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Biller/ receptionist

Queens, NY
February 01, 2024

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Profile Highly efficient Medical Biller in Orthopedic for 10 years. Familiar with No-Fault/Workers’

Compensation and private insurance carriers. Customer Service oriented skilled in greeting patient, scheduling appointment and preparing patient charts. Experience Biller July 2006 – Present. Leon M. Bernstein, M.D. P.C.- Forest Hills, NY Billing No-Fault / Workers’ Compensation, complete and submit all Workers’ Comp forms i.e: C-4, C-4.2 C-4.3, C-4 Auth, MG2 and HCFA1500 forms. Assigned additional diagnosis codes based on specific clinical findings ( radiology reports as well as clinical studies) in support of existing diagnoses. Prepare and attached all required claims documentation including referral, treatment plant or other required correspondence to reduce incidence of denials. Applied payments, adjustments and denials into medical manager system. Follow up on all claims from billing through final resolution. Thoroughly investigated past due invoices and minimized number of unpaid accounts. Appropriately and correctly identified errors and re-filed denied/ rejected claims as they were received from the Patient Account Representative. Reviewed EOB’s and initiate appeals. Checked each insurance payment for accuracy. Call insurance companies regarding any discrepancy in payments if necessary. Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy. Maintain strict confidentially; adhere HIPPA guidelines and regulations.Customer Service oriented skilled in greeting patient, scheduling appointment and preparing patient charts. Confirmed patient information, verified insurance information, collected copays. Wrote clear and detailed clinical phone messages for Physicians. Education Comprehensive High School Georgetown, Guyana, S.A. – High School Diploma - 1990 Skills CPT and HCPCS Coding

ICD-10 Coding and ICD-9 coding

Strong work ethic

Team player with positive attitude


Good-written communication

Exercise good judgment

Maintains Strict confidentiality

References Available Upon Request.

Rosemarie Tickaram 103-14 103rd Street

Ozone Park, NY 11417

M: 347-***-****


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