Revenue cycle management expert with a track record of enhancing operational efficiency at Rego Park Health Care. Skilled in financial reporting and resolving discrepancies, resulting in improved customer relations. Proficient in Microsoft Office Suite and adept at collaborating with teams to achieve organizational objectives.
Followed up on overdue payments to resolve collection issues and improve cash flow.
Creating and sending invoices to patients.
Receiving and posting patients SSA along with retirement incomes.
Processing all checks received and remotely scanned to the bank account.
Preparation and reconciliation of all cash and checks deposited to the Bank.
Reconciling patients accounts to ensure accuracy and identify discrepancies.
Investigating and resolving any discrepancies or inquiries.
Summarize the daily activities to post into the general ledger.
Complete rep payee forms to Social Security Administrators.
Focus on planning, implementing and managing the Patient Property Office activities including financial reporting, coverage of departments and functions.
Addressed patients' inquiries about accounts and billing issues to enhance customer satisfaction.
Providing excellent customer service and resolving issues in a timely and professional manner.
Review and analysis of bank statements; transfer reports, opening and closing of bank accounts.
Senior Revenue Representative
New York Sports & Joints
Garden City
06.2018 - 09.2024
Monitor and coordinate all Revenue Cycle functions including custom services.
Managed administrative functions within Revenue Cycle, including verification, billing, cash posting, and collections.
Coordinate daily with the Billing Manager to ensure functionalities are properly being addressed and processed on time.
Ensure payments, charges and billing are promptly recorded in the billing system.
Followed up on Monthly Aging Report to ensure accuracy of financial records.
Resolved discrepancies by investigating errors and recommending process improvements to prevent recurrence.
Assign appropriate CPT/ICD-10 codes for all charges.
Identify all incoming mail with claim numbers.
Assist with opening the IT tickets and trying to resolve the technical issue with the Supervisor.
NoFault Representative
Israel and Purdy
Great Neck
03.2023 - 08.2024
Ensure invoices are sent timely and in line with client agreements and policies.
Generate invoices from our time entries.
Compiled data, computed charges, prepared invoices, followed up with clients, and updated reports to maintain financial accuracy.
Contacted clients to confirm reminders and balance updates.
Tracked medical claim payments to support timely reimbursements.
Communicated with medical offices and tracked information to ensure accurate processing.
Implementation is the process of ensuring that the firm and our clients are paid what is owed on judgments.
Update reporting on anticipated payments for management.
Maintained accurate records by following company standards for documentation and filing.
Organized and followed up on high-volume emails to ensure timely responses and communication.
Preparing/organizing legal documents for attorney.
Communication and follow-up with insurance companies and medical providers.
Clerk
Queens Hospital
Queens
04.2022 - 02.2023
Greeting patients and visitors and attending to their queries.
Directed inquiries to nurses and doctors to ensure timely responses to patient needs.
Assisted colleagues with patient data entry into database to maintain accurate records.
Transcribing written medical orders from healthcare staff into a computer system.
Performed photocopying and collation to ensure organized document management.
Screened and routed incoming calls to appropriate departments to facilitate effective communication.
Assistant Billing Supervisor
North Shore Rehab, Physical Therapy, Chiropractic, Acupuncture
Great Neck
01.2016 - 05.2018
Trains and oversees employees involved in billing functions.
Supervise maintenance of all billing activities.
Facilitated communication and built relationships with other departments to enhance collaboration on billing processes.
Biweekly, collect and balance copays and accompanying daily reports from the front desk for the controller.
Compiled and analyzed metrics to evaluate invoicing team’s performance and identify improvement areas.
Managed daily tasks and guided team members to ensure project completion and quality standards.
Interviews prospective employees and helps choose the best applicant based on skills, knowledge, and abilities required for the job.
Compile Arbitration packets to be submitted to the Attorney.
Utilized problem-solving abilities to resolve challenges and maintain task continuity.
Medical Biller / Receptionist
Dr. Lenzo Salvatore, Orthopedic Hand Surgeon
New York
01.2014 - 01.2015
Medical Biller
Health Care Transition and Management
Babylon
01.2009 - 05.2011
Processed medical claims using industry-standard billing software.
Verified patient insurance information for accuracy and completeness.
Reviewed patient insurance information, ensuring accuracy and completeness for successful claims submission.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Updated patient accounts with payment information and adjustments.
Maintained detailed records of billing transactions and adjustments.
Maintained accurate records of all billing activity in accordance with departmental standards.
Ensured compliance with healthcare regulations and billing guidelines.
Submitted electronic claims to various insurance carriers.
Communicated with insurance representatives, facilitating claims processing and resolving discrepancies effectively.
Communicated with healthcare providers to resolve billing discrepancies.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Assisted patients with inquiries regarding their billing statements.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Assisted with collection efforts, including contacting patients via phone, mail, or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
Investigated past due invoices and delinquent accounts, identifying issues to recover revenues and minimize unpaid accounts.
Monitored past due accounts and pursued collections on outstanding invoices.
Coordinated communications between patients, billing personnel and insurance carriers.
Processed refund requests timely and accurately according to established protocols.
Created monthly aging reports to identify delinquent accounts for review by management team.
Prepared detailed financial reports as requested by management team.
Collected, posted and managed patient account payments.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Processed invoice payments and recorded information in account database.
Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Reconciled codes against services rendered.
Maintained accounting ledgers by verifying and posting account transactions.
Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
Applied HIPAA privacy and security regulations while handling patient information.
Reviewed legal claims for accuracy and issues.
Provided training and support to new staff members regarding billing processes.
Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
Reviewed legal claims for accuracy and issues.
Investigated past due invoices and delinquent accounts, identifying issues to recover revenues and minimize unpaid accounts.
Claims Examiner/ Biller
Health Diagnostic
Melville
01.2009 - 01.2011
Receptionist
Comprehensive Behavioral Medical Care Pc
Farmingdale
01.2006 - 01.2009
Customer Service Team Leader
TARGET
01.2006 - 01.2009
Education
Business Management -
Long Island Business Institute
Flushing, NY
01-2019
Certified Medical Billing and Coding - Medical Billing
Career Institute of Health & Technology
Garden City, NY
01-2006
High School Diploma -
Bay Shore High School
Bay Shore, NY
01-2004
Skills
Medicare billing
Patient billing software
Cure MD
DocAssist EMR
Point Click Care
Epic
Medical billing codes
Invoice management
Accounts receivable
A/P and A/R
Accounts payable
Accounts payable specialist
Financial management
Revenue management
Financial oversight
Financial analysis
Bookkeeping
Financial recordkeeping
Cash flow management
Transaction entry
Bank reconciliation
Charge reconciliation
Time tracking
Data entry accuracy
Excel
Eclipse
ADS
Criterions
Team collaboration
Problem resolution
Customer service
Customer relations
Attention to detail
Analytical thinking
Time management
Spreadsheet tracking
Analytical thinking
Sheet balancing
Record preparation
Financial management
Charge reconciliation
Record preparation
Certification
Certificate in Medical Office Technology and Procedures, HCFA 1500 - Medicaid - Medicare - Blue Cross/Blue Shield Billing/Office Applications.