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Medical Billing

Location:
New York City, NY, 10470
Posted:
September 01, 2019

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Resume:

Monica M. O'Connell

Bronx, NY ***** M: 917-***-**** E: ac98ej@r.postjobfree.com

Medical Billing/Coding, Accounts Receivables, Collections and Billing Coordinator.

Professional Experience:

Mount Sinai Department of Dermatology- New York, NY

Evaluate CPT and ICD-10 procedural posting into patient accounts. 11/2015 – 05/2019

Collection and posting fees into patient accounts.

Verifying patient benefits and eligibility with HIPAA compliance.

Aiding patients with billing inquiries with professional etiquette.

Obtaining preauthorization for future procedures with HIPAA compliance.

Revise patient data.

Use of Centricity IDX and Epic computer program.

Simpson, Moses, Mittl and Pantaleo DDS- New York, NY 02/2015 – 04/2015

Greeted patients and scheduled appointments with professional etiquette.

Amended patient data.

Collected and posted copayments and balances into patient accounts.

Verified benefits and eligibility for future procedures.

Inquired claim status with HIPAA compliance.

Professional answered the telephone and conveyed all messages to the respectable sectors of the office.

Use of ZocDoc and Dentrix software.

Pleasantville Physical Therapy and Sports Care-Pleasantville, NY 05/2009 – 01/2010

Evaluated daily procedural posting and assisted with patient billing inquiries.

Investigated claims via insurance websites and telephone conferences to ascertain status of payment.

Corresponded with insurance representatives to attain verification and preauthorization.

Use of CDC computer system.

Scarsdale Medical Group-Scarsdale, NY 11/2007 – 05/2009

Maintained all patient billing inquiries for 30+ MD’s with proficiency.

Furnished valid diagnosis codes to laboratory billing departments for pending tests.

Rectified discrepancies on claims with accurate data.

Use of GE Centricity, Next Gen, EMR and IDX computer programs.

Westchester Gynecologist and Obstetricians PC-White Plains, NY 01/1988 – 10/2007

Evaluated daily CPT and ICD-10 auditing posting into patient accounts.

Posted 100% of all incoming patient and insurance payments for daily reconciliation.

Analyzed monthly insurance A/R reports for discrepancies and status of payment.

Conferred with nurses and MD’s for correct CPT and ICD-10 coding for in office procedures.

Analyzed monthly patient A/R reports to establish budget friendly payment plans.

Meticulously identified and rectified discrepancies in patient account.

Comprehension of non-payment EOB’s, and letter of appeals.

Explained patient balances after insurance payment and contractual obligations were applied.

Redirected overpayments to the bookkeeper.

Conferred with insurance representatives to obtain preauthorization with HIPAA compliance.

Use of Medical Manager Software.

Education:

Certificate Degree in Medical Billing/Coding from the Manhattan Institute, New York, NY 06/2010

Associates Degree from the Swedish Institute, New York, NY 12/2000.



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