Summary
Work History
Education
Skills
Timeline

Theresa Douglas

Mount Sinai South Nassau
Belmont,NC

Summary

Results-driven healthcare professional with a proven track record at Mount Sinai South Nassau, excelling in Medicare billing and claims resolution. Demonstrates strong problem-solving abilities and meticulous attention to detail, ensuring accurate submissions and maximizing reimbursement outcomes.

Work History

Consultant

Mount Sinai South Nassau | 2014 - 2026

Reviewed, corrected, and completed outpatient Medicare billing through ePReMIS/ePIC systems.

Performed timely follow-up on outpatient Medicare claims to support accounts receivable resolution.

Appeals processing completed in Connex. Claims corrections completed in Omnipro.

Patient Account Representative

Mount Sinai South Nassau | 2004 - 2014

Processed Medicare claims billing and performed claim edits via ePremis to support accurate claim submission.

Conducted daily follow-up on Medicare claims to support timely resolution of claim issues.

Reviewed denials, prepared appeals, and expedited processes to ensure correct reimbursement outcomes.

Verified Omnipro billing system billing data and corrected claim errors to maintain clean claim submission readiness.

Medical Assistant

Dr. Errol Gindi | 1998 - 2004
  • Coordinated appointment scheduling, referrals, and follow-up communications.
  • Managed front-office tasks, including phone calls, messages, and patient check-in.
  • Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
  • Assisted with billing and coding processes, ensuring accurate insurance claims and patient invoicing.

Education

High School Diploma

Valley Stream South Highschool | Valley Stream, NY

Skills

Problem-solving
Attention to detail
Team leadership & development
Client relationships

Timeline

Consultant

Mount Sinai South Nassau
2014 - 2026Read More

Patient Account Representative

Mount Sinai South Nassau
2004 - 2014Read More

Medical Assistant

Dr. Errol Gindi
1998 - 2004Read More

Valley Stream South Highschool

High School Diploma
Read More
Theresa Douglas