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.
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.
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.