Medical Billing Manager

Denise Marie Tavares

*** ***** ****

New Brunswick, NJ 08901

(551) 655 – 7793

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

OBJECTIVE:

To obtain a challenging part – time position which will allow me to utilize my skills and experience for

the overall growth and success of the organization.

SUMMARY OF QUALIFICATIONS:

• A highly skilled and knowledgeable individual with years of experience in all aspects of the

medical field.

• In depth knowledge of the medical billing process and familiar with coding.

• Knowledge of No Fault and Worker’s Compensation.

• Proficient in Microsoft Word, Microsoft Outlook and Microsoft Excel.

• Previous billing systems used: AS400, IDX, Advantx, Medisoft and eClinical Works.

• Fluent in Creole and knowledge of Spanish and Portuguese.

EXPERIENCE:

Excel Billing Solutions, LLC New Brunswick, NJ

Billing Coordinator – 04/08 – Current

• Manages all data and charge entry.

• Handles all claims follow up.

• Enters and reconciles all daily payments.

• Resolves all billing issues and patient concerns.

Carteret Comprehensive Medical Care Carteret, NJ

Senior Insurance Claims Analyst/Patient Advocate – 01/12 – 07/13

• Implemented new business procedures which resulted in increased productivity and revenue.

• Oversees all aspects of billing for a multi- specialty practice, which includes precerts, accounts

receivables, coding, claim follow up, appeals and payment posting.

• Prepares bi – weekly revenue reports for physician’s payroll.

• Interacts with patients in regards to their benefits, precerts and financial agreements to the

practice.

• Liaison for the pain management physicians and the surgery center.

Atlantic Spinal Care, LLC Edison,

NJ

Billing Manager – 09/10 – 05/11

• Managed front office and billing office operations to ensure maximum efficiency.

• Coordinated patient, physician and staff schedules to maintain optimum performance.

• Prepared meeting agendas.

• Ensured adherence to all policies and procedures.

• Handled all No Fault and Worker’s Compensation accounts.

• Negotiated all Workers Compensation contracts for 90% – 95% of billed charges.

• Collaborated with the administrator on daily collections.

• Reconciled daily charges and payments which totaled $1 million per month.

• Responsible for hiring, training, conducting counseling and coaching for staff.

Raritan Valley Surgery Center, LLC Somerset, NJ

Billing Coordinator – 06/08 – 05/10

• Set up medical billing software, clearinghouse and business office.

• Managed day to day operations of the billing office.

• Served as a liaison between the surgery center and various vendors.

• Completed daily corporate reports and reconciliations.

• Maintained credentialing files for over 20 physicians.

• Involved in interview process and training of new hires.

EDUCATION:

Hudson County College Jersey

City, NJ

Associates in Business Management

December, 2003

Fairleigh Dickinson University Teaneck, NJ

Nursing Program

Some coursework completed

REFERENCES:

Available upon request.

Contact this candidate