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Medical Billing Office

Location:
King, North Carolina, United States
Posted:
March 10, 2018

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Robin Zayas

ac4rl8@r.postjobfree.com /919-***-****

Education

North Carolina Notary Public- Valid Through November 12, 2019

Atlantic Cape Community College, Mays Landing, NJ.- Certified Phlebotomy Course (12/1994) Passed National ASCP Board Exam (7/1995)

Skills

Timely, Efficient, and Deadline oriented work ethic.

Proficient in Financial Calculations in relation to Cosmetic Fee Schedules and payment collection.

Microsoft Office Suites (Word, Excel)

Proficient in Patient Contact and De-escalation of Patient concerns.

Proficient in Managerial Role

Fast Learner, Life long Learner, with ability to easily adapt to new processes.

Detail Oriented mindset

Experience with Cosmetic Fee Schedules for various Cosmetic Procedures. Major and Minor.

Experienced in handling Financial needs of Clinical Research Projects

Employment Experience

American Anesthesiology a division of MedNax, Raleigh, NC May 2013 to Present

Cosmetic and Negotiated Accounts Analyst (Previously held role as Team Leader for Patient Services Department)

Responsible for an AR of at least $1million dollars annually for all Cosmetic and Negotiated accounts across 14 different Anesthesia Billing Practices.

Responsible for collection, proper allocation, analyzation of Cosmetic and Negotiated accounts.

Maintains daily contact with over 16 Cosmetic Surgeon Practices throughout North Carolina, Virginia, and South Carolina.

Ensures that Surgeons adhere to Cosmetic Contracts and Fee Schedules as set and agreed upon by the Corporate Office

Collection of Patient Payments through IpayX system. Responsible to make sure payments have been allocated properly. Oversees Patient refunds for any Patient that has overpaid the Cosmetic Fee.

Responsible for the weekly refund check process to ensure that checks are accounted for, logged for recording and financial purposes, and corrected by Credit Balance Specialists for any errors.

Oversees the Negotiated accounts for Clinical Research projects in the Southeast and Manassas Practices.

Review daily report for Southeast Anesthesiology Consultants Endoscopy Facility Accounts to ensure proper Patient billing and proper adjustments applied to accounts.

Works extensively with Ipayx and Onbase payment systems.

Works extensively with EOBs to ensure Patients are billed correctly and adjustments are credited to accounts as per contractual agreements with Payers.

Oversaw a team of 15 associates in the Patient Services Department

Heavy use of Microsoft Excel Spreadsheets and Microsoft Word.

Currently overseeing claims for Workers Compensation payers, Department of Corrections, and Department of Labor.

REX/UNC Cancer Center, Raleigh, NC September 2008-August of 2012

Patient Account Specialist

Responsible for medical billing as well as handling daily banking deposits, Creating Excel spreadsheets to help with utilizing patient adjustments and insurance refunds as well as processing and posting of patient/insurance payments

Rectifying any denials, worked with various pharmaceutical and government programs to obtain financial assistance for under insurance patients as well as insured patients

Pratt Management, Raleigh, NC July 2007-July 2008

Assistant Billing Office Manager

Responsibilities included electronic medical billing, ICD-9 Coding, manual and electronic posting of all charges as well as tracking denials and getting them corrected for payment. Handled daily bank deposits. Helped to implement a new electronic posting and electronic reports system.

Hope Community Cancer Center, Marmora, NJ August 1995 - June 2007

Billing Supervisor/Assistant Office Manager

Responsible for medical billing supervisory and assistant office management duties for a busy Oncology/Hematology practice consisting of 4 Doctors and 4 Nurse Practitioners.

Handled billing duties using Medics Premier and supervised five employees.

Billed for office visits, lab work, and chemotherapy infusions, hematology treatments, ICD-9 Coding, electronic billing, EOB’s, tracking denial of claims and all bank deposits.

Responsible for credentialing the Doctors for privileges at the hospitals, as well as processing new insurance to be accepted for the practice.

Atlantic City Medical Center February 1988-July 1995

Unit Secretary/Pt. Care Technician-ASCP Certified Phlebotomist

Last 4 years spent in the Medical Centers RNS Cancer Center to expand my knowledge and training for Patient Registration and Insurance along with patient care.



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