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Customer Service Insurance

Location:
New York, NY
Posted:
January 13, 2013

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Resume:

Deserie Sherrer

Email: *********@********.***

Address: **** ****** *** #**

City: Bronx

State: NY

Zip: 10467

Country: USA

Phone: 347-***-****

Skill Level: Experienced

Salary Range: $37,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Deserie Sherrer

2732 Bronx Park East

Bronx, New York 10467

Tel: 347-***-**** e-mail: **************@*****.***

SUMMARY OF QUALIFICATIONS:

* Excellent communications and interpersonal skills

* Team participant with proven ability to interact with multi level ethnic personnel

* Well organized and customer service oriented

* Capable of coordinating a variety of assignments and responsibilities with maximum efficiency and accuracy

* Computer literate knowledge of multiple billing systems including IDX

EXPERIENCE:

Affiliated Physicians, Pelham Manor, NY

4/11 - Present Appointment Services/ Billing

* Schedule/Reschedule varies appointments:

o Physicals

o Preplacement

o DOT and hazardous exposure exams

o Drug and Alcohol screens

o Immunizations

* Data Entry of appointment/patient information into Agility and Stola System Programs

* Answer appointment calls/emails and respond to inquiry

* Document all interactions on Tracking

* Copy, email, fax and scan occupational request and appointment verifications

* Request verification of benefits/eligibility on new and current patients if applicable

* Updated patient demographics

* Payment Follow-up

* Payment Posting:

o Insurance

o Corporate

o Self-Pay

* Followed up on delinquent accounts

* Verified insurance authorization and eligibility

Doctors Medical Group, Bronx, NY

8/10 - 2/11 Collections / Billing

* Followed up on delinquent accounts

* Verified insurance authorization and eligibility

* Assisted patients with payment arrangements

* Prepared accounts for initial and follow up billing

Updated patient demographics

Montefiore Medical Center, Yonkers, NY

3/06 - 8/10 Senior Account Clerk

* Posted payments received by various in insurance carriers. Incentive, adjustment, and offset adjustments are also included

* Removed outstanding credits created in patient invoices also processed insurance or patient refunds

* Liaison with various insurance companies by phone and use of websites to research patient coordination of benefits eligibility and claims review

* Prepared check request invoice forms with appropriate back up for insurance companies and hospital accounts payable department

Volunteers of America Greater New York, Inc Bronx, NY

9/04 - 2/06 Assistant Business Manager

* Assisted agency finance department in preparation of annual budgets and modifications

* Prepared SED EI and FSS billings, collected revenues and followed up with funders

* Analyzed financial reports and recommended operational improvements

* Accounts receivable

* Prepared Related Services Schedules for annual CFR

AHRC New York City, New York, NY

1/00 - 9/04 Data Control Specialist

* Submitted service claims electronically to Medicare and Medicaid

* Posted insurance payments to client accounts for Clinical and Res Hab billings

* Followed up on Medicare and Medicaid submissions

* Produced and maintained daily back up for all items processed

AHRC New York City, New York, NY

3/96 - 1/00 Billing Clerk

* Entered data from billing sheets into department database

* Provided weekly and monthly reports with regards to provider statistics

* Batched claims for Medicare and Medicaid submissions

* Verified proper usage of ICD9 and CPT codes

* Assured ongoing accuracy of the department database by updating billing corrections

EDUCATION:

The College of New Rochelle - Bronx, NY - Present

* Social Science

* Social Work

REFERENCE AVAILABLE UPON REQUEST



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