LAKSHMI RAMOUTAR

Queens, New York ***** 917-***-****

ad1h8f@r.postjobfree.com

PROFESSIONAL

SUMMARY To obtain position as a biller where I can apply my skills in office procedures as well as excellent communication skills. SKILLS

● Medical Manager Software

● McKesson Software

● Homecare Management System

Software

● Sandata Software (SAM)

● HHA Exchange

● MS Windows

● MS Word

● MS Excel

● MS Access

● MS Power Point

● Medicare

● Medicaid

● MD Online

● Payer Connectivity Service (PCS)

Portal

● Revenue Performance

● Change HealthCare

● Payspan

● Medical Billing

● Account Reconciliation

● Medical Office Experience

● EDI

● Recordkeeping

● Invoice Processing

● Invoicing Expertise

● Payment Posting

● Claims Processing

● Fiscal Reporting

● Invoicing Proficiency

● Month-End Closing Procedures

● Collections

● Record Preparation

● Document Review

● File Management

● Regulatory Knowledge

● Due Diligence

● Research

● Document Analysis

● Interest Calculations

WORK HISTORY

BILLING ANALYST 01/2014 to CURRENT

Able Health Care Service Inc

● Establish and Maintain complete client financial files

● Review client files to assure accuracy of data proper billing format and completeness of all required administrative and clinical documentation

● Responsible for assuring timely completion and release of all billing transmission/EDI files and mailing of paper claim with supporting documentation per the weekly/monthly billing schedule

● Responsible for electronic transmission and correction of errors reports for electronic billing

● Responsible for assisting with ERA payment posting batched when necessary

● Responsible for reviewing and resubmitting denials timely

● Coordinate efforts between cooperate and branches to obtain missing or erroneous supporting documentation as needed

● Oversee missing documentation report

● Responsible for assuring timely verification of patient's benefits for all primary/secondary payor sources prior to the patient/client admission to include the identification of specific benefits covered/non covered, policy limitation, required clinical documentation and specific billing requirements by payor source

● Work closely with Billing Director and Billing Manager to assure patient/client financial files are worked in a timely manner and accounts receivable are managed effectively

● Maintain updated knowledge on all changes in billing regulations and processes

● Oversee collection efforts of all special assigned cases

● Receive monthly status report and make recommendations as needed

● Escalate collection efforts by placing calls, reviewing cases for collection agency referral prepare written recommendation for account adjustments

● Has knowledge of and adhere to all company policies associated with data integrity and record establishment, maintenance and confidentiality

● Review weekly, monthly and quarterly management reports, schedules and tracking information as needed

● Manage credit and collections process and is responsible for effective accounts receivable management

● Identifies, analyzes and reconcile errors

● Perform any other duties and assignment as requested. TAX PREPARER 01/2009 to 12/2018

H&R Block

● Interview clients to obtain additional information on taxable income and deductible expenses and allowances

● Compute taxes owed or overpaid, using adding machines or personal computers, and complete entries on forms, following tax form instructions and tax tables

● Preparing simple to complex tax returns for individuals or small businesses

● Use all appropriate adjustments, deductions, and credits to keep clients' taxes to a minimum

● Interview clients to obtain additional information on taxable income and deductible expenses and allowances

● Review financial records such as income statements and documentation of expenditures to determine forms needed to prepare tax returns

● Furnish taxpayers with sufficient information and advice to ensure correct tax form completion

● Consult tax law handbooks or bulletins to determine procedures for preparation of atypical returns

● Calculate form preparation fees according to return complexity and processing time required

● Check data input or verify totals on forms prepared by others to detect errors in arithmetic, data entry, or procedures

CARE PROGRAM, BILLING CLERK 01/2009 to 01/2014

Cobble Hill Health Care, Home Health

● Insures that accurate admission and discharge data information is entered in the system

● Generates bills for services rendered

● Sends bills to various 3rd party Payors for reimbursement, posting of cash receipt as well as necessary monthly re-conciliations

● Runs and processes pre-billing reports, billing data verification report prior to billing

● Reviews and identifies unmatched visit report to insure that all late visits are processed and billed

● Monitors accounts receivable and subsequent initial collections

● Posts payment for Medicaid and Medicare

● Monitors account payable and reviews bills for accuracy and legitimacy

● Enters all splits, charity, administrative costs, pay status changes and completes all necessary billing adjust as a result of above

● Generates and electronically transmits scheduled Medicaid billing

● Reviews, corrects and re-bills denials, submits original adjustments, voids claims via E-PACES

● Processes Medicaid Surplus billing to Medicaid and patients and follows-up with both on outstanding balances

● Processes late visits, changing pay sources, charity, administrative costs and adjusts patients' accounts as a result of Medicare response to agency's internal clinical review (488) and billing re-submission

● Reviews vendor invoices to insure accuracy and legitimacy before submission to

● Account payable

● Enters HHA /PCA visits to patients' histories

● Runs time cards and makes sure that time cards hours agree with hours billed by vendor

● Prepares vendor bills for payment

● Insures billing data verification prior to billing and makes sure that all HHA/PCA visits billed and entered are within the admission and discharge

(in any) dates

● Generates required daily, monthly, quarterly and annual billing / statistical reports

● Participates in Performance Improvement projects

● Accepts and completes assignments as given within scheduled time frame

● Projects positive business like demeanor

● Promotes positive work environment

● Maintains confidentiality of patients' records.

BILLING CLERK 01/2007 to 12/2009

Lutheran Augustana Center

● Reviews admission information to verify patient's financial coverage

● Validates information via telephone and/or electronic means

● Obtains initial authorization to begin services from insurance companies, as needed

● Enters financial profile, billing information, authorizations and other pertinent information into program's database

● Informs relevant staff of coverage information via manual and/or electronic means

● Tracks Medicaid pending cases in conjunction with Program Director

● Ensures, verifies and processes activities and/or recurring charges from itineraries

● Daily Data's and Vendor Invoices

● Edits billing data prior to submission to suit payer limitations and requirements

● Modifies Activities and Accounts receivable transactions to reconcile patient account balances

● Prepares and submits paper and/or electronic claims to Payers

● Maintains Deposit Reconciliation of Cash Receipts and/or lockbox batches. BILLING COORDINATOR 01/2005 to 12/2007

Catholic Charities

● Enter successful data entries into clients' roster

● Review and compare statistics with supervisor

● Prepare a memo indicating any missing / incorrect progress notes

● Input billing into system

● Prepare Medicaid summary sheet

● Admission and discharged of clients

● Maintain daily record of patient

● Prepare transfer if necessary

● Run monthly closeout report

DATA ENTRY VOLUNTEER 01/2004 to 12/2005

Lenox Hill Hospital

● Schedule appointments

● Prepare patients discharge forms

● Maintain the daily records of patients

● File patients records

EDUCATION

Diploma Computerized Medical Billing 2004

Manhattan School of Computer Technology

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