Medical biller/ billing manager

Lisa Pensiero

Toms River,Nj

Cell 973-***-****

E-mail ************@*******.***

OBJECTIVE: To utilize my many years of experience and strong knowledge of billing, and strong collections skills. I am seeking a challenging opportunity in the medical billing/collections field where I can fully utilize my office experience, strong work ethic and dedication.

QUALIFICATIONS:

* Extremely detail oriented and organized

* Committed to completing tasks on time

* Works well under pressure

* Dedicated, enthusiastic team player

* Ability to overcome and solve problems

* Always able to meet companies dead lines

* Goal setter

WORK EXPERIENCE:

* Outstanding in acting as a liaison between medical facilities and insurance carriers

( Medicare, Medicaid, all commercial insurances)

* Ability to read and interpret EOB's

* Setting up new patients accounts

* Verifications of insurance and eligibility

* Posting insurance and patient payments

* Submit electronic claims and papers claims (primary insurance and secondary insurance)

* Follow up on all claims current,and unpaid, as well as aging claims

* Highly skilled in collecting on past due patient accounts including resolution of discrepancies

*Extremely knowledgeable with Medicare guidelines

EMPLOYMENT HISTORY:

2014- 2016

Garden state spine and pain institute

Billing office manager

Responsibilities include: Over seeing billing dept. Enter daily patient charges, insurance payment posting, reviewed and worked current account receivables. Followed up on pending and denied insurance claims with various insurance companies. submitted electronic claims via our internal system and clearinghouse. contacted insurance companies to obtain current medical benefits and eligibility. Obtained authorizations/ pre-certification for our injections, Durable medical equipment and physical therapy visits. Ran daily stat and month end reports, patient collections (current and outstanding co-pays, deductibles, and co-ins) credentialed and re-credential new providers for commercial insurance and Medicare via pecos. Other various duties as requested

2013 - 2013 (Temporary position)

Cash flow physician services

Medical biller

Responsibilities include: Aging insurance follow up, Insurance and patient payment posting, patient collections ( current and outstanding co-pays, deductibles, co-ins), daily reports, insurance appeals on denied claims

2012- 2012

Rapid collections services (Temporary position)

Medical Biller

Responsibilities include: Payment posting, Aging insurance follow up, patient collections (current and outstanding co-pays, deductibles, co-ins)

2008-2012 Dr Arie Rave, MD internal medicine

Medical Biller/Collector: Responsibilities included: Electronic claims submission, aging insurance follow up, Insurance and patient payment posting, patient collections (co-pays, deductibles, co-ins), daily reports, month end reports per-certifications, referrals, reviewing patient accounts for accurate coding, appeals for denied claims

2008-2009 V & B Billing Company (I was the biller for the above dr for this company)

Medical Biller/Collector: Responsibilities included: Electronic billing, aging insurance follow up, insurance and patient payment posting, patient collections (current and outstanding co-pays, deductibles, co-ins), daily reports, insurance appeals on denied claims

2007-2008 Ridgedale Surgical Center

Medical biller/ collector: Responsibilities included: All phases of billing, patient collections (Current and outstanding co-pays, deductibles, co-ins), pre-certs, aging insurance and aging patient follow up, Insurance and patient payment posting, insurance appeals on denied claims.

2006-2007 Shore Sports Medicine

Medical Receptionist responsibilities included: Appointment Scheduling, patient intake, insurance verifications, medical records .

2004-2006 Adults & Children Behavioral Counseling

Office Manager/Billing/Collector Responsibilities include: Scheduling all appointments for our Psychotherapists, Patient intake, pre-certs, billing, aging Insurance follow up, insurance and patient payment posting, patient collections (current and outstanding co-pays, deductibles, co-ins) credentialing and re-credentialing of therapists, insurance appeals on denied claims.

1999-2003 Dr. Mario Szuchman Pediatrics LLC

Medical Billing/Collector: Responsibilities included: Aging Insurance follows up, patient collections (current and outstanding co-pays, deductibles, co-ins) referrals, pre-certs, reception, appointment scheduling, insurance appeals on denied claims

1998-1999 Dr. Stephen Thompson

Medical Receptionist Responsibilities included: Greeting patients, appointment scheduling, referrals, pre-certs, heights and weights.

EDUCATION 1986-1990 Bloomfield High School

References upon request

Salary requirements open

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