Customer Service Accounting Clerk
Resume:
GISELLE TACTUK
BRONX, NY ***** 646-***-**** ad06a5@r.postjobfree.com
OBJECTIVE
Results-driven, detail-oriented, professional seeking a full-time position where skills and experience in providing medical support services will be fully utilized to strengthen the operations of the organization.
PROFESSIONAL DEVELOPMENT
Excellent phone skills
Bilingual English and Spanish
Team Player
Computer Knowledge
Professional Appearance
Highly organized
HIPAA guidelines Knowledge
Expertise in AR reduction
PROFESSIONAL EXPERIENCE
Montefiore Medical Center – Bronx, NY 01/23/2022– Present
Senior Accounting Clerk- Oncology/Transplant Dept.
Submit timely accurate clean claims.
Follow up on insurance claim status.
Resolve denials & rejections.
Submit Corrected claims & appeals.
Research unpaid or denied claim insurance claims and work con claims resolution.
Track denials trends.
Manage accounts.
Responsible for maintaining a Healthy A/R.
Epic system knowledge.
Accounts notation.
AR reduction
Empire State Ambulatory Surgical Center – Bronx, NY 07/2018 – 01/22
Insurance/ Authorization Verifier/Surgical coordinator.
Ensured that patient demographic, insurance information and eligibility has been stablished and documented.
Verified proper authorization for surgical procedures.
Procedure cost analysis.
Scheduling coordinator.
Confirm patient surgical appointments.
Customer Service Phone tree call inquiries: patient and/or third party.
Review insurances and financial information with patients.
Work with physician offices via email/phone to coordinate surgical procedures.
Review and coordinate approved blocked time for physicians and surgical procedures.
Gather all clinical documentation such as clearances, Covid 19 vaccine records and patient demography information prior surgery for nurse health assessment.
Educated on and compliant with HIPAA regulations; maintains strict confidentiality of patient information.
Coordinated patient’s transportation and logistics with external transportation company.
Managed and monitored transportation records for accounts payable department.
New York Eye and Ear of Mount Sinai Hospital – New York, NY 09/2015– 07/2018
Patient Account Representative/ Biller
Responsible for third party insurance and patient billing.
Open account receivable trial balance review.
Resolution of open account receivable via payer portals, telephone and/or correspondence.
Customer Service Phone tree call inquiries: patient and/or third party.
Prepare refunds, maintain patient files, adjust, and close open accounts where necessary.
Assist in audit and billing projects assigned by management.
Responsible for work and follow- up on claims denials.
Corrected rejected claims via electronic billing.
Right Family Dental – Bronx, NY 04/2009 – 09/2015
Dental Biller
Registered patients.
Verified insurance benefits for patients and accurately recorded treatment information in patient’s record.
Performed quality control of data entry system to verify that claims and payments were posted correctly. Meticulously tracked and resolved underpayments. Completed appeals and filed and submitted claims. Thoroughly reviewed remittance codes from EOBS/AR’s. Evaluated the accuracy of provider charges, including dates of service, ADA procedures codes, level of care, location, diagnoses, patient identification and provider signature. Contacted insurances providers to verify correct insurance information and obtained authorization for proper billing codes.
created claims and authorizations and sent to insurances via mail and electronically.
collected patients’ copayments, deductible and coinsurance.
Tracked claims status.
EDUCATION
Washington Irving High School – New York, NY
High School Diploma Graduated
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