Reimbursement Specialist

IVA LOFTMAN

acuih7@r.postjobfree.com 917-***-****

SUMMARY

Flexible and versatile Administrative Professional seeking a position where strong interpersonal and customer service skills will contribute to an orderly and effective office environment. Detail-oriented with demonstrated ability to prioritize and handle multiple projects in a fast-paced environment. Successfully revamped existing departmental process systems and created new ones. I am equally comfortable working independently or as part of a team. Excellent problem solving and team building combined with “hands-on” involvement. Always highly motivated towards growth, profitability and exceptional levels of customer satisfaction.

ACCOMPLISHMENT HIGHLIGHTS

Supervised billing staff of 10+ for a large practice, which included five physicians, technicians

and an MRI suite.

Developed system for tracking outstanding receivables. Reduced collectibles from $3.9M to under $300K.

Implemented and monitored training plan for new staff utilizing LYTEC billing software.

Designed Excel spreadsheet for the purpose of tracking infusion scheduling, patients’ insurance

and drug procurement.

Prime contact for patients regarding insurance and billing issues.

CMBS

PROFESSIONAL EXPERIENCE PROFILE

ALPHA NEUROLOGY, Staten Island, NY 2005 – 2015

Medical Billing Manager

Instrumental in contracting for clearinghouse for submitting claims electronically.

Initiated plan for verifying insurance by registering for all insurance websites and hiring

personnel for this purpose.

Revised preparation of daily deposit and review of insurance denials/correspondence

for follow-up.

Instituted process for composing grievances and letters of appeal to insurance companies

and the New York State Department of Financial Services.

Established policy of checking Medicare and commercial insurance websites to stay informed

of updates.

MS Infusion Coordinator

Enrolled new patients in TOUCH, a program designed for MS patients to receive monthly

drug infusions.

Verified insurance, initiated prior authorizations as specified, and established a method of

procurement for the drug based on insurance requirements and reimbursement.

Uncovered incorrectly billed charges, which resulted in the recovery of approximately $75,000

in receivables.

DEVITA BECKER PHYSICAL THERAPY, Staten Island, NY 2004 – 2005

Billing and Collections/Scheduler

Dual position as billing and collections assistant, and front-desk scheduler for busy office.

Responsible for submitting medical claims, and following up on outstanding collectibles.

Examined EOBs for accuracy, and posted payments.

Specialized in no-fault and worker’s compensation cases.

Recognized for increasing collections, especially of old receivables.

Scheduled appointments, recorded telephone registrations and input charges using

ADVANTIX software.

IVA LOFTMAN Page 2

NATIONAL CPE ASSOCIATES, INC., Brooklyn, NY 1994 – 2004

Office Manager/Administrator

Responsible for all office operations including direct customer interface and supplier agreements.

Implemented cross-referencing system utilizing Access database to track clients from initial

placement of order through issuance of certificates of completion.

Forecasted need for new educational products based on cyclical state licensing requirements

and the constant necessity to provide up-to-date information.

Actively involved in organizing and preparing promotional material, including order form.

Developed format for customer invoicing and follow-up.

PRIOR EXPERIENCE

OWNER – OPERATOR WORD PROCESSING SERVICE

Designed and prepared all manner of typed material including set-up, grammatical and

spelling corrections, and proofreading.

ADMINISTRATIVE ASSISTANT to a Marketing Director in a large cosmetic firm.

This position included scheduling meetings, coordinating off-site conferences and making

travel arrangements.

ADMINISTRATIVE ASSISTANT in the Legal/Credit and Collections Department of a

manufacturer of walk-in refrigerated boxes. This position involved preparing budget forecasts,

and correlating projected and actual figures from six divisions.

OTHER EXPERIENCE

YMCA, Staten Island, NY

Group Exercise Instructor

Fitness instructor for various classes with mixed populations at different levels of ability.

Prepare lesson formats and choreography.

Fitness-related certifications

EDUCATION

SUNY at Buffalo, NY B.A. – Psychology

CUNY at Staten Island, NY Medical Billing and Coding Certificate

CERTIFICATION

Certified Medical Billing Specialist (CMBS) – Medical Association of Billers

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