Medical Billing Administrative Assistant

Jennifer Cabrera

**** ********** ****** *****, ** 10472 646-***-****

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

EXPERIENCE

SEBCO DEVELOPMENT, Bronx, NY 02/14-

Present

Office Assistant

. In charge of trans-filing files and making sure they are readily

available for auditing purposes.

. Prepping Service Coordinator voucher packets for H.U.D. for Senior

Housing Buildings.

. Provided coverage for receptionist, knowledge of handling switchboard.

. Coordinating bills/ mail.

. Responsible for various administrative functions for the company,

including the managing and ordering of office supplies.

. Supporting the assistant controller and controller.

. Assisted tenants with any inquiries they had.

. Assisted Property Managers.

St. Luke's Hospital, Department of Psychiatry, New York, NY

08/12-02/14

Administrative Assistant

. Cross coverage for four clinics: O.P.C. (Outpatient Psychiatry Clinic),

CITPD (Center for Intensive Treatment for Personality Disorders), P.R.C.

(Psychiatric Recovery Clinic) and W.H.C (Women's Health Clinic).

. Prioritized which claims needed immediate departmental attention;

determined which claims could be handled personally; which claims should

be referred to other areas for additional information in order to process

for payment.

. Prepare and evaluate various open visit and statistical reports to

enhance and maintain proper revenue of Outpatient Psychiatry programs.

. Maintain databases to generate various reports for department, Front end

and Back end reports.

. Email clinicians for missing notes, diagnosis, and other relevant

information in order to close the open visits for the processing of

payments.

. Strong working knowledge of IDX and Eagle Software.

. Coordinate and implement special projects

. Generated and processed CITPD back end reports through Tier and Eagle

Software.

. Knowledge of all Insurances and Billing processes. Registration.

. Kept track of Insurance Authorizations as well as date of service in the

book, alerted Clinicians when OTR's were due.

. Closing clinic visits for three clinics: OPC, CITPD, and Child.

. Scanning documents and Treatment plans into charts for Clinic Compliance.

. Email clinicians for missing notes, diagnosis, and other relevant

information in order to process claims for payment.

. Maintain databases to generate various reports for department, Front end

and Back end reports.

. Checks materials submitted for supervisor's attention to ensure all

relevant data, authorizations and pertinent information are included.

. Dispatched Metro Cards accordingly using PTAR.

. Communicate calmly and effectively with irate and emotional patients

. Ability to remain calm in emergency and crisis situations.

Continuum Health Partners New York, New York, NY

01/11-10/11

Financial Representative for the Patient Accounts

. Responsible for the accurate and timely submission of medical billing

claims. Billing and verification of Insurances; Submission of appeal

letters and requests of Medical Records when needed.

. Responsible for the accurate and timely submission of medical billing

claims.

. Posted denials; followed up on claims and denial corrections on upfront

edits and appeals.

. Determined the correct Revenue Code and ICD-9 codes as well as resolving

billing issues.

. Prioritized which claims needed immediate departmental attention;

determined which claims could be handled personally; which claims should

be referred to other areas for additional information in order to process

for payment.

. Assisted with answering the telephone and provided information as

requested in accordance with all HIPPA/ confidentiality regulations and

guidelines.

Lincoln Hospital, Bronx, NY

06/05 -01/11

Clerical Associate III, Finance/ Patient Accounts

. Responsible for the accurate and timely submission of medical and

dental billing.

. Retrieved medical records in order to address physicians in regards to

obtaining additional information needed to process claims due to

inaccurate coding and missing information.

. Prepared weekly reports on insurance denials, payments and

corrections; Prepare weekly reports of submission of encounters to the

billing vendor for Administration; Furnished information and prepared

statistic reports.

. Financial screening: searched for patient information on OAM and Unity

System.

. Responsible for all correspondence pertaining to Managed Care and

Commercial insurance companies, as well as patient requests.

. Determine the correct Revenue Code and ICD-9 codes as well as

resolving billing issues.

. Prioritized which claims needed immediate departmental attention;

determined which claims could be handled personally; which claims

should be referred to other areas for additional information in order

to process for payment.

. Collections: mailed invoices and past due notices to patients for

payment, follow up phone calls when necessary.

. Retrieve medical records in order to address physicians in regards to

obtaining additional information needed to process claims due to

inaccurate coding and missing information.

. Prepare weekly reports on insurance denials, payments and corrections;

Prepare weekly reports of submission of encounters to the billing

vendor for Administration; Furnished information and prepared

statistic reports.

. Post denials; Follow Up on Claims and Denial Corrections on Upfront

Edits.

. Financial screening: search for patient information on OAM and Unity

System.

. Ability to communicate effectively with patients.

. Hands on outpatient registration as well as emergency registration

when needed.

. Assist with answering the telephone and providing information as

requested in accordance with all HIPPA/ confidentiality regulations.

EDUCATION

Hostos Community College C.U.N.Y., Bronx, NY

Associates in Applied Science in Public Administration

Graduated: June 2014

Certified NYC DCAS Clerical Associate (HHC)

New York Real Estate Institute, Certified Property Manager, State of New

York, 2008

SKILLS

. Bilingual in English and Spanish.

. Excellent communication and interpersonal skills.

. Proficient in Windows XP Professional, Microsoft Word, Outlook, Peachtree

Complete Accounting 8.2, QuickBooks Knowledge of Med Unite Medical Billing

System, Medical Manager, Quicken, Siemens Eagle Production Accounting

Software, Siemens Online Accounting Management Software. ICD9, IDX. Tier

Work Flow System and policies: OSHA and HIPPA.

Qualifications

13 years of Professional, Administrative and Billing experience. Possess

strong interpersonal skills, having dealt with a diversity of

professionals, clients and staff. A cooperative and flexible team player.

Equally effective working independently. Execute multiple projects

simultaneously under pressure while meeting strict deadlines. Self-

motivated individual to ably coordinate daily functions. I take initiative

to see the job through. Communicates effectively with a broad range of

personalities. Enthusiastic, committed, resourceful; can be counted on to

get the job done. Bilingual.

REFERENCES

Available upon request.

Contact this candidate