Carlos Fajardo

COMPUTER SKILLS

SAP software

SBT accounting software

Microsoft Office

Lotus 1-2-3

Quicken

PROFESSIONAL EXPERIENCE

Siemens Healthcare Diagnostics (The Fountain Group) Newark DE

Cost Per Result Analyst

5/2015 - Current

• Perform account management duties related to Cost per Result (CPR) sales for a specified group of customers

Within the domestic U.S. market.

• Serve as a specialist in proactively managing CPR data submission and billing accuracy for customers and the

Field in designated sales regions, while providing them with daily customer service support.

• Monitor CPR customers on a monthly basis to verify successful data submission and facilitate the billing and

Invoice process in SAP for submitted results.

• Provide daily customer support for eLuminate registration (new customer boarding), mapping activities, data

Upload, master data management, troubleshooting, reporting, and general inquiries.

• Monitor all future CPR submissions to ensure all new methods are identified, mapped, and transmitted

Successfully.

• Research and troubleshoot customer billing, pricing, and mapping disputes.

• Manage customer material mapping in support of the CPR billing process.

• Monitor and analyze revenue trends to ensure invoicing accuracy.

• Monitor and analyze customer product usage to ensure correct materials are invoiced.

• Partner with the Technical Solutions Center and IT to address any technical issues with the CPR transmission

Methods (eLuminate/EDI) that are presented by the customer or through the monitoring of those applications.

Checkpoint Systems, Inc., Thorofare, NJ

Billing Lead

10/2012 – 11/2014

Utilized SAP to generate billing, enter customer information, heavy reporting, ensure all billing was correct and pricing was updated

Assisted Finance department in managing the month-end close activities

Created and maintained spreadsheets in MS Excel using vlookups and pivot tables

Drafted documents in MS Word and created training manuals

Promoted effective communication and coordination among groups to promote efficiency and achieve desired results

Maintained a motivated, high performing team and evaluates talent and effectively implements the company’s performance management practices

Drove continuous improvements to ensure quality, error-free invoices and increased productivity with the invoice process

Work with Government and Army contractors to ensure billing was accurate, make sure billing was up to the contractual agreement and within the parameters of contract, preparing proforma invoices for pre-approval

And following strict submission guide lines, maintaining regular communication with local and foreign customers

Memorial Hospital of Salem County, Salem, NJ

Reimbursement Specialist

3/2010 – 10/2012

Obtained information from the carriers and patients in order to correct claims and insurance information, identify which carrier is primary, secondary or tertiary in order to resolve any problems that can prevent the issuing of payments

Responsible for reporting daily, weekly and monthly on the reimbursement balance

Identified and analyzed reimbursement trends within the industry

Researched all Explanations of Benefits to ensure all payments are correct and are being paid at contractual rates

Generated reports on the balance of claims submitted versus payments collected on the A/R, cash collected, write-offs and projected numbers for the month

Updated applicable databases with insurance coverage verified benefits, including coverage effective dates, patient demographic information, emergency contacts, mailing address, and any other applicable information required

Adhered to all policies and procedures; maintained the highest level of compliance with the Government and HIPPA mandated patient confidentiality regulations

Created and maintained spreadsheets in MS Excel using vlookups and pivot tables

ACE USA. (Accountants International), Wilmington, DE

Account Manager

1/2009 – 3/2010

Completed new and renewal account set-ups on time, within appropriate guidelines and process initial billing in order for account to be adequately funded

Follow best accounting practices for all transaction request including disbursements, back-outs, transfers, and mark offs

Adhered to strict PLDF and collateral adjustment procedures, including obtaining proper approval before transacting, quarterly review for active accounts and semi-annual for inactive accounts

Provided accurate monthly department reporting for over 30-60-90 aged receivables

Worked closely with business groups and external clients on each account to fully understand and set expectations for client servicing and accurate accounting

Created and maintained spreadsheets in MS Excel using vlookups and pivot tables

Agile 1-Claymont, DE

Account Reconciliation Analyst

9/2007 – 1/2009

Monitored weekly invoicing files, checked invoices approval status weekly, took immediate corrective action to resolve any rejected invoices

Prepared, compiled, and distributed invoices status reports to suppliers on weekly basis

Established relationships with key contacts within the customers, and suppliers to quickly resolve any issues or disputes related to invoicing

Monitored aging reports on weekly basis, identifies problematic areas, investigates, and takes corrective action to resolve aged issues

Prepared and monitored all adjustments and rebilling activity to ensure that the invoices are approved and paid

Established direct relationships with clients within Corporate Accounts Receivable and Accounts Payable Ensured that necessary adjustments or corrective action is taken to ensure accurate billing and payment

Utilized MS Access to do reporting for reconciliations and consolidating data

Created and maintained spreadsheets in MS Excel using vlookups and pivot tables

Planned Parenthood of Delaware, Wilmington, DE

Billing and Collections Specialist

1/2007 – 9/2007

Generated invoices for Medicaid, Medicare, patient billing, private insurance companies and other Medicaid services such as screening for life and Tile X from Emedsys billing system

Monitored the A/R through generated reports to manage unpaid claims, adjustments and collections

Generated aging reports, balanced and reconciled accounts

Aggressively pursue payments from insurance companies and other responsible parties

Trained and educated clinic staff on ongoing coding, payments, system issues and regulations.

Maintained provider files to ensure all credentialing and associate information is current and complete

Created and maintained spreadsheets in MS Excel using vlookups and pivot tables

American Medical Alert Corp., Long Island City, NY

Medicaid Billing Specialist

10/2002 – 1/2007

Determined Medicaid eligibility, fees and schedules

Processed weekly billing, data entry, and following up on payments with different Agencies within the Medicaid program

Analyzed and reviewed monthly projection reports in preparation for the end of the month billing

Reviewed reports of denied payments and payments that are placed on hold by the different Agencies in order to achieve an agreement of payments

Updated and maintained the subscriber’s data, entered new installation and arranged a schedule of payments for new subscribers

Reviewed roster of prior approval numbers from HRA and NY State and apply any changes to the billing system

Analyzed and reviewed monthly projection reports in preparation for the End of the Month Billing

Created and maintained spreadsheets in MS Excel using vlookups and pivot tables

EDUCATION

San Antonio High School, Honduras

High School Diploma

Universidad Nacional Autonoma de Honduras

Associates degree, Accounting and Finance

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