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Medical Accounts Receivable

Location:
Newark, NJ
Posted:
March 30, 2016

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Resume:

TALIA PARKER

Telephone: 646-***-****

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

OBJECTIVE: To secure a position of employment in a facility that will allow me to utilize and expand my professional skills and professional growth in a fast pace challenging environment.

EDUCATION:

MONROE COLLEGE, Bronx, NY 09/2011- 06/2013 Bachelors Degree Public Health (Minor in Human Services)

MONROE COLLEGE, Bronx, NY 09/2009 - 06/2011

Associates Degree Medical Administration

SANFORD BROWN INSTITUTE, New York, NY 05/2006 - 05/2007

Medical Assisting Certificate Program

An intensive 900-hour program comprised of theoretical and practical applications of essential medical assisting skills including the following:

Medical Terminology, Pharmacology, and Anatomy and Physiology

Administrative Skills- Health Insurance claims processing using NDCMedisoft, patient scheduling, medical office procedures (front and back office duties)

Clinical Skills- Electrocardiography (ECG/EKG), Clinical Asepsis, Clinical Procedures, Storage of Biomedical waste, CPR, Phlebotomy (Venipunctures and fingersticks), glucose testing, smear procedures

WORK EXPERIENCE:

WEILL CORNELL MEDICAL COLLEGE, New York, NY 08/2013-Present

Account Administrator-Department of Neurology

Check patient demographic information, verify insurance coverage and update new information into Epic system.

Verify physician managed care participation; review bills for completeness and determine the correct fee; instruct patient of department billing policy.

perform managed care billing; work with Administrative Secretaries and Neurophysiology front desk to ensure authorizations are obtained for HMO patients.

Answer incoming telephone inquiries. Counsels patients regarding their bills. File insurance claim forms and prepare system generated itemized statements.

Review Aged Trail Balance, perform timely follow-up activity. Run data queries on various financial classes for referral to outside agencies. Submit claims. Research accounts and resolves disputes. Contacts patients regarding delinquent accounts.

MOUNT SINAI SCHOOL OF MEDICINE, New York, NY 04/2007- 08/2013

Senior Billing Coordinator Generalist-Department of Surgery

Verify insurance and registration data for scheduled outpatient/inpatient encounters and scheduled surgeries; review encounter forms for accuracy and obtain pre-certification for scheduled surgeries and admissions.

Enter office, inpatients, and/or outpatient charges with accurate data entry of codes in accordance with policies and procedures.

Posts all payments in IDX using approved methodologies

Work daily Accounts Receivable via online work file and/or hard-copy reports

Check claims status, re-submit claims, and writes appeal letters

Meet with practice management or physicians on a scheduled basis to review accounts receivable and current billing concerns

SKILLS:

Proficient in Microsoft Applications (Word, Excel, PowerPoint)

IDX, EPIC, HDX, Navinet

Proficient in general office responsibilities including administrative and bookkeeping duties

Ability to multi-task and self motivated

References upon request



Contact this candidate