Customer Service Insurance

Maria Roche

Westbury, NY, ***** ***- ***-**** ************@*****.***

Health Services professional with more than ten years’ experience in medical billing, medical office operations, team leadership and training. Detail-oriented, strong work ethic, excellent organization and communication skills – Fluent in English and Spanish. Well versed in EMR systems, ICD-9, HCPS, Athena, Centricity, ADS, ECW and Microsoft Office (Word, Excel,

PROFESSIONAL EXPERIENCE

New York Presbyterian Hospital - Lake Success NY February 2017 to present

Physician Biller

Facilitate follow up and resolution of section 28 physician billing;

Follow up and complete Medicaid and Medicare claims

City Medical (City MD) - Uniondale NY August 2013 to February 2017

Workers Compensation/No Fault Biller

Assisted the supervisor with the training and oversight of the Workers Compensation billing team;

Managed workflow and billing queues, ensuring oldest claims were sent first to optimize costs;

Followed up on correspondence from insurance companies for claims completion, payment, denials and appeals.

Monitored my queued s to send out the oldest claims first as to save money for the company

First Med Urgent Care - Mineola NY January 2011 to August 2013

Head Biller

Coordinated collection activity for past due accounts, denials, appeals and reconciled “EOB/RA”;

Trained and coached new employees in operating procedures and HIPAA compliance;

Translated documentation, procedures and process from English to Spanish for patients and caregivers

Pediatric Health Associates - Plainview NY January 2009 to Jan 2011

Medical Biller

Collected, posted and managed patient account payments and prepared and submitted claims forms to insurance companies and other third party payers.

Performed insurance verification and pre- authorization.

Entered procedure and diagnosis codes and requisite patient information into billing software to streamline invoicing and account management.

Responded to staff and client inquiries regarding CPT and diagnosis codes

Huntington Eye Care - Huntington, NY March 2006 to Jan 2009

Front desk Biller

Checked patients in/out, entered charges, collected copays, answered questions on procedures

Confirmed patient’s eligibility and coverage, prepared charts, retrieved referrals, updated on call lists

Managed patient records and files; reinforced and upheld patient confidentiality as required by HIPAA and clinic.

Baja Fresh - Syosset, NY May 2003 to 2005

Manager and Corporate Trainer

Managed staff of 30 associates, communicated and enforced new policies;

Facilitated and implemented training of managers as well as new-hire staff for store openings;

Handled interviewing and hiring of new associates as well as preparing all new-hire paperwork;

Oversaw payroll for the company, collected, audited and processed timesheets;

Collaborated with communicating and managing in-house and outside promotions.

EDUCATION

DeVry College of New York, NY Dec 2016

Bachelor of Professional Studies: Technical Management, Health Service Management

Key coursework: Health Rights and Responsibilities; Health Services Information Systems; Healthcare Policy; Managed Care and Health Insurance.

Katherine Gibbs College, Melville, NY Jun 2007

Associate of Applied Science, Long Term Healthcare Management

Borough of Manhattan Community College (BMCC), New York, NY Jun 1992

Associate of Applied Science, Business Management

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