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Medical Billing

Location:
Utuado, 00611, Puerto Rico
Salary:
18hr/negotiable
Posted:
November 03, 2016

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Resume:

JOSEPH MARTINEZ

PO Box *** Angeles, PR *****

acxc6d@r.postjobfree.com ■ 732-***-****

MEDICAL BILLER: PAYMENT POSTER/COLLECTOR

Objective Secure a position where my performance will increase productivity & profitability.

Education Medical Billing Specialist 2016 Stratford Career Institute

Working knowledge of ICD-10 in office or facility.

Experience Medical Biller/Collections 05/19/14-02/27/15

Source One Medical Management Lawrenceville, NJ

Analyze no-pay eob’s to determine outcome.

Review patient accounts to decide if they meet criteria for collections.

Utilize internet to determine eligibility and claim status; call insurers when necessary.

Payment poster/Collector 6/13/13-1/10/14

Haveron Total Health Harrison, NJ

Posted Aetna payments from ’09 to present in project due to pending litigation.

Posted all private insurance payments.

Knowledge of DME billing; verification of benefits, pre-certs, auths & letters of medi-

cal necessity.

Follow-up on denials by phone & websites.

Create and keep track of patient statements.

Reconciliation Specialist 5/10/11-10/14/11

American Surgisite Centers Somerset, NJ

Post all payments (commercial, government & patient pay) for 3 practices: Albany, ES-

EI & Westchester. Average posting per month: $1.5 million.

Retrieve remitts (EFT, ERA) from Via-Track & Navi-Net.

Run credit card payments on the Federated Payment Systems.

Utilize Excel to prove daily and reconcile end of month.

Balance bill UB-92’s & use E-Paces to balance bill Medicaid.

Multi-practice Biller 10/1999-11/2007

Robert Wood Johnson Health Network New Brunswick, NJ

Review claims before submission to ensure maximum reimbursement.

Submit commercial/Medicare claims electronically daily via WebMD/Jobsoft.

Mail hard copy claims w/appropriate documentation; referrals, office notes & op reports

Post payments for 4 practices; manually & electronically.

Bill 2nd & 3rd party payors; work capitation, no-fault & PIP accounts.

Follow-up, work denials & appeals.

Submit commercial appeals.

Send statements via Express Bill & paper; respond to all patient inquiries.

Skills Software: Next Gen, E Clinical, IDX & iMedic Ware.

Certificate of Medical Coding(ICD-9), English/Spanish bilingual & overtime accepted.



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