Medical Management
Resume:
Confidential User
Email: **********@********.***
Address: Address Withheld
City: Kissimmee
State: FL
Zip: 34747
Country: USA
Phone: 718-***-****
Skill Level: Experienced
Salary Range: $53,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
Virginia Hunt
138-08 56th Avenue
Flushing, New York 11355
OBJECTIVE:A continued career in Medical Management in Radiology. Working at a management level where my skills and experience can be utilized to accurately manage and increase revenue
WORK
EXPERIENCE:
2010-Current NASSAU RADIOLOGIC MEDICAL GROUP F/T
Currently I am working at the Corporate Office Billing Department performing a combination of responsibilities. Hillcrest my previous employer was bought out by NRAD.
Providing personal attention to patients regarding billing or COB issues
Correcting ICD.9 and CPT coding errors for all modalities
Appeals and communications to all Insurance carriers in the Healthcare system
Reaching out online or via phone to reopen cases for Insurance denials
Back up coverage for the corporate central phone center, directing Doctors, Patients, etc... to their partys within 14 of our office locations
1993 - 2010 HILLCREST RADIOLOGIC GROUP, P.C. F/T
Billing Department Supervisor
Utilizing Interface Computer System (Data Strategies, Inc.)
Communicating closely with onsite radiologists, administrator, referring physicians and their personnel
Providing confidential, personal attention to patients with sensitive problems
Claims follow up and Appeals for Medicare, GHI, B/C, Aetna HMO, PPO, Oxford, Magnacare, 1199/Medfocus, Healthnet, HIP, CareCore National, Cigna, Healthcare Partners and many others
Liaison to software vendors in analyzing and resolving electronic billing issues
Correcting electronic claim rejection reports
Setting up electronic and CMS HCFA 1500 insurance claims formatting
CPT and ICD. 9 coding and editing for Plain X-ray, Digital Mammography, U/S, Breast and Thyroid Biopsy, MRI, CT
Knowledge of applying payments, adjustments, charge postings and editing
Pre-certification and referral authorization/verification for all above Insurance Carriers (online phone)
Creating individual and team work projects/tasks
Preparing time cards
Management security level access to Activate/Deactivate security access privileges to other employees
1986 - 1993NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS F/T
Gained valuable experience working for global and professional billing for
Multiple radiologists at their Free Standing and Hospital locations
Eventually becoming an assistant billing department supervisor
EDUCATION:Uniondale High School Graduate, Class of 76
Certificates of successful completion of courses provided by the Medical
Management Institute, Medical Society of the State of New York
REFERENCES: FURNISHED UPON REQUEST
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