Medical Billing High School

Frank Perez

Email: abpo8k@r.postjobfree.com

Address: *** **** **** ******, ***

City: New York

State: NY

Zip: 10036

Country: USA

Phone: 917-***-****

Skill Level: Management

Salary Range: $36,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

John F. Perez

*350 West 42nd Street* *New York, NY 10036* *917-***-***** abpo8k@r.postjobfree.com

Professional Profile

Medical Billing/Collection and Insurance Industry with 15 years of experience in the medical billing/collection and insurance industry. Knowledge of medical terminology, finance, CPT, HCPCS and ICD codes. Familiar with Medicare remittance advice (ERA), Electronic Fund Transfers (EFT), explanations of benefits (EOBs), Worker`s Comp and No Fault. Excellent communication, organization and problem solving skills with management experience.

Professional Experience

Quality Care Physical Therapy. P.C. Brooklyn, NY 11206 1997 to Present

Medical Billing/Collection-Coordinator/Manager

* Providing superior patient care, greeting and scheduling. Assists patients with registration, translation (Spanish), request co-payments, deductibles and verify eligibility and authorization in a timely manner.

* Collect and retrieve all patient police report, MRI, referral, diagnosis, etc, for supporting documents.

* Perform all computerized billing and manual billing daily including Medicare, HMOs, PPOs,

Workers comp and No Fault, making any corrections as appropriate to ensure accurate billing.

* Perform collection calls & written contact to clients and third-party with unpaid invoices.

* Identify aging account to reduce delinquencies by 90% and increase payments by aggressive collection.

* Follow-up on collection calls, successfully tracking cases to negotiate and settle prior invoices.

* Maintaining and processing all appeals if necessary, respond to correspondence from insurance carriers or defense attorneys to facilitate payment in a timely manner. Identify billing issues for resolution.

* Review insurance Explanation of Benefits for accurate payments, errors, denials, appeals, re-billing adjustments, correct any CPT, ICD9 codes, or any document necessary to ensure on time payments.

* Posts payments and ensures allowances, adjustments and write-offs are posted correctly.

* Review and analyze the aged accounts that have not been resolved. Analyze accounts next steps to drive accounts to closure. Assigns uncollectible accounts to collection agency or attorney.

* Ability to work independently in a deadline oriented environment and deal courteously with patients, staff, and others. Ability to multitask, team player, assisting patients and training staff.

* John Jay High School Spanish/Art Teacher 1999 to 2001

High School of Telecom Spanish/Math Teacher 1998 to 1999

East Side Community H.S. Spanish/ESL 1997 to 1998

Marta Valle Model H.S. Math Teacher 1996 to 1997

* Developed curricula and activities that are aligned with the academic standards.

* Developed and use a variety of assessments (e.g. exams, written work, and public performances, that frequently measure student progress toward the school`s content and skill standards.

* Developed assessments that measure progress toward the academic standards.

* Maintained accurate records, attendance and keep a weekly journal of student progress.

* Communicated effectively with students, parents, and colleagues.

American Insurance Company, New York, NY 1994 to 1996

* Insurance Adjuster: Claims Processing

EDUCATION

Hunter College University, Bachelor of Arts Key courses: Education, Economics, Language, Psychology, Statistics, Communications, Computer Programmer, Finance, accounting, Spanish. Software: Excel and Word.

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