Voshay Navedo
Albany,USA
Summary
Knowledgeable Medical Coding Specialist with robust background in medical billing and coding. Proven track record of accurately processing and managing patient billing information, resulting in improved revenue cycles. Demonstrated proficiency in claim submissions and resolution, leveraging strong attention to detail and organizational skills.
Overview
18
18
years of professional experience
Work History
Part time key holder/sales associate
Crazy 8’s
Colonie, NY
- Assisted shoppers with questions regarding sizing, fit and style, along with their overall shopping needs as the sales associate. Provided a welcoming and positive shopping experience for shoppers and fellow employees. Provided excellent customer service while cashing out customers, making sure to accurately provide sale totals and change that was due back to customer. As the part time key holder, I would count down cash drawers at the end of the night making sure all registers balanced, prepare evening paperwork and enter required information into appropriate ledgers.
ASA V/HUC (Administrative Support Associate)
Albany Medical Center
Albany, NY
08.2023 - Current
- Perform customer service, clerical and reception duties that support the work flow of the unit, nursing station and the delivery of patient care. Duties include the following:
- Greets customers/patients in a friendly and professional manner
- Answers and routes incoming calls as appropriate
- Scans and files paperwork
- Exhibiting multi-tasking capabilities
- Adhering to strict confidentiality guidelines
Billing Specialist II
US Oncology Network
Clifton Park, NY
01.2023 - Current
- Accurately and efficiently review claim submissions for radiation billing. Ensuring the correct CPT codes are billed with the correct diagnosis codes to reduce the chances of a denial. Often multi-tasking between patient charts when assisting teammates with questions for patients other than mine. Paying close attention to detail making sure I am in the correct EHR when working daily claim submissions.
Charge Entry/Billing
Capital Cardiology Associates
Albany, NY
08.2020 - 01.2023
- Research information needed to complete the billing process including; obtaining charge information from physicians, reviewing ICD-10 and CPT codes, as well as use of modifiers, while reviewing patients office notes to verify all coding is sufficient. Maintain billing records electronically while remaining HIPPA compliant.
Insurance specialist/Receptionist
The William’s Center
Latham, NY
03.2020 - 08.2021
- Answer a high volume of calls in a timely manner providing exceptional customer/patient service along with performing a number of additional receptionist duties. Including but not limited to scanning, faxing, scheduling and rescheduling patient appointment. Daily Chart prepping and batch settlements performed, paying close attention to detail while performing all tasks. I would call insurance companies, verifying the patient’s coverage prior to scheduling the patient for their surgery/procedure. I would provide the insurance company with the providers NPI and Tax ID numbers to confirm whether or not the practice was In Network or Out of Network. I would then confirm if the patient’s plan covered the services provided.
Claims Benefit Specialist
Aetna
Albany, NY, New York
03.2018 - 03.2020
- Approaches work in an organized and systematic manner, while managing basic tasks in a timely manner using appropriate tools and systems. Maintains focus on quality in completing internal processes correctly and efficiently. Effectively prioritizes work. Proofs claim or referral submission to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim coding; including procedure, diagnosis and processing requirements. Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment measures to assist in the claim adjudication process. Coordinates responses for routine phone inquiries and written correspondence related to claim processing issues
Member Specialist
State Employees Federal Credit Union (SEFCU)
Glenmont, NY, Albany NY
07.2012 - 03.2018
- Responsibly and accurately conduct detailed financial and administrative transactions. Efficiently and professionally evaluate and conduct information verification. Assess member requests and inquiries to deliver solutions while providing a high quality experience. Communicate with members, pair products/ services to support branch and member goals. Effectively identify and offer alternative solutions to issues when requests are not possible. Collaborate and support coworkers to maintain a motivated team business approach. Consistently ensure and secure compliance with cash security policies/procedures.
Processing Clerk
NYSARC
Delmar, NY, New York
06.2010 - 07.2012
- Dependably manage a 500+ account caseload to secure client satisfaction with NYSARC services. Appropriately assess and resolve beneficiary concerns within prescribed procedures. Effectively correspond with trust beneficiaries to maintain confidence in policy/procedures. Collaboratively interact as a team member to leverage productivity and assist internal customers. Accurately calculate and update account balances for internal reports and beneficiary inquiries. Consistently monitor beneficiary trust cases for compliance with changed laws/guidelines.
- Verify trust account expenses and charges to ensure adherence with process and policies. Efficiently verify and accurately process expense payments issued from trust accounts.
PT Head Teller
Pioneer Bank
Glenmont, NY, New York
07.2008 - 06.2010
- Demonstrate excellent customer service standards to enhance customer experience/ transactions. Effectively assess client complaints and collaboratively resolve issues/concerns. Motivate tellers’ daily work performances and assist tellers in verification of transactions. Responsibly manage bank procedures for cash distribution/verifying total cash transactions. Accurately total and issue bank cash verification reports. Consistently ensure bank compliance with cash security policies/procedures. Demonstrate initiative to acquire information about bank products and services.
Bank Teller
Pioneer Bank
Guilderland, NY, New York
11.2007 - 05.2008
- Demonstrate excellent customer service standards to enhance customer transactions. Accurately conduct financial transactions and report to head teller for transaction verification. Consistently conduct compliance with cash security procedures and bank policies.
Education
Certified Professional Coder-Apprentice -
Bryant & Stratton College
NY08.2016
Medical Coding Certification - undefined
Bryant & Stratton
07.2016
Bachelor of Arts - English
State University of New York at Albany
01.2008
Associates - Medical Coding And Reimbursement
Bryant & Stratton College
NY10-2026
Skills
- Proficient in CPT/HCPCS coding
- Understanding of HIPAA compliance requirements
- Claims processing
- Accurate insurance coverage assessment
- Insurance claims processing
- CPT proficiency
- ICD-10 proficiency
- Medical coding proficiency
- Proficient in Athena software applications
Timeline
ASA V/HUC (Administrative Support Associate)
Albany Medical Center
08.2023 - Current
Billing Specialist II
US Oncology Network
01.2023 - Current
Charge Entry/Billing
Capital Cardiology Associates
08.2020 - 01.2023
Insurance specialist/Receptionist
The William’s Center
03.2020 - 08.2021
Claims Benefit Specialist
Aetna
03.2018 - 03.2020
Member Specialist
State Employees Federal Credit Union (SEFCU)
07.2012 - 03.2018
Processing Clerk
NYSARC
06.2010 - 07.2012
PT Head Teller
Pioneer Bank
07.2008 - 06.2010
Bank Teller
Pioneer Bank
11.2007 - 05.2008
Part time key holder/sales associate
Crazy 8’s
Medical Coding Certification - undefined
Bryant & Stratton
Bachelor of Arts - English
State University of New York at Albany
Certified Professional Coder-Apprentice -
Bryant & Stratton College
Associates - Medical Coding And Reimbursement
Bryant & Stratton College