing information in the company's database.
- Assisted customers with inquiries regarding their bills and payment options.
- Investigated customer complaints related to billing issues.
- Analyzed account history to identify trends or irregularities in billing processes.
- Adhered to all applicable laws, regulations, and standards pertaining to billing practices.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
Accounts Receivable Rep
Westchester Medial Group
White Plains, NY
01.2004 - 01.2006
- Ensured Claim accuracy and submission to medical insurance carriers
- Timely follow-up of unpaid and denied medical claims
- Responded to inquiries from insurance carriers and patients
Office Manager
Katherine Elwyn, MD
Mt Kisco, NY
01.2001 - 01.2004
Claims Coordinator
Cardiology Care and Diagnostics
White Plains, NY
01.1995 - 01.2001
Education
DIPLOMA -
Westlake High School
Thornwood, NYSkills
- Insurance Claims
- Account reviews
- Customer relations skills
- Payment Processing
- Collections understanding
- Collections background
- Data entry expertise
- Quality Assurance Controls
Software Proficiencies
- AthenaNet
- GE Centricity
References
Available Upon Request
Timeline
Revenue Cycle Billing Representative
Village MD -Summit Health-Optum360
01.2006 - 02.2024
Accounts Receivable Rep
Westchester Medial Group
01.2004 - 01.2006
Office Manager
Katherine Elwyn, MD
01.2001 - 01.2004
Claims Coordinator
Cardiology Care and Diagnostics
01.1995 - 01.2001
DIPLOMA -
Westlake High School
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