Medical Billing
Resume:
JOSEPH MARTINEZ
*************@*****.*** ■ 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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