Revenue Cycle Specialist
Resume:
Karen Ann Gurrieri
Billing Director/Practice Adminstrator
973-***-**** ad36sy@r.postjobfree.com Totowa, NJ 07512 CAREER OBJECTIVE
Detail-oriented professional with excellent communication, interpersonal skills. Aiming to leverage my abilities to successfully fill the vacancy at your company. Frequently praised as hardworking by my peers, I can be relied upon to help your company achieve its goals.
EXPERIENCE
DIRECTOR OF BILLING/PRACTICE ADMINISTRATOR, Rutherford, NJ Hamptons Vein & Vascular, June 2014-Present
• Conducted recruitment, hiring and training of personnel.
• Supervised and evaluated work activities of medical, technical, clerical, personnel. Handled all medical billing, inclusive, but not limited to charge entry, payment posting, denials, out-of-network negotiations, appeals
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• Established objectives and evaluative and operational criteria for units managed.
• Maintained communication between medical staff and employees
• Maintained awareness of advances in data processing technology, health insurance changes and financing options.
• Payroll
• Established work schedules and assignments for staff,
• Developed and implemented organizational policies and procedures for practice
• Maintained and developed office policies and procedures.
• Benefit Verifications
• Handled all aspects of day-to-day operations of medical practice PRIOR AUTHORIZATION TEAM LEAD, West Caldwell, NJ
NYC Surgical Associates, April 2013-November 2016
Precertified all procedures for the practice, implemented predetermiantion processes to facilitate an efficient claim processing
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• Performed detailed benefit verifications and discussed benefits with patients and patient obligations
• Lead the preauthorization team as well as the billing department team with daily tasks and assignments
• Conducted employee interviews and was an integral part of the hiring process
• Credentialed all physicians with the insurance carriers
• Insured the insurance referrals were received for in-network providers
• Coordinated with the surgical coordinator for scheduling upon receiving authorization status
• Handled all incoming claim negotiations from vendors for out-of-network billing
• Recommended employees for promotions and notified individuals of career progression opportunities.
• Recommended changes in working conditions to increase team efficiency.
• Administered and created training and awareness presentations or materials.
• Delegated tasks to team members according employee strengths.
• Payroll
• Liason between Medical Doctors and Staff
• Trained and review with Medical Doctors payor guidelines for procedures performed
• Trained Medical Doctors on payor guidelines for charting FRONT DESK MEDICAL ASSISTANT, Pompton Plains, NJ
Mario Capio, MD, October 2012-April 2013
Maintained confidentiality of personal and financial information, protecting patient rights and complying with HIPAA regulations.
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• Recorded patient and insurance payments, maintaining accurate financial records.
• Scheduled patients for exams and screenings.
• Collected co-payments and co-insurance and issued appropriate receipts during check-in.
• Scanned and documented new patient information in electronic health records for registration purposes.
• Typed reports and correspondence
• Evaluated daily schedules accommodating patient flow
• Greeted patients immediately upon arrival, providing excellent customer service.
• Completed insurance or other claim forms.
• Transmitted correspondence and medical records by mail, e-mail and fax.
• Credits and collections, preparing and sending financial statements and bills and keeping financial records.
• Completed documents, case histories and forms, such as intake and insurance forms
• Scheduled and confirmed patient diagnostic appointments and medical consultations.
• Performed various clerical and administrative functions
• Answered telephones and directed calls to appropriate staff. MEDICAL OFFICE MANAGER, Pompton Plains, NJ
Paul A Ostergaard, MD, January 1995-December 2012
• Day-to-day operations of a Family Practice
• Managed a team of 12 - medical staff professionals and non-professionals
• Payroll
• Referrals & PreCertifications of procedures ordered by physicians
• Schedule appointments
• Credential all MD's with payors
• Implemented EHR
• Trained employees
• Created work-flow processes
• All aspects of medical billing
SKILLS
Electronic Health Records Records Management Systems Managing Practice Operations Supply Ordering Payroll Administration Electronic Document Management System Managing Files And Records Best Practices And Standards Staff Meetings Referral Management Managing Medical Practices Family Medicine Policy And Procedure Development Confidential Records Management Insurance Referral Facilitation Clerical Support Coaching And Mentoring Schedule Management Prescription Refills Biweekly Payroll Processing Reminder Calls Deductible Collection Leadership Development Employee Performance Reviews Practice Management Administrative Staff Supervision
REFERENCES
DINA CLARK NYC Surgical Associates
Preauthorization Specialist Co-worker
ad36sy@r.postjobfree.com
CARRIE TURELLI Universal Furniture
District Manager Friend
ad36sy@r.postjobfree.com
MARIA CAPIO Mario Capio, MD
Office Manager Former Boss
ad36sy@r.postjobfree.com
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