SVETLA GEORGIEVA

**** ***** ******, #*-*; Bronx, NY 10468; Cell 347-***-****; Email:acyaj6@r.postjobfree.com

PROFESSIONAL SUMMARY

Focused and meticulous Medical Billing and Coding Specialist in a multi-specialist Group with 10 locations with an extra ordinary eye for detail and a strong customer service ethic. Adept at working independently or as part of a medical office team. Able to handle extremely high volumes of assignments quickly and accurately. Have experience in Healthcare Field from Front desk to medical billing.

KEY SKILLS

Extremely familiar with Medical Terminology

Experienced in ICD-10, CPT and HCPCS coding

Familiar with CMO, HMO, Medicaid and Medicare

Expert in Microsoft Word & Excel, power Point

Excellent negotiation, critical thinking and logical skills

Completely familiar with Medical Billing software's like All script PM, Claim Master (EMDEON), Clinical Module EMR & EHR

Knowledge of Medical Manager 10.0 and Med iSOFT & Spring Chart

PROFESSIONAL EXPERIENCE

Harlem Medical Group, New York, NY 09/15 – 12/16

Medical Billing/Collections/Assistant

Responsible for verifying patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.

Taking Authorizations

Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities in a timely manner and follow up on any issues

Posting Payments and working on denials and rejections accurately, compose appeals

Audits current procedures and payments to monitor and improve efficiency of billing and collections operations

Clearing all the unpaid amounts in claims appropriately

Preparing and processing refunds to insurance companies

Answering phone calls, monitoring and directing calls, taking messages and providing information.

Giving backup coverage for front desk receptionist.

Universal Billing, Brooklyn, NY 08/15-09/15

Student – Practice

Prepare and submit clean claims to various insurance companies either electronically or by paper

Checking eligibility and benefits of patients

Carefully reviewing medical records for accuracy & completion as required by insurance companies

Partners In Care, New York, NY 10/12- 09/15

Home Health Aide

Take care of patients in their homes providing outstanding care and attention

Check patients pulse, temperature, and respiration

Perform a variety of duties as requested by client, such as obtaining household supplies or running errands.

Ministry of Defense, Sofia, Bulgaria 06/02- 04/09

Chief Expert – Security Service

Displayed extensive knowledge of Classified Information Protection Act – Regulatory Framework and Regulations Implementing

Conferred with applicants by telephone or in person to provide information about Clearance certificate procedures

Conducted data reviews of applications.

Evaluated documentation for quality, completeness and consistency.

Audited files to ensure compliance to regulations and timeframes.

Maintained schedule concerning of terms and investigations

EDUCATION

ASA College, New York, NY

Certificate in Medical Office Assisting with Medical Billing 02/14 – 06/15

CERTIFICATION: NHA Certified Billing and Coding Specialist (CBCS) #B8T4C3G9

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