medical biller
Resume:
B lanca Roman
Bridgeport, CT **608
OBJECTIVE: To secure a position that will enable me to utilize my customer service and Accounts Receivables
skills and allow the opportunity for personal growth.
EXPERIENCE
03/26/13-current Cornell Scott Hill Health Center
Patient Account Representative
• Accurately verifies, creates and maintains patient accounts in the billing and other carrier
computers
• Performs data entry as required
• Documents approved CS-HHC sliding scale fees in the billing system ensuring that the
discount is correct
• Runs bills electronically and manually. Monitors all billing reports for accuracy and
completion
• Performs collection and posts payments to accounts as required
• Responsible for following through on any denied claim using the established CS-HHC
denial management practices
• Processes the daily insurance checks and cash payments accurately
• Accurately reconciles and records receipts and daily balance logs from all CS-HHC sites
• Assists with CS-HHC provider credentialing as directed by Patient Accounts leadership
• Participates in the billing training for other CS-HHC staff members
• Performs all other duties as required
02/01/00-08/31/12 Optimus Healthcare Inc.
Patient Revenue Coordinator:
Responsible for managing, monitoring and ensuring the financial health of our
accounts receivables, charge posting, billing, and collections functions using three
distinct practice management systems, MEDICAL MANAGER, SAGE and EHS including EHR.
Coordinator
• Assist with staff training to ensure competency levels are established.
Ensure timely resolution of employee related tasks/concerns.
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Coordinate daily activities of to ensure operational efficiency.
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Assists in developing, implementing, revising and communicating department policies and
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procedures.
Oversee the internal collection process.
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Follow up and Collections
• Follow up and collections of insurance and patient balances by generating weekly aging
reports and remittance advice denials.
• Set up payment arrangements with patients as necessary.
Review, analyze and run the patient statements on a monthly basis
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Correct account problems related to registration, financial and coding information.
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Manage and maintain the collections module including setup.
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Review self pay balances to determine turn over to collection agency.
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Resolve patient accounts with payors and/or patient to ensure timely payment to health
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center according to departmental and industry standards.
Knowledge of all online insurance verification systems such as Medicaid and Navinet.
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Blanca Roman, pg. 2
Biller
Perform all tasks related to electronic billing of accounts to insurance.
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Work with systems vendor to address problems and concerns affecting timely billing of
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accounts.
Work pre-billing error reports to ensure all concerns were addressed in a timely manner.
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Maintain system table setup to ensure accurate billing information on accounts such as;
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provider, insurance and procedure profile tables.
Review encounter information to ensure proper coding by providers before transmission.
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Ensure prior authorization of mental health claims is obtained by working with providers
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and online systems.
Work closely with front office registrars to address errors impeding timely payment of
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accounts.
Provide training to front office registrars on insurance billing requirements.
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07/06/87-07/29/00 St. Vincent’s Medical Center
Biller
Perform all duties related to the billing of all accounts including; paper claims, electronic
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claims and patient billing statements.
Resolve all problems related to account denials with insurance and patient to ensure prompt
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payment of accounts.
Worked with internal and external customers to ensure collection of revenue.
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Admitting Registrar
Register patients by collecting all demographic, insurance and financial information.
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Verify patient’s insurance to ensure coverage of services.
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Obtain prior authorization/pre-certification for inpatient and outpatient visits as required by
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payers.
Obtain and post co-pays and deductibles.
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Interview patient for referral to third party entitlement programs.
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Ensure smooth patient flow and customer service.
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Education: Warren Harding High School - Diploma
Language skills: Spanish
Computer skills: Microsoft Word, Excel, Calculator
R E FERE NCES AVAI LABLE UPON REQUEST
Contact this candidate