Medical Billing Insurance
Resume:
Susan Fiermonte
Waterbury, CT. *****
Please consider this letter of introduction as an expression of my interest in exploring employment opportunities with your organization. I have enclosed my resume for your review.
My experience has helped me develop strong management abilities, excellent communication skills, and self-confidence, as well as the realization of the importance of customer satisfaction and top-quality service. I am an energetic team player, as intensely loyal, detail oriented and have the ability to project effectively the image required. The experiences that I feel would benefit you the most are these:
Medical Receptionist
Medical Billing Specialist/ Collections
If my qualifications correspond to your needs, I would appreciate meeting with you to discuss how I might contribute positively to your team.
Thank you, for your time and consideration. I look forward to hearing from you.
Sincerely,
Susan Fiermonte
Susan Fiermonte
388 Beth Lane
Waterbury, Connecticut 06705
March 2007- November 2011 Southington Radiology)
Medical Billing /Collections
Responsible for coding,billing,charge entry and check posting for Bradley Memorial Hospital, West Street Diagnostic, and Southington Diagnostic
Entering patient demographic and insurance information into the billing system
Answers questions from patients, clerical staff and insurance companies.
Identify and resolves patient billing complaints.
Posting charges and reconciling each days business
Research coding for non-standard procedures and assigns codes in accordance with nationally recognized coding guidelines and company standards.
Evaluate medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records .
Prepare and submits clean claims to various insurance companies either electronically or by paper.
Prepare reviews and send patient statements
Financial arrangements for patients.
Experience working with AR, and medical billing issues.
Developed organized system to decrease timely filing write-offs
Insurance eligibility verification and obtaining prior authorizations for Ct Scans, MRI’S, Bone Density, Ultra Sounds and Nuclear Studies.
Understanding of Federal, State, PPO, HMO and Indemnity Plan Structures
Medical billing and collections experience with major medical insurance providers, Medicare Medicaid.
Following -up on claim status through appeals rebilling, recalculations or claims adjudications
Susan Fiermonte
388 Beth Lane
Waterbury, Connecticut 06705
January 2005 - January 2007 Arthritis Center Of Connecticut:
Dr. Brian Peck - Rheumatology
Dr. Richard Matza
Physical Therapy,X-RAY, MRI
Medical Billing /Collections
Responsible for coding,billing,charge entry and check posting for a high three division practice.
Answer questions from patients and Insurance companies in a pleasant and a positive manner.
Entering patient demographic and insurance information into the billing system.
Verification of insurance benefits, deductibles and co-pays.
Obtained prior authorizations and or referrals for office visits, Physical Therapy and MRI'S.
Understanding of Federal, State, PPO, HMO and Indemnity Plan Structures
Knowledge of medical terminology and insurance procedures
Identify and resolves patient billing complaints.
Financial arrangements for patients
Prepare and submits clean claims to various insurance companies either electronically or by paper.
Experience working with AR’s & medical billing issues.
Prepare review and send patient statements.
Review reports to correct billing errors for electronic submission.
Followed up on claims status through appeals rebilling, recalculation or claims adjudications.
Responsible for running reports: aging, financial, end of day, and end of month Knowledge of CPT, ICD 9,NDC codes and modifiers.
Susan Fiermonte
388 Beth Lane
Waterbury, Connecticut 06705
February 1998 - June 2004 Tribury Orthopedics: Dr. Glenn Taylor Dr. William Flynn
Medical Receptionist/Scheduler
Greet patients, visitors, and others in courteous manner, determine reason for visit and direct them to the appropriate person or area.
Answer and respond to incoming calls, triage and distributes calls as needed.
Scheduling appointments at appropriate intervals for office visits.
Enter patients demographics and insurance information.
Maintain patients chart. Pull charts as needed and return to proper place in file, assemble new patients charts and type chart label.
Copy patient’s insurance card, update insurance on established patients.
Receive payment and records receipts for services.
Posts and balances daily batch.
Accurately file reports and dictation into the correct chart.
Photocopy and faxed information and documents as needed or requested.
Sent out copies of MRI test results, and copies of lab work to other physicians offices, as needed or requested.
Prior authorization for Workers Compensation, and Motor Vehicle claims for new patients.
Insurance eligibility verification and obtaining prior authorizations.
Observe patient and telephone flow; offering or requesting assistance as needed.
Facilitates communication to the MD through the use of in-box, voicemail, and e-mails as appropriate.
Maintain positive attitude consisting of cooperation, self-motivation, courtesy, and professionalism.
Responsible for running a smooth and efficient front office.
Susan Fiermonte
388 Beth Lane
Waterbury, Connecticut 06705
Other Employment:
Score Physical Therapy: Medical Receptionist/Scheduler
Associated Women’s Health: Medical Receptionist/Scheduler
Skills/Experience:
Knowledge of medical billing/collection practices.
Knowledge of computer programs.
Knowledge of business office procedures.
Knowledge of basic medical coding and third-party operating procedures and practices.
Ability to operate a computer and basic office equipment.
Ability to operate a multi-line telephone system.
Ability to answering a telephone in a pleasant and helpful manner.
Ability to read, understand and follow oral and written instructions.
Ability to establish and maintain effective working relationships with patients, employees and the public.
Well organized and detail-oriented.
References upon request.
Contact this candidate