Toni Milhouse
NEW YORK CITY,NY
Overview
21
21
years of professional experience
Work History
Denial Analyst
Acacia Network
02.2020 - Current
- Review assigned accounts and third-party remittances to determine accounts requiring action.
- Reduce claim denials by meticulously reviewing patient insurance information and coding practices.
- Manage appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Facilitate communication between departments to foster collaboration and improve overall organizational efficiency related to medical billing procedures.
- Participate in regular team meetings, contributing valuable insights into process improvements and best practices for medical billing.
Medical Biller
NEW YORK EYE & EAR INFIRMARY OF MOUNT SINAI
01.2008 - 01.2019
- Performed processing functions necessary to ensure the timely and accurate submission of claims.
- Researched and responded to patient inquiries regarding billing and/or complaints as necessary.
- Contacted and worked with all managed care, commercial, and private insurances, as well as Medicaid and Medicare for processing and verifying claims.
- Reviewed assigned accounts and third party remittances to determine accounts requiring action.
- Performed insurance verification, pre-certification, and pre-authorization.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
Medical Office Manager
Cynergy Physical Therapy
01.2004 - 01.2008
- Managed daily administrative tasks to ensure smooth operations within the medical office environment.
- Assisted physicians with clinical documentation to ensure complete and accurate records for each patient visit.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Reconciled bank and payroll records routinely to verify accuracy.
Education
Bachelor of Arts - Psychology
Mercy College
Dobbs Ferry, NY05-2023
Timeline
Denial Analyst
Acacia Network
02.2020 - Current
Medical Biller
NEW YORK EYE & EAR INFIRMARY OF MOUNT SINAI
01.2008 - 01.2019
Medical Office Manager
Cynergy Physical Therapy
01.2004 - 01.2008
Bachelor of Arts - Psychology
Mercy College
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