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Patient Accounts Receivable Specialist

Location:
New York, NY
Salary:
open
Posted:
August 31, 2014

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Resume:

EDWARD ABANKWAH

*** ****** ****** #**

BRONX, NY 10451

347-***-****/347-***-****

EMAIL: *************@*******.***

SUMMARY OF SKILLS: Knowledge of Patient Accounts System(s): Eagle,

MEMS, Trac/On-Trac, Cirius, FSS, Cerner, and various Insurance Websites, Knowledge

of Microsoft Excel and Word, UB 92 and knowledge of ICDM coding.

EXPERIENCE M&M RECOVERY SERVICES LLC.

JOB TIELE: BILLING COORDINATOR/ACCOUNTS RECEIVABLE

REPRESENTATIVE. 2/10/96 THROUGH 1/23/13.

DUTIES: Follow up on submitted claims, monitors unpaid claims and submit claims

with appropriate correction and documentation. Worked decline claims and submit

appeals to Insurance Carriers. Responds to patient and third party inquiries, research

and resolves complex claims and correct errors. Maintained strictest confidentiality;

adheres to all HIPAA and Federal Payer guidelines and Regulations. Follow up with

Medicare through Omnipro and Medicaid through Epaces for payment. Contact patient

or their representative to complete medicaid application and acquire all necessary

releases, signatures, documents (including birth certificate/green card) etc. Submit

medicaid application and acquire documents in a timely manner to the appropriate

agency. Advise the applicant of all additional required documentation needs and time

frame for compliance.

ST. LUKES ROOSEVELT HOSPITAL. JOB TITLE: FINANCIAL

REPRESENTAIVE 2/12/95 THROUGH 2/25/96.

DUTIES: Interview Patients to determine eligibility for Medicaid using the Federal,

State and City guidelines. Collect and make copies of documentation for submission to

Medicaid. Resubmit additional documentation to Medicaid as needed.

EDUCATION: BRONX COMMUNITY COLLEGE AAS

ACCOUNTING.



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