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billing specialist

Location:
Cherry Hill, NJ
Salary:
45000.00
Posted:
October 06, 2015

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Resume:

Joseph Laurenzo

** *** ****

Cherry Hill, NJ 08002

Cell: 856-***-****

E-Mail: acrzhl@r.postjobfree.com

Career Overview

A diligent detailed oriented person with 21 years experience in healthcare. Taskmaster for details in an expeditious pace environment. Collaborates well with others or can work autonomous. Succeeded 90 million dollars a month insurance recovery and desirous for more responsibility.

Core Accomplishments

MS Office Proficient writing skills for appeals of insurance denials, follow up letters to patient for information in reference to settle a claim

MS Excel - creation of spreadsheets according to balances, insurance carrier and age of the accounts.

Excellent Communication Skills

Epic System - Hospital based program for follow up and documentation and patient’s medical records

Contract Manager - Various medical insurance both contracted or non- contracted settlement.

EPEMIS Billing System

CDM - ICD9 coding system

Professional Experience

April 2014 to Present Hanger Prosthetics & Orthotics, Inc

Philadelphia, Pa.

Billing Specialist

Responsibilities include accurate billing of claims for prosthetics and orthotics for three of our clinics, maintaining the accounts receivable, follow up and collections, reports to office manger and area office manager.

June 2013 to January 2014 Magee Rehabilitation Hospital

Philadelphia, Pa.

Billing Representative

Resolve complex issues with workers compensation and commercial carriers for physical, occupational and speech therapy. Follow up with insurance companies. Reports to supervisor with issues for reimbursement and established trends with insurance carriers. Trained in coding, Medicare and state Medicaid regulations.

September 2005 to April 2013 Children's Hospital of Philadelphia

Philadelphia, Pa.

Collections Representative

Resolved 60 accounts per day while maintaining accurate patient records Collections succeeding 30 million dollars a month. Collaborates with other departments to resolve complex billing and receivables. Took lead positions on special projects and took responsibilities with training and developing new hires

December 2002 to January 2005 Sterling Medical Services

Moorestown, NJ

Accounts Receivable Specialist

Responsibilities include follow up on durable medical equipment. Successfully resolved 60-80 accounts per day averaging $25,000 - $75,000 in collections. Developed and implemented procedures which resulted in increased company efficiency and productivity

June 1999 to March 2001 Syndicated Office Systems / Tenet Philadelphia, Pa

Insurance Recovery Specialist

Managed follow up for all 8 Tenet Healthcare facilities in the Philadelphia and Boston areas. Systematically worked all medical insurances averaging over 100 accounts per day. Consistently praised by management for quality and timeliness of reports and attention to details. Qualified for several bonuses and achieving departmental goals.

January 1989 to June 1999 Pennsylvania Hospital / UPHS

Philadelphia, Pa

Senior Accounts Receivable Representative

Responsibilities included collections of assigned insurances for payment. Team lead role in Medicare Billing and follow up includes assisting supervisor in analyzing the accounts receivable and recording production for the team. Patient Accounts Representative

Prepared and trained in registration, verifying medical coverage, follow up with physician offices for pre-certification of required outpatient procedures along with maintaining all forms to be signed by patients.

Collections Representative

Assigned breakdown of patient responsibilities after insurance has settled. Collections of all deductibles or co pays and settlement of self pay debt.

Education

1996 Peirce College

Philadelphia, Pa, United States

Business Management

Associate/Cum Laude



Contact this candidate