Miriam Ganulin
Bridgeville, NC 19933
Email: m *****@*****.*** Cell: 516-***-****
■ F inancial Counselor/ Patient Account Manager ■ E lectronic Health Record Specialist A Financial Counselor who is personable and a positive motivator, with extensive experience in managing patient accounts. A Certified Electronic Health Record Specialist with excellent computer, organizational and administrative skills. Ability to analyze data and strategically plan viable solutions. A team player,hard worker with great communicating skills, reliable ethical, with the ability to multi task and bilingual in Spanish and English. Work Profile
MAHEC, Women Health Center, Asheville, NC Financial Counselor, Bilingual Advisor July 2009 to January 2016 Selected Contribution: Financial counselor to a Specializing OB GYN facility As,the Financial Counselor and the face for the Billing Department, the facility ‘go to person’ to communicate our payment policy and negotiate and offered payment solutions for their outstanding balances. Utilizing our EHR system keep the accounts demographics, insurance and payments updated following policy and guidelines to keep patient accountable. Supervised the Collection Module and sending patients who are non compliant to Collections. Recycle Team player to help keep work flow and the revenue continual..
1. Manage patient accounts by filing claims to Medicaid and commercial insurance; Monitor accounts revenue for the Woman Health division of MAHEC. Using All Script an EHR System. Processed Collections, submitting the information to our Corporate Compliance for approval and then forward to our outside Collection agency. Process all writes offs for Collections, Project Access and Charity Care discounts weekly. 2. Maintain Budget Module for patients on a 'payment plan', update patient balance and demographics on EHR/IPM using the All Scripts System. As a Certified Electronic Health Record Specialist helped coders clear up denials. 3. Assist Providers in explaining upfront pricing and payment requirements for surgeries. Process patients for Presumptive Medicaid; Developed good repor with DSS facility Case Managers for assistance on eligibility. 4. Initiate patient discharging process for non compliant patient; utilizing our Cerner Mission Hospitals Electronic Health Record Patient Management system would review, patients demographic and insurance information. 5. As a Certified Interpreter, backup our Team of Interpreters, when they were not available. Using my bilingual skills, I help educated Hispanic patients to manage their account and understand MAHEC's policy for services rendered. Chem Rx, Long Beach, New York Billing Coordinator, June 1997 to December 2008 Selected Contribution: Dedicated member of a team solely responsible for managing the Nursing Home facilities patient accounts and help accounting with audit procedures for a privately owned pharmacy 1. Create statistical reports for audits by reconciling accounts receivables using extensive Excel formulas and links. Managed all billing issues, investigate deductions, negotiate credits and provide viable working solutions. 2. Provide on going support to the Technical Department, in regard to identifying method of payments for 3rd Party Insurance providers; responsible for filing complaints with third party vendors for not complying with insurance standards.
3. Primary liaison between Account Representatives, Administrators, Doctors, Head Nurses and Financial Controllers. 4. Train new employees on office procedures and problem solving for effective reconciliation of accounts. Acting supervisor of a staff of 25, when Vice President of AR was absent. Colin Services, Westbury, New York Human Resources, September 1995 to April 1997 Selected Contribution: Purchasing Assistant Part time and Part time on site Human Resources for cleaning service. Using my bilingual skills was an integral interviewer, for quick start ups. Selecting and placing employees with clients for a multi million dollar property management business with the primary focus on specialty and high maintenance office cleaning services.
1. Analyze work permits and related documents in regard to actively hiring alien residents. 2. Collaborate with managers and adhere to client requirements to properly place employees. 3. Diligently kept abreast of all new State laws associated with hiring alien residents. 4. Successfully completed 40 hours of intense training to identify the various forms of illegal documentation. Additionally worked as Purchasing Agent Assistant: 1. Built solid working relationships; primary liaison between company and third party vendors. 2. Negotiated competitive rates and availability of cleaning chemicals; replenished stock items for inventory Jerrick Waterproofing, Inc., Brooklyn, New York Office Administrator, November 1990 to May 1995 Selected Contribution: Proactively maintained office operations to highest standards for a very successful Waterproofing and Construction business.
1. Drafted contracts including all high level client, responsible for reviewing all AlA Contracts 2. Managed scheduling of all projects including but not limited to analyzing employees hours and availability for said projects. By collecting time cards, processing payroll, managed employee loans 3. Kept abreast on required materials, paying special attention to specific codes for AlA contracts. 4. Fostered relationships with architects, engineers, City Bureau for safety procedures and obtain specifications for all projects.
5. Applied for and purchased regulated permits from the City Bureau; arranged for permits to be posted at project location. Created sponsorship letters for overseas employees as required by law. Education
AB TECH, WNC May 2013
National Healthcareer Association (NHA) Certified Electronic Health Record Specialist (CEHRS) #C6Q6N7Y4 M ountain Area Health Education Center (MAHEC); Asheville, NC Jan 2010 Certified Spanish Interpreter Levels I II III, Criteria established by National Task Force on Continuing Education Unit and Certified Spanish for the Clinician
Nassau Community College, Garden City, New York
Successfully completed 86 hours of Medical Coding and Medical Office Procedures, May 2007 Successfully completed 60 hours in International Classification of Diseases "ICD: and Current Procedural Terminology
"CPT' Classes August 2007
Successfully completed 40 hours of Alien Resident Laws for recognition of Legal & Illegal papers Brooklyn College, Brooklyn, New York
Successfully completed 64 credits in Liberal Arts; B rooklyn Training Center Certificate #49147 Skills
1. Career Readiness Certificate (CRC) Silver Certificate with the State of North Carolina 2. Certified Electronic Heath Record Specialist (CEHRS) #C6Q6N7Y4, Microsoft Excel, Word, PowerPoint, All Scripts, Mysis, Cerner, Medical Billing, Business Health Systems, Emevs Medical Billing, PC, Laptops, Droids, Network Servers Banyan & Novell
3. Successfully completed 60 hours in International Classification of Diseases “ICD” and Current Procedural Terminology
“CPT” Classes August 2007
4. Successfully completed 40 hours of Alien Resident Laws and intense recognition of Legal & Illegal 5. Certified Spanish Interpreter, able to read and write in Spanish and English, capable to interpret