Cherish Persaud

Phone: 973-***-****

Email: acgd24@r.postjobfree.com

Location: Hawthorne, New Jersey

Current Salary: $55,000

Objective: To obtain a challenging position in a growth-oriented

organization that welcomes my leadership background and fosters growth,

creativity, flexibility and offers diverse job responsibilities.

Qualifications:

. Promoted from assistant to biller within 1 year.

. Promoted from Biller to Billing Manager within 1 year.

. Promoted to Contracting Manager within 6 months.

. High-level knowledge of medical billing and collections.

. Adaptive to management styles and business models.

. Energetic self-starter, quick learner, detail orientated, and a team

player.

. Extensive knowledge of EMR/EHR systems like CPR Plus.

. Proficient in all Microsoft Office products such as Word and Excel.

Basic Home Infusion 06/2010- Current

Billing & Contracting Manager

. I currently oversee the billing and contracting departments in

a specialized infusion therapy company.

. I obtain contracts for speciality services, which are not

covered under general benefit plans and require fee negotiations and legal

review.

. As manager, I am accountable for 7 individuals and their

insurance accounts, averaging 200 each.

. I conduct regular staff meetings, while eliciting open

communication and participation from employees.

. I distribute the work load and coverage for the department,

reviewing on a proper interval, to ensure all goals and expectations are

met.

. I perform the training and evaluation of staff; reviewing

employee behavior and work performances.

. I assist employees with accounts that requires escalation and

dedication of time and clinical knowledge for resolution.

. I maintain a designated set of 200 accounts.

. I communicate with the patients and insurance companies to

ensure the most accurate information is used when billing accounts.

. I maintain compliance with changes and updates to medical

billing processes across all insurance companies.

. I eliminate high balance cases and reduce the A/R.

. I complete monthly tax reports regarding compensation for

medications dispensed per state.

. I perform "verification of benefits" on all insurance types.

. I obtain pre-certifications, pre-determinations, and prior

authorizations for services of all types.

. I complete the electronic billing process on a daily basis.

. I evaluate and resolve billing issues with patients and

insurance companies.

. I perform daily EFT accounting for the department.

. I have transitioned the company to paperless billing,

electronic payment postings, and data storage.

. I submit successful appeals, when necessary, ensuring all

supporting documentation for charges are attached.

. I utilize various sources for claims reporting like Navinet and

Emdeon.

. I monitor the transmission of claims for the department,

reviewing charges that are being rejected by the clearinghouse and resolve

those issues.

. I review all audit requests and oversee all audits performed by

our contracted insurance companies.

Sony Electronics 2006-2007

Receptionist (former corporate office)

. I communicated with all employees, from the facility manager to

the executes to maintain productions and resolve employee issues.

. I completed billing and finance reports, relayed work orders,

booked conference rooms and assisted with organizing meetings as needed.

. I answered customer and employee calls and relayed messages.

Big Messages 2005-2006

Receptionist

. I communicated with doctors, hospitals, nursing homes,

patients, lawyers, and other individuals in the medical and legal

field.

. I handled emergency phone calls, regular patient/customer

calls, employee calls and relayed messages.

ACADEMIC QUALIFICATIONS

Degree/Major Graduation Year College/School

B.A. 2011 Ramapo College of New

Political Science Jersey

Paralegal Certificate 2013 Ramapo College of New

Jersey

SKILL SET

Languages English

Databases CPR+, Navinet, Emdeon, Availity

REFERENCES: Given upon request

Contact this candidate