Manager Medical
Resume:
Yana G. Gefen
Edison, NJ *****
*******@*****.***
Objective:
To obtain a position in billing/administration which provides an opportunity for advancement, while maximizing my
administrative and organization skills to best meet the needs of the company.
Summary:
Medical Coding and Billing: CPT; ICD-9CM; ICD-10CM; for office and outpatient facilities; office base surgeries;
ambulatory surgical centers; Paper and Electronic billing; Claims Analysis; Remittance; Meaningful use.
Insurances Eligibility and Collection: In and Out Network Benefits for Commercial Insurances; Medicare;
Medicaid; Medicaid HMOs; No Fault; and Workers’ Compensation; Insurance Companies; patients; and third party
payers. Authorizations for treatments, procedures and surgical cases;
Accounting and bookkeeping: accounts receivable/payable; payments and refunds; financial reports and
balances; payments plans; invoices; Order Recursions for office and professional supplies. Payroll; Basing HR;
Forms: CMS-1500; EOBs and Denials; HIPPA; Disability forms; Legal Forms; Subpoenas; Radiology and
Laboratory Recursions.
Office Administration and Surgical coordination: 15 years of multitasking and heavy volume of routine
responsibilities.
Credentialing: hospital privileges and attending; insurance participating; following requirements of The Joint
Commission for Office Based Surgery facility and Department of Health accreditation for Office Laboratory.
Medical Research.
Experience:
07/2012-Present New York Sports Care, LLC; New York, NY
Billing Director. Orthopedic Medical Coding.
12/2009-07/2011 Leon E. Popovitz, MD & Michael Y. Mizhiritsky, MD
New York Bone & Joint Specialists, LLC; New York, NY
Billing, Coding and Collection. Surgical Coordination.
08/2006-12/2009 Dr. Gregory Shifrin, OB/GYN, PC; Brooklyn, NY
Office Administrator/Medical Director/Office Manager Assistant; Surgical Coordinator
11/2005-07/2006 Leon E. Popovitz, MD
New York Bone & Joint Specialists, LLC; New York, NY
Private Practice Assistant and Orthopedic Surgery Coordinator.
Michael Y. Mizhiritsky, MD & Physical Therapy & Rehabilitation
Physical Therapy Front Desk Assistant.
04/2001-11/2005 David S. Menche, MD & Leon E. Popovitz, MD
MetroSportMed, LLC; New York, NY.
Private Practice Assistant and Orthopedic Surgery Coordinator.
06/1999-04/2001 BOVA Surgical & Medical Supplies, Inc; Brooklyn, NY.
Office Manager.
Certification and Education:
2011-2012 Accounting and Tax Preparation at Kingsborough
Community College, Continue Education Program
2009-2010 NHA (National Health Association)
Certified Billing and Coding Specialist (certificate # 1255-9989)
2001 CUNY, Brooklyn College, Liberal Art
1997 ORA High School; Prospect Park Yeshiva
Skills: Medical Manager, Eclipse, IMS (Intelligent Medical Software); TCMS (the Complex Medical
Solution); RxExchange; Med Fusion and Careo; WebMD; MD-on-Line; Microsoft Office Word;
Microsoft Office Excel; Microsoft Office Publisher
Bilingual: English-Russian
References: Available upon request
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