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Customer Service Medical

San Jose, California, 95120, United States
October 24, 2016

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Thomas Trinidad

Outpatient Medical Biller - Patient Financial Services Dept - Jamaica Hospital Medical Center

Kew Gardens, NY - 718-***-****

To utilize my acquired knowledge of billing/coding in order to enhance and progress towards a senior position in the Patient Financial/Revenue Cycle department of a medical center. An experienced billing professional, processing multi-faceted skills with Hospital Billing, Registration, and Denials Consolidation. Well versed in overseeing all billing and revenue cycle issues and ensuring timely completion of bills. WORK EXPERIENCE

Outpatient Medical Biller - Patient Financial Services Dept Jamaica Hospital Medical Center - Jamaica, NY - 2013 to Present

• Process claims for Medicare/Caid and HMO's, Commercial Insurances and self-pay bills.

• Identify and analyze problematic accounts through usage of work-queues and reports

• Develop strategies to reduce the overall cost to bill and collect healthcare revenue

• Insuring correct payment collections through analysis of Hospital contracts with payers

• Improving workflow through tracking and analyzing reimbursement and denial trends

• Working with our clearing house to resolve external billing errors

• Communicating with Hospital Department Managers on coding and authorization denials

• Assisting training of coworkers with navigating the Registration and Billing functions within EPIC and EPremis

• Spearheading all special projects as requested by management when necessary Accounting Clerk

Cash Posting Unit - 2012 to 2013

• Resolve patient account balances through processing of Insurance remittance statements

• Analyze Contracts and Fee Schedules with insurance payers insuring accurate payment collection Accounting Clerk

Home Health Agency - 1997 to 2012

• Process claims for Medicare/Caid, and Commercial Insurances

• Charge Entry and Patient Demographic/updating

• Adjusting/allowancing off paid accounts insuring accurate A/R balances

• Initiated refunds/corrected claims and self-pay collections as necessary

• Update and maintain physician database, NPI and PECOS data EDUCATION

B.S. in Mathematics and Statistics

Stony Brook University - Stony Brook, NY


EHR (10+ years), ICD-9 (10+ years), Hipaa (10+ years), Medical Billing (10+ years), Epic (4 years), Medicare (10+ years), Medicaid (10+ years), Customer Service (10+ years), Contract Management (10+ years), Insurance Verification (10+ years), Accounts Receivable (10+ years), Medical Coding (10+ years), Training (3 years)



EHR, ICD-9 & 10, UB-04 Outpatient forms, Medical Terminology, HIPPA Compliance, Customer Service, EPIC Resolute Billing, E-Premis,, Epaces, Medicare FISS, Availity, Navinet, Connex

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