Medical Billing Insurance
Resume:
Marilyn Sanchez
Rocky Point, NY 11778
***********@***.***
Strengths include:
*Bilingual (English/Spanish)
*Strong knowledge of CPT and ICD9 and Medical terminology
*Strong knowledge of Medicare and Third party regulations and
guidelines
*Have worked with Medics II and IDX software
Employment Background
Diacore Associates- Brooklyn, NY (2001-2015)
Medical Billing/Collections Specialist
*Verified Eligibility and Medical Benefits for accurate billing
*Entered patient Demographics and Insurance information. Reviewed and
posted charges.
*Prepared claims for electronic submission.
*Posted all Insurance and Patient payments. Followed up on
refund and overpayment requests
*Reviewed and corrected rejected claims and resubmitted for processing
and payment
*Communicated with corresponding insurance carriers on denials
*Handled all verbal and written appeals.
*Followed up on outstanding accounts via reports and EOMBs
*Responded to Insurance and patient inquiries
*Educated staff and physicians on different Insurance policies and
Authorization requirements
The Brooklyn Hospital Center- Brooklyn, NY (1995-2001)
Medical Billing/Collections Specialist
*Acted as a troubleshooter to resolve issues with outstanding accounts
via reports and EOMBs
*Acted as a liaison with physician offices, insurance companies and
patients
*Specializing in billing and collections for Medicare beneficiaries.
Reviewing CPT and ICD9 codes, to insure accurate usage
*Corrected electronic insurance validation reports
* Reviewed and followed-up on refund and overpayment requests
*Specializing in contributing ideas and suggestions to improve
approaches, methodologies and productivity of office procedures
Education:
Queens Borough Community College, Bayside, NY
Nursing Candidate (1994-1995)
Queens College, Flushing, NY
Enrolled in Bachelor of Liberal Arts (1990-1994)
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