Patricia Hemingway

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

Brooklyn NY 11236

ad1u9b@r.postjobfree.com

646-***-****

Professional Experience:

Sheltering Arms, New York, NY 3/20

Medical Biller

In charge of all Accounts Receivable functions, billing and cash reporting, preparing packages for appeals, act as liaison for patient and insurance companies

In charge of all Medicare and Medicaid claims

Analyzed and submitted monthly billing for patient’s insurance

Knowledge of the billing system Axxess, HHA and Microsoft Office (Word and Excel)

Visiting Nurse Services, New York, NY 10/19 - 1/20

Biller/ Collections

Handled more than 50 Accounts Receivable claims daily

Developed expertise in commercial, private and managed care insurance programs, including Medicare and Medicaid

Submitted claims for Medicare and Medicaid to the highest level of accuracy

Developed a cross checking system with the nurses and aides to ensure that patient data is complete and accurate for claims processing

Prepared and presented reports on collection activities and progress

Handled write offs and appeal letters

Investigated historical data for debts and bills

Knowledge of EMR system Homecare Homebase and Excel

NYU Student Health Center, New York, NY 10/18 - 4/19

Biller/ Account Receivable Representative

Analyzed and submitted monthly billing for the student’s insurance agencies

Executed accounts receivable and accounts payable reporting and reconciliation procedures

Received and recorded cash and check payments

Communicated with health insurance agencies regarding unpaid claims

Maintained and updated collections tracking spreadsheets to help organize payment information

Knowledge of OASAS and OMH regulations

Knowledge of EMR systems Athena, Point and click, and Excel

Brooklyn Surgery Center, Brooklyn, NY 6/14 – 8/18

Medical Biller

In charge of all Medicare and Medicaid billing

Performed Accounts Receivable functions, sent appeal letters with patient notes and all correct information

Used coded data to produce and submit claims to insurance companies

Posted payments and denials into the STI system[i]

Recorded daily cash activities such as co pays, deductibles or self-pay payments

Answered patient billing questions

Acted as a liaison between the patient and insurance companies

Knowledge of EMR systems Omnipro, Epaces and Medical Management, Eagle, Epic

Harlem Hospital HHC, New York, NY 4/14 – 6/14

Patient Finance Representative (Temp)

Worked under the director and performed Accounts Receivable functions, call insurance companies and patients for correct billing info, Corrected and resubmitted all denied claims

Accurately entered/updated patient information into the OAM/SMS Net system

Printed and corrected all Medicare and Medicaid errors into the OAM, SMS NET and Epic systems

Correctly prepared daily batch reports/encounters for the finance department

Knowledge of EMR systems Veriquest, Ontrac and Medical Management

Forum Staffing - NYU Medical Center, New York, NY 7/13 – 11/13

Medical Biller/Charge Entry (Temp)

Responsible for Accounts Receivable, corrected all claims that were scrubbed, rejected or denied by Emdeon

Handled Medicare and Medicaid billing

Prepared and posted batches of worker’s compensation and no-fault claims

Entered and reconciled charge batches, surgical batches and co-pays

Registered patients into the Epic system

Negotiated a reasonable payment plan if needed

Responsible for responding to patients in a timely manner about billing issues (i.e. insurance and collection questions)

Interacted with insurance companies to resolve issues delaying the collection accounts

EMR systems Excel, Eagle, ECW

Robert Half Staffing - Caduceus Inc, New York, NY 10/12 – 12/12

Payment Posting (Temp)

Posted all Part A and B Medicare payments and denials

Retrieved checks by payer and entered patient specific information into IDX and Eagle

Adjusted either the patient or practice accounts based on internal reports

Ensured batches sent from cash management equal the number of batches received by the posters

Reviewed and/or updated posting protocols on a quarterly basis

Met monthly closing deadlines

EMR systems IDX

Beth Israel Medical Center, New York, NY 6/07 – 07/12

Patient Billing Liaison

Billed to insurance companies and EOB collection for Medicare and Medicaid audits

Charged entries into the Epic billing system

Collected and maintained a third-party account and reviewed billing edits

Recorded all payments (i.e. deductibles and co-pays) and denials from patients and insurance companies

Created and closed all visits for treatment into the eagle system

Imported and exported all of the front-end daily billing

Performed telephonic and prospective review of radiation therapy services in accordance with the patient

Knowledge of EMR systems Mosiac, Cerner, Eagle, and Emdeon

EMR Systems : Point and Click, Mosaic, Eagle, Cerner, Veriquest, Ontrac, Epic, ECW, Athena, Medical Management, IDX, Stock amp, Emdeon Typing 65 – 80 WPM, Microsoft Word, Excel, OAM, Sms Net, Omnipro, HHA, Point and Click. Axxess

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