Justine Raftree, MAcc
Self-motivated professional, flexible, recognized for excellent communication, and problem solving skills
AREAS OF EXPERTISE
Research & Analysis
Excellent Customer Service
Accounts Receivable Specialist, Care Plus NJ, Paramus, NJ, 2018-present
Duties: Assists and maintains appropriate internal controls over accounts receivable, assists with and monitors accounts sent for collections an reimbursements from insurance companies and other third party payers, Reviews, monitors and evaluates third party reimbursement compliance and researches variances, Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations, Processes insurance payments to client accounts in computerized system, Identifies, tracks and resolves payment discrepancies through claims adjustments, verifies benefit entries to ensure accuracy, submits appeal letters as needed, contacts clients regarding outstanding balances, responds to client billing and statement inquiries, makes recommendations to management for write-offs, uses all patient accounting systems including Emdeon, MyEvolv, Navinet to research billing issues, performs clerical functions .
Accounts Receivable Coordinator - Supervisor, Sunspire Health, Lyndhurst, NJ, 2013-2018
Duties: Ensures accurate billing, collections and posting processes are followed, assists with mid-month and month-end reconciliation processes, oversees month-end close process, assists with audit-related department activity as required, works closely with Management to develop and document/refine processes, performs training for team members, continually looks to decrease the time a claim or payment will cycle to resolution through automation and all available technology, participates effectively in staff meetings, maintains confidentiality of and compliance with all company and patient information in accordance with federal, state and local regulations, HIPAA regulations and Company policies.
Coordinator Duties: Utilize QuickBooks and Evolv to process weekly billing to insurance companies, reconcile and correct daily census before it is sent to corporate emails, enter deposits into QuickBooks and Evolv, daily follow up calls to insurance for payment status, daily contact with facility for follow up on insurance/patient issues, update aging with any payments that were received as well as any issues that came across during follow up, meet with Accounts Receivable Supervisor every month for a A/R aging review, weekly billing of insurance claims and monthly billing of private pay claims.
Business Office Manager, CareOne at Ridgewood Avenue, Paramus, NJ, 2012-2013
Duties: Correct and reconcile census daily, data entry, cash reconciliation, preparing daily deposits, charge entry twice a month, instituted triple check process for Medicare A & B, timely billing, processing and updating Medicare claims, follow up calls with private pay residents, work with resident’s family to ensure smooth payer transition, create private pay and coinsurance bills, chosen for night manager twice a month, liaison to residents, bill and follow up on managed care claims, work on monthly aging, compile monthly reports to administration as well as company billing managers.
Accounts Payable Coordinator, CareOne at the Cupola, Paramus, NJ, 2009-2012
Duties: Process invoices for payment, match PO numbers with receipts, answer and transfer phone calls at the front desk, assist residents with any questions, reconcile any vendor issues, gather information for vendor entry, aid departments heads with the rollout of new invoicing system, assist Business Office Manager with resident billing and charge entry in Vision, assist Admissions department with data entry and admitting new residents to facility through Vision.
EDUCATION and SPECIAL TRAINING
Master of Science Accounting, University of Phoenix, 2012
Bachelor of Science in Business Administration, Ramapo College, 2003
Experienced in Microsoft Windows Applications/Programs, including Word, Excel, PowerPoint, and Access
Experienced in multiple of financial software including: A/S 400, Vision, Oracle, PointClickCare, Emdeon Office, Navinet, FSS0 (Medicare) QuickBooks, TIER, and Evolv