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Medical Billing

Location:
Allentown, PA, 18103
Posted:
September 12, 2010

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Resume:

SUANI ALVAREZ

**** *. ***** ****** *********, PA 18103*CELL 646-***-***** abk8mr@r.postjobfree.com

SKILLS AND QUALIFICATIONS:

• Proficient in two languages (English and Spanish) – verbal and written communication

• Proficient in the use of various accounting applications (e.g. QuickBooks, Smarterm, Peachtree, etc.)

• Proficient in medical assisting skills – Phlebotomy, Taking Vital Signs, Urinalysis

• Proficient in medical billing & coding skills – preparation of health insurance forms, diagnoses and procedures coding,

computerized billing using Medisoft, Medical Manager, MDBASE and E paces, thorough knowledge of medical insurance

claims procedures and documentation.

• In depth knowledge of medical billing procedures submission of insurance claims, Medicare, Medicaid, and other private

insurance carriers. Considerable data entry and word processing skills. Enviable ability to verify data input and correct

errors. Excellent records maintenance skills. Strong ability to gather data, compiled information, and prepare reports.

Excellent knowledge of medical terminology and customer service skills.

EXPERIENCE:

05/07 05/09 Dr. Janusz Plawner, Urologist New York, NY

Medical Secretary/ Biller

• Coordinate and book surgeries

• Obtaining Referrals and Prior authorizations

• Verifying patient’s Eligibility and benefits information

• Scheduling appointments and composing, processing medical correspondence

• Preparing and retrieving patients charts

• Scheduling patients for Radiological and Imaging procedures

• Process billings to patients and third party reimbursement claims.

• Monitor unpaid claims, initiate tracers, resubmitted claims as necessary.

• Receive and receipt cash items and third party reimbursements.

• Post and reconcile payments to patient ledgers.

• Maintain patient demographic information and data collection systems.

• Ensure strict confidentiality of financial and patient records.

12/06 01/07 Urban Health Plan, Inc., Externship Bronx, NY

Patients Account Representative

• Completed 180 internship hours in the finance department duties included:

• Engaged in Billing using Medical Manager and Billing Medicaid through E paces

• Accounts Receivable, posted insurance payments, collection of payments

• Contacted insurance companies regarding denials, making adjustments in patients accounts

• Verified insurance information and payments. Performed other duties as assigned

01/05 –03/06 FEGS Home Attendant Services, Inc., New York, NY

Case Coordinator

• Directly supervised 120 150 PCAs in the Filed Department

• Implemented management responsibilities in accordance with the organization’s policies and procedures

• Responsibilities included training employees; planning, delegated assignments, and evaluated performance

06/02 –12/04 FEGS Home Attendant Services, Inc., New York, NY

Assistant Bookkeeper / Clerk Typist

• Calculated, prepared and issued bills, invoices and account statements

• Operated computer accounting software to record, store, analyze information

• Reconcile records of bank transactions and maintained inventory records

• Accounts Receivables and Payables

EDUCATION

Sanford Brown Institute New York, NY

Medical Billing & Coding Specialist Certificate Program

• Intensive training course of 900 hours with a 4.0 GPA, which includes:

• CPT 4 coding, ICD 9 coding, Computerized billing,

• Medical Terminology, Medical office accounting

Home Care Council of New York New York, NY

Supervisory Certificate

Borough of Manhattan Community College New York, NY

Credits in towards a Degree in Accounting

Bronx Community College Bronx, NY

Credits in towards a Degree in Computer Programming



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