Manager Insurance

VICTORIA R. RICE

848-***-**** (Cell)

732-***-**** (Home)

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

Hazlet, NJ 07730

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

Objective

I am looking for employment within the medical industry which will utilize my many years experience in medical management, insurance and patient collections and insurance negotiation to the fullest extent. Experience

OB/GYN Group of East Brunswick, E.Brunswick, NJ Jan 2015 to present Denial/Re-buttle Coordinator Temporary

Review all denials daily, complete and submit appeals, complete and submit corrected claims, patient accounts, work ageing, correspondence with all insurance carriers/attorneys, collection accounts, etc. Immediate Care Medical Walk-in of Hazlet, Hazlet, NJ Aug 2013 to Jan 2015 Billing/Office Manager

Oversee & supervise office staff, credentialing of facility & clinicians, transition and implementation of EMR, payroll, employee benefits, clinician & staffing scheduling,electronic & paper billing of insurance companies, patient billing, re-buttles for insurance of denials, closing of month end, monthly & weekly receivable balance & reporting, update and maintain fee schedule, daily back-up of system, daily deposits, inventory, ordering of DME and other medical supplies, etc.

Med Labs Diagnostics, E.Orange, NJ Sept. 2009 to Aug. 2013 Billing Manager

Oversee & supervise billing department of 15 employees, liaison between lab and ordering physicians, electronic & paper billing of insurance companies, patient billing, re-buttles for insurance of denials, closing of month end, monthly & weekly receivable reports, daily back-up of system, payroll, employee scheduling, research & implement a new computer system, update and maintain fee schedule, payment plans for patients, reconcile accounts, etc. Garden State Cardiovascular Specialists, P.C, Monroe, NJ Jan. 2007 to Sept. 2009 Billing/Office Manager

Oversee & supervise billing in nine offices, electronic & paper billing, of insurance companies, patient billing, re-buttles for insurance of all denials, credentialing of 26 physicians, closing of month end, monthly & weekly receivable reports, daily back-up of system, payroll, employee scheduling, settle auto claims & workers comp cases, update computer system, update and maintain fee schedule, payment plans for patients, reconcile accounts, etc. Vinod Aggarwal MD, Holmdel, NJ Apr. 1998 to Jan. 2007 Billing Manager (part-time July 2010- Aug. 2013)

enter daily charges, electronic & paper billing of insurance companies & patient, credentialing of physician, daily back-up of system, settle auto claims & workers comp cases, update computer system, update and maintain fee schedule, payment plans for patients, enter payments & reconcile accounts, etc Education

1983 Brookdale Community College, NJ

Associates Degree: Business Management

Skills

Microsoft Excel, Microsoft Office, Microsoft Word, Payroll Processing, Quickbooks, CAQH, PECOS,Research, Scheduling, Settlements, Perfect Care, Advanced MD, Medisoft Billing Programs, Web MD, Capario, Emdeon, Direct submission to Medicare, Inventory Management, Credentialing, etc References

Furnished upon request