Prepared billable claims with accuracy to submit to the assigned payor with or without supporting documentation
Submitted initial claims in accordance with the payor’s guidelines in a timely manner to ensure proper payment
Ensured claims were billed according to the doctor’s notes and attached scripts
Reviewed scripts for accuracy of ICD 9 or ICD 10 and HCPCS codes
Verified insurances and retrieved authorizations if needed
Reviewed, refiled, or reprocessed claims upon denial of payment in a timely manner
Conducted debt collection and contacted commercial insurance companies, NY state Medicaid, Medicaid managed care plans, third-party, or private paying customers
Completed internal audits and collaborated with other departments for proper end results
Accounts Receivable Clerk
Flexo Transparent
Buffalo, NY
11.1997 - 09.1998
Provided customer service and collected past due delinquent business accounts
Processed daily cash on accounts
Administrative Assistant
Business First
Buffalo, NY
08.1997 - 11.1997
Managed front desk reception and customer service
Performed clerical duties and assisted with event planning
Certified Nursing Assistant
Nazareth Nursing Home
Buffalo, NY
06.1995 - 07.1997
Assisted elderly and disabled patients with daily needs
Supported nurses on staff and assisted with patient transportation to medical appointments