JAMILA SYLVAIN **** Bergen Court

Brooklyn, N.Y. *1234

347-***-****)

Profile ad1ps9@r.postjobfree.com

An experienced professional with superior knowledge in hospital administration, customer service and finance. Possess excellent interpersonal, organizational and problem solving skills. Excel at multitasking in competitive environments where my skills are utilized to complete projects promptly and accurately. Successful at improving operations, sales or administrative support, loss prevention, financial management and maintaining integrity.

EXPERIENCE

Financial Claim Analyst (Revenue Cycle), Avondale Care Group/Maxwell Medical, NYC, January 2023-Current Extensive follow-up on denied claims to resolve non-payment denial ·Prepare profit and loss models for review· Ensure timely and correct completion of authorizations and payment posting ·Prepare appeal information to send to insurance carriers ·Submit medical records on a timely basis to ensure consistent revenue trends ·Research to resolve claim issues within the PM/EMR billing system ·Track trends that may hinder billing and collections ·Communicate with office team as well as patients to resolve issues on patient accounts ·Prepare presentations and cooperate in meetings with multiple teams Account Administrator, Weill Cornell Medicine, NYC, November 2019- Sept 2020 (Lack of funding Covid-19) Update or verify billing codes for proper payment using EPIC· Perform adjustments and charge edits for reimbursement· Answer calls and respond to billing inquiries ·Resolve issues on complaints for denied claims ·Submit claims and contact payers for unpaid receivables· Verify patient insurance eligibility for pre-authorization · Review aging balances and collect fees due· Review cases in IVF for clinical requests· Initiated calls remotely to maintain self pay population· Offered payment plans during Covid-19 · Provided remote assistance with payments and billing support · Increased revenue for CRMI by 5% Financial Advisor (Lead), Lenox Hill Hospital,NYC, January 2016- June 2019 (Back end experience) Top Medicaid performer at LHGV with the most approvals and processed applications ·Worked directly with revenue cycle to reduce debt by 20% ·Trained 10 registration clerks on new admission and registration software ·Review self pay database via PAI and set up appointments for new insurance, medicaid or charity ·Process applications on the NYS Health Marketplace ·Attend training to increase skills and revenue · Became expert user in Sunrise, Invision, PAI, Artiva Workspace and HDX Software Emergency Dept Associate, Lenox Hill Hospital, New York, NY., June 2014- Jan 2016 (Promotion) Accomplished 100% accuracy on patient registration data · Interviewed more than 25 patients a day to acquire valid demographics · Answered ER calls and provided general emergency department information · Provided outstanding compassionate patient service · Accomplished copay collection rate of 90% · Promoted to financial advisor via ER Assistant Operations Manager, Sovereign Bank, Brooklyn,NY., April 2011- June 2013 (Career change to Healthcare) Supervised daily operations · Coordinated daily cash reconciliation at a high volume location · Successfully managed 5 tellers · Processed ATM and vault audits with zero error rate · Cooperate with fraud dept to reduce debt · Reconcile differences and manage ledger accounts · Executed opening and closing plan for branch office · Replenish ATM currency weekly Education C.U.N.Y, Brooklyn, N.Y - Pursuing Bachelors in Computer Science, Aug 06- May 08, August 2022-May 2024 SKILLS

1199 SEIU Delegate · Hospital registration procedures · Health insurance specialist · Healthcare workplace safety knowledge · Patient Access Management · Hospital billing expert ·Superior written communication and interviewing skills · Credit counseling

·Compliance banking laws and regulations ·Basic Life Support ·Expertise in Microsoft Office · Cash handling, budget and finance ·Deadline driven ·Strong account analysis ·Reproductive Medicine billing and coding ·Customer Oriented ·Computer savvy ·History of client retention ·Revenue Cycle Associate ·Patient follow up ·EPIC Hyperspace · Insync Healthcare Solutions

·EHR Software· Fluent in French-Creole ·Physical Therapy, Acupuncture and Chiropractic billing and coding Certifications Certified Application Counselor, New York State of Health, January 2016 Certified Healthcare Access Management, NAHAM, January 2018