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Insurance Assistant

Location:
Beacon, NY, 12508
Posted:
April 14, 2017

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Resume:

GUILLERMINA CARBONELL

** ****** ******

Beacon, New York 12508

914-***-****

aczs9q@r.postjobfree.com

OBJECTIVE

To obtain a position as a legal assistant/paralegal that will enable me to utilize my professional

experience and skills towards achieving the goals of the firm.

WORK EXPERIENCE

2/2016 - Present Administrative/Legal Assistant- Office Mgr. Cermele & Wood, LLP

White Plains, NY

Assistant/Office manager to two senior partners and two associates in a multi-practice firm. Maintain and process accounts payable/accounts receivable. Draft legal documents and process all court filings via NYSCEF e-filing system. Answer all incoming calls and assist clients. Research with the use of several softwares. Maintain client files. Update calendar of all upcoming meetings and events. Heavy contact with governmental agencies regarding licenses, regulations and changes. Appear and Environmental Control Board violation hearings. Resolve ECB violations. Maintain, setup and troubleshoot software programs and systems.

11/2007 - 10/2015 Legal Assistant Tackel & Varachi, LLC White Plains, NY

Assistant to senior partner and office manager of multi-practice firm. Maintained client hours and expenses. Prepared monthly client billing using Timeslips Software. Prepared quarterly case status reports to insurance carriers. Updated client database and financial spreadsheets. Prepared and sorted all deposits for escrow and operating accounts. Drafted a variety of legal documents. Request and review medical records/reports following HIPAA guidelines. Summarized medical records/notes to report to insurance carriers. Maintained calendar including depositions, meetings, IME’s, etc. Heavy client contact and general paralegal duties. Reviewed investigation reports and deposition transcripts and provided brief summary reports. Maintained and troubleshooted computers and maintain software updates.

4/2007 - 11/2007 Patient Account Representative White Plains Hospital White Plains, NY

Insurance follow-up on the proper processing of neonatology and oncology claims with various insurance carriers. Assisted in updating billing and coding procedures to properly submit claims. Assisted in payment review of claims and adjustments. Maintained and updated physician’s certification and contracts with insurance carriers. Researched non-contractual denials from insurance carriers to ensure they were warranted and valid. Processed appeals for denied claims. Served as notary public to the patient accounts and billing department as needed.

2/1999 - 3/2007 Executive Assistant/Billing Coordinator 101st Avenue Medical Mgmt

Responsibilities included supervising and training of secretarial/front desk and billing staff. Batching, reviewing and posting of payments. Requested and monitored authorizations for testing and procedures. Resolved billing disputes with adjusters. Settled outstanding balances with insurance companies. Prepared monthly financial statements and reports. Transcribed medical reports from tapes and notes for billing and attorneys. Arbitrated unpaid claims through American Arbitration Association. Liason Guillermina Carbonell

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between patients and attorneys regarding insurance claims and other matters. Oversee corporation’s finances and matters including AP/AR and compliance with governmental agencies rules and regulations (OSHA, Dept. of Education, Dept. of Health, Dept. of Insurance, IRS etc.)

5/2003 - 12/2005 Patient Financial Advisor NY Columbia Presbyterian Hospital NY, NY

Worked in the admitting, discharging and billing department (ADB) at the Allen Pavilion, affiliated with New York Presbyterian. Float between Emergency Room, Admitting, Labor and Delivery Departments registering patients and following through with the various phases (admitting, discharging, transferring etc.). Coordinate with Risk Management to insure patient satisfaction and safety. Verify and update insurance questionnaire (EMEVS) and patient information in EAGLE system. Assign beds for patients coming from Allen ER and other New York Presbyterian sites. Assemble medical charts (L &D, Psych, Medicine) and create folders and episodes using Eclipsys Manager Tracking Program. Review records for billing purposes. Assist patients taking into account the new HIPPA laws and regulations.

EDUCATION

SUNY ORANGE Newburgh, NY International Relations

SUNY-Westchester Community College Valhalla, NY Liberal Arts

University of Puerto Rico Completed Medical Billing/Coding Certification Program.

SKILLS

Knowledge of Microsoft Office / Wordperfect / CPT-ICD Coding / Disability Claim Processing / Anatomy, physiology medical terminology with various medical specialties / Legal Terminology / Legal & Medical Transcription (Footpedal) / Medisoft / Billing Software Timeslips / Lexis / Westlaw / Timeslips / Worker’s Comp. Rules / New York No-Fault Reg. 68 Rules / Environmental Control Board Regulations (NYC) / Torts, Family Law, Real Estate, Contract, & Litigation Law / Bookkeeping

LANGUAGES - Advanced Spanish

PROFESSIONAL MEMBERSHIPS / AFFILIATIONS

Licensed New York State Notary Public

SALARY REQUIREMENTS:

$45,000.00 - Negotiable



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