Susan Sammarco
Matawan
Summary
Dynamic medical billing and coding professional with extensive experience within the healthcare industry. Expert in denial management and claim submission, ensuring compliance and accuracy. Proven ability to enhance accounts receivable processes while fostering strong customer relationships. Adept at training new hires and managing complex billing cycles effectively.
Overview
25
25
years of professional experience
Work History
Medical Biller and Coder
Practical Billing Solutions
11.2015 - Current
- Review patient medical records to determine appropriate procedure and diagnosis coding.
- Clarify physician notes when needed and enter patient demographics for claim submission.
- Submit clean claims to various insurance companies (electronically and paper).
- Resubmit corrected claims and prepare denial appeal letters.
- Issue patient billing statements, accept payments, and post patient/insurance payments.
- Monitor delinquent accounts for collections and manage Accounts Receivable weekly.
- Set up eligibility websites and track claim status/EOBs.
Lead Medical Biller, Coder, and New Hire Trainer
J & S Stark Billing and Consulting
11.2012 - 11.2015
- Trained new hires on the entire billing cycle, ensuring compliance and accuracy.
- Oversaw staff progress to meet deadlines and reported billing issues to supervisors.
- Managed claim submission, corrections, denial appeals, and patient billing.
- Reviewed medical records to ensure correct coding and charge entry.
- Managed Accounts Receivable and conducted special projects.
Medical Biller and Coder
Practical Billing Solutions
07.2011 - 11.2012
- Assigned diagnosis codes, reviewed charges, and submitted claims.
- Managed denied claims, monitored delinquent accounts, and processed weekly A/R.
Data Management Supervisor
WP Service, LLC
04.2005 - 11.2008
- Led data analysis and electronic discovery coding.
- Tested new extranet functions and reported on findings.
Operations Manager/ATM Specialist
Mac Attack Enterprises & RMJ ATM
12.2000 - 05.2005
- Managed ATM fund retrieval, replenishment, and reconciliation.
- Oversaw accounts payable and reporting.
Education
Medical Billing and Coding Certificate - Clinical Externship
Sanford-Brown Institute
Iselin, NJ07.2011
BBA - Management Information Systems
Pace University
New York, NY12.1984
Skills
- Accounts receivable
- Denial management
- Insurance verification
- Claim submission
- Medical coding
- Customer relationship management
Certifications And Skills
- Certified Professional Coder, 02/15
- ICD-10 Proficient
- Microsoft Office Suite
Timeline
Medical Biller and Coder
Practical Billing Solutions
11.2015 - Current
Lead Medical Biller, Coder, and New Hire Trainer
J & S Stark Billing and Consulting
11.2012 - 11.2015
Medical Biller and Coder
Practical Billing Solutions
07.2011 - 11.2012
Data Management Supervisor
WP Service, LLC
04.2005 - 11.2008
Operations Manager/ATM Specialist
Mac Attack Enterprises & RMJ ATM
12.2000 - 05.2005
Medical Billing and Coding Certificate - Clinical Externship
Sanford-Brown Institute
BBA - Management Information Systems
Pace University
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