FERNANDA DEJESUS

*** ******** ****** • Harrison, NJ 07029 • 201-***-**** • acegcm@r.postjobfree.com

MOTIVATED BILLING AND COLLECTIONS SPECIALIST

Timely and accurate processing of billing charges for services rendered to patients.

CORE STRENGTHS

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Current Procedural Terminology (CPT) MS Excel/Outlook (Intermediate)

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Intl. Classification of Diseases (ICO) MS PowerPoint/Access/QuickBooks (Basic)

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Medical Terminology Organized & manage multiple priorities

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Strong attention to detail Strong customer orientation

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MS Word (Advanced) English/Spanish/Portuguese

PROFESSIONAL EXPERIENCE

• Assured accuracy of patient data and prepared billing according to regulations, conducted A/R collections,

appeals.

• Coded Urology, Dermatology, Chiropractic, Internal medicine, Orthopedics and Ultrasound claims.

• Prepared/maintained billing files and records; understanding of net revenue schedule and unrealized

contractual log in relation to patient accounts.

• Followed up with insurance companies to determine the status of claims and to confirm eligibility.

• Submitted electronically in/out patient facility claims and DME claims on HICFA 1500 forms.

Communicated with Utilization Department in obtaining prior authorization on DME products to be

dispensed to patients.

• Investigated delinquent accounts making recommendation on disposition of outstanding balance; contacted

third party organizations when necessary to facilitate timely payment of charges.

• Provided timely notation of action taken on patient accounts; processed refunds to insurance carrier or

patient; corrected late charges; monitored insurance coding and effective/exhaust dates.

• Set up payment plans for self pay patients as well as patients with balances after insurance payments.

• Maintained strictest confidentiality and adhered to all HIPAA guidelines/regulations.

• Implemented training course for new recruits, speeding profitability.

• Worked on No fault claims, prepared PIP applications, 21 day letters, Arbitrations.

WORK HISTORY

06/2013 to present Billing Supervisor Haveron Total Health Harrison, NJ

Medical Biller

10/2011 to 04/2013 Manhattan labs PineBrook, NJ

Medical Biller

02/2011 to 05/2011 Provider Billing Solutions Verona, NJ

Medical Biller/Patient Account Rep

05/2009 to 02/2011 New Jersey Urology Bloomfield, NJ

Medical Biller

06/2008 to 04/2009 United Staffing System Newark, NJ

Medical Biller/Patient Account Rep. Vantage Health Systems

10/2005 to 05/2008 Dumont, NJ

Medical Biller/Patient Account Rep. MDX Solutions Inc.

1/2003 to 07/2005 Mahwah, NJ

Medical Biller/Customer Service

07/2001 to 12/2002 EBI Medical Systems Parsippany, NJ

Medical Biller/Front desk Associate Drs. Alan Lubin & Gruenwald

2/1998 to 06/2001 S. Orange, NJ

EDUCATION & SPECIALIZED TRAINING

Data Entry & Word Processing Certificate

1996 National Education Center Nutley, NJ

High School Diploma

1994 Harrison High School Harrison, NJ

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