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Medical Biller/Insurance Verification Specialist

Location:
Matawan, NJ
Posted:
April 14, 2016

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Resume:

Delia Adorno-Foster

** ******** ******

Matawan, NJ 07747

732-***-****

acucx4@r.postjobfree.com

PROFESSIONAL

EXPIERENCE:

Tapreogge America Corporation August 2012-June 2014

Scheduled appointments for commercial tube cleaning. Assisted with daily mail distribution.

Handled weekly employee payroll and assisted with front desk coverage.

Liquid Cargo, Kearney, NJ

Billing Clerk January 2009 - June 2012

Handled invoices for equipment and supplies; contacted vendors to order proper parts for tankers; posted payments for unpaid invoices and assisted with payroll; made payments for equipment using the company’s credit account; handled calls from drivers for transporting tankers.

People Care, Incorporated, New York, NY

Collector Assistant, Collections Department March 2006 - December 2006

Managed company’s short payment balances; received copies of checks from insurance companies to research balances due; queried computer system by invoice number and researched attached invoices to find the exact amount of short payment; printed invoices to make adjustments and show billing department outstanding errors.

Billing Clerk, Assisted Care, Inc June 2001 - March 2006

Ran weekly edit reports after payroll charges were in DATALINE system; adjusted hours and verified authorization against paid hours; ran edit report through invoices; submitted recertification to Medicaid through EMED system and entered each amount in company financial log; submitted electronic transactions through EPACES system; ran monthly Medicaid surplus invoices with statement reports entering each hourly amount on company financial log.

Mount Sinai Hospital, New York, NY

Billing Clerk, Radiology Associates January 2000 - May 2001

Printed daily transaction listing of patients with pending diagnosis and incorrect physicians; worked on all Medicaid accounts; posted Medicaid checks as well as hospital transfer funds for the department; printed monthly age balance report; assisted with telephone calls from patients regarding their accounts.

Billing Specialist, FPA Department of Medicine November 1995 - January 2000

Supervised all aspects of commercial to managed care for # physicians; verified insurance with hospital, health charge and OMNIPRO; resolved all problem accounts; followed up A/R requesting additional information from patients; processed claims; obtained medical records and operative reports.

Blue Cross/Commercial Billing, Mount Sinai Home Care Agency May 1992 - November 1995

Compared incoming monthly bills and patient records for proper matching of services; filed duplicates in Agency billing folder and with insurance; entered monthly Blue Cross charges and inquires through OMNIPRO & E.D.E.N.

Billing Expediter, Mount Sinai Home Care Agency May 1992 - November 1995

Data entry of re-certification and community referrals of patients in system; verified ICD-9 codes, medications, and physicians; interacted with nurses providing information on re-certification; printed 485/87 forms; assisted with patient issues and other front desk duties.

CERTIFICATIONS: Medical Coding and Terminology, American Academy of Professional Coders

EDUCATION: CPC/CPB CERTIFICATION MEDICAL CODING AND BILLING ICD-9 & ICD-10 2015

Vision Training Systems

Ohio University of Osteopathic Medicine,Ohio 2012 Certificate: Hippa Privacy Essentials for Physician’s Office

University of Colorado of Medicine, Colorado 2011

Certificate:Physician’s Coding

Coding Training institute, Cherry-Hill,Nj 2009

Certificate: Medical Coding

Medgar Evers College, Brooklyn, NY 1997

Certificate: Anatomy & Physiology

Mount Sinai Hospital, New York, NY 1992 - 1998

Hospital Education: Medical Terminology, ICD-9 Coding, CPT Coding, Medicare 3rd Party Billing

SKILLS: ADS, Microsoft Windows Blue Cross (OMNIPRO, Eagle, E.D.E.N.), Medicare (DATALINE, ELITE, EPACES, EMED), Microsoft OfficeUB 92/1500.

REFERENCES: Available upon request



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