SHARI BORAGINE, NCICS, BSW
***** **** **** ***** ***********, FL 33470
SUMMARY Summary of Qualifications:
Insurance/PIP verification and billing
Medicare and Medicare supplements and replacements experience
Workers Compensation
Medicaid Experience on line and through the portal
All major commercial health insurance
Hospital billing for inpatients of standalone clinics
Physician Surgery billing for outpatient centers
Proficiency in Microsoft applications
Medical Billing/EHR software including: NexGen, Intergy, OWAN, Care Cloud, Aria, Eclipse, Athena, Availity, UHC, MacPpractice, EMA
Chart scanning
Medical coding ICD-9 and ICD-10, HCPCS’s, LCD’s and modifiers.
Excellent organizational, analytical and communication skills.
Uncommon ability to work accurately and precisely under stressful conditions.
Able to manage multiple tasks.
Excellent ability to maintain high level of confidentiality.
EDUCATION Florida Atlantic University, Boca Raton, FL
BS in Social Work
Palm Beach State College, Lake Worth, FL
AS in Human Services
Inlet Grove Adult Education, Riviera Beach, FL
Medical Billing and Coding Training
CERTIFICATIONS National Certified Insurance and Coding Specialist Certification (NCICS) May2015
EXPERIENCE
November 2017 Palm Beach Sportsmedicine and Orthopedic Center
Current Medical Billing Specialist
Billing, Coding, Insurance Verification, Posting Payments, EOB’s, AR, Collections, Appeals
March 2017-May 2017 Accounting Principles
Insurance Verification for Palm Beach Orthopedic Institute (Contract)
October 2016 to Randstad Agency
December 2016 Biller/Collector for Hospice of Palm Beach County (Contract)
Bill charges and collect overdue payments.
June 2016 to Combined Billing - Contract
September 2016 Biller/Ledger Specialist
Bill charges and create ledgers for orthopedic surgeon.
July 2015 to South Florida Radiation Oncology/21st Century, Wellington, FL
March 2016 Billing Specialist
Billing of outpatient radiation oncology charges, modifiers, LCD listings, Gamma Knife surgery billing, ICD-9 and ICD-10 proficiency, authorizations, patient collections and AR, refunds to patient accounts as well as insurance carriers, referrals and inpatient case set up as well as inpatient billing for clinic patients who go to a hospital for emergency services. I process out approximately 60 accounts per day with a minimal reject/error rate. Software includes Aria, Care Cloud, NexGen, Owan and Intergy, experience with Emdeon, Availity and DCF Medicaid portal.
May 2015 to The Spine Center, Palm Beach Gardens, FL
June 2015 Insurance Verification Specialist (Contract)
Insurance verification non par facility, Patient check in, Scanning, assembling Medical charts, pulling and filing patient charts, experience with Emdeon, Availity and DCF Medicaid portal.