Medical Billing Quality Control

FRED SCOTT

************@*****.***

MOBILE 201-***-****

EXPERIENCE:

New Vista Nursing & Rehabilitation Center Newark, NJ

External Case Manager 2007 to 2011

Communicate with hospital, attending physician & (PCP). Daily tracking of all hospital/nursing facility

admission. Discharge for both statistical & cost management purposes. Contact RN/Social Worker at the

hospital or facility receiving the patient to communicate plan of care. Verify insurance eligibility prior to

delivery of services. Communicate with Asst. Administrator & Director of Admission regarding any potential

stop Loss patients. Coordinate the transfer of patients with both hospital & Nursing home. Communicate with

patient & next of kin of facility regarding the ability to meet the care & needs of patients in a professional

manner.

Manhattan View Health Care Center Union City, NJ

Admission Associate 2005 to 2006

Heavy contact with Social Workers/Case Managers regarding discharging patient to nursing homes for

Rehabilitation or Long Term Care. Verify insurance HMO, Medicare or Medicaid. Take family and/or patients

on tour of the facility. Have new resident information forwarded through Social Security to nursing as care

taker. Contact various state departments for legal documentation to support rehab/nursing home regulation.

Hudson County Community College Jersey City, NJ

Office Assistant/Support 2004 to 2005

Responsibilities included heavy incoming calls from faculty, students & guest speakers and the resolution of

problem issues, answers to inquiries, conference scheduling, etc. Provide new student orientation during open

house. Participate in the evaluative process of student assessment of professors at end of marking period.

JBC & Associates Bloomfield, NJ

Pre-litigation Collection Specialist - Call Center 2003

Contacted clients regarding check & credit card debt account. Advise clients of documentation supporting

policy that the firm has to obtain insufficient fund due to active status. Advised customers of payment resolution

and sent letters reflecting conversations and transactions. Negotiated payment schedules.

RVM, Inc. New York, NY

Document Analyst 2001 to 2002

Performed on-line coding, scanning and image linking, document review and quality control, data conversion

via email, proofread CD-ROMs documents for attorney court files.

HIP of Greater New York New York, NY

Accounts Payable Clerk 1998 to 2001 & 1994 to 1996

Communicate effectively by phone with vendors. Enter invoices for payment. Match invoices to supporting

documentation to validate integrity of expenditures. Review and respond to vendor and inter-departmental

inquiries. Audit Broker 1099’s reports before submitting to federal taxation bureau. Maintain vendor file on a

daily basis updating information.

The New York Times New York, NY

Accounting Associate 1997 to 1998

Responsibilities included manually auditing expense reports, verifying receipts, airline purchases, and hotel and

car rentals to ensure employee payment in a timely manner. Travel expense audit, code, batch verify. General

ledger coding of invoices, matching to purchase orders filing compliance by cardholders and timely payment to

the credit card employees. Additional duties included processing employee time cards for the payroll

department.

EDUCATION:

CATHOLIC CHARITIES: COMMERCIAL DRIVER’S LICENSE 2013-

PRESENT

Hudson County Community College: Certified Nurse Assistant 2012

Hudson County Community College: Accounting Associates – in progress 2004-2006

Worldwide Educational Services: Computerized Accounting Certificate 2002

Empire Career Inc.: Medical Billing Certificate 2001

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