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Medical Billing Manager

Location:
Mount Vernon, NY, 10551
Posted:
December 20, 2016

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Resume:

CAMELE JOHNSON

P.O BOX ***, Mount Vernon, New York 10551, (914) 619 - 4407

OBJECTIVE: To obtain a position as a Medical Biller.

SUMMARY OF QUALIFICATIONS

Seven years experience in financial environments and nine years in the Healthcare industry.

Extensive experience of medical insurance billing compliances, medical terminology, coding Ability with CPT and ICD- 9 - CM to processed electronic claims quicker than snail mail counterparts, proficiency with Microsoft Word, Excel also medical billing softwares, Epaces Centricity, Emdeon Payment Manager, IDX, ADS, Epic, ECW, Medical Manager and Medisoft.

WORK EXPERIENCE

2014 – 2016 RSVP CONSULTING WHITE PLAINS, NY

MEDICAL BILLING SPECIALIST

Electronic billing, charges entry, timely submission to insurance companies, processed commercial, workers compensation and no - fault claims. Generated NF -3 and c-4s, interface with rejection reports, review Explanation of benefit, interpretation of denials codes and resolve issues, navigate insurance web Porto using various provider payers system.Telephone contact to follow up on accounts in a professional and assertive manner, communicate with client through via emails, resolve various account analyses to generate revenue.

2012-2013 ST. JOHN’S RIVERSIDE HOSPITAL / RIVERSIDE MANAGEMENT YONKERS, NY

MEDICAL BILLING / COLLECTION SPECIALIST

Electronic billing, analyses accounts to ensure accurate submissions to third party payors workers compensation and no - fault, charges entry accurate data entry processed patient demographics, verification of insurance eligibility status. Perform breakdowns EOB mail lists in a timely and accurate manner. Interpretation of denials information using Emdeon payment manager, availability, using various Providers Payers system. Make corrections as needed and processed appeals. Telephone contacts to follow up on accounts in a professional and assertive manner. Responded to client emails, provided documentation to generates revenue.

2008-2012 GAETA COMPANY NEW YORK, NY

MEDICAL BILLING / COLLECTION SPECIALIST

Electronic billing, submitted claims to insurance companies, Such as Medicare, Medicaid

Commercial, workers compensation and no fault, Interpretation of denial information using various providers payers system, provided documentation to generates revenue. follow – up on claims and work diligently to see that those claims are paid, reviewed explanation of benefits, download denials and claims rejection reports, answered patient billing inquires, processed billing for medical specialties such as Anesthesiology, Pediatrician, Neurology, Gynecology, Oncology,Orthopedics, Internal Medicine for Physicians.

2005-2006 DCD CAPITAL & FINANCE LLC NEW YORK, NY

ACCOUNTS RECEIVABLE CLERK

Processed invoices, posted payments and attached batches, forwarded sales to account out bound factor brokers, issued credit to adjusted accounts, prepared credit letters, posted daily sales assignments, submitted credit orders, negotiated with credit analyst, follow –up on order.

EDUCATION WHITE PLAINS, NY

The College Of Westchester

Medical Administration Medical Billing and Coding, Certification



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