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Billing Specialist Data Management

Location:
Bronx, NY
Posted:
February 27, 2024

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Resume:

Vincenza DiGrigoli

Manalapan, ad3yy5@r.postjobfree.com

Areas of Expertise

Billing

AR

General Ledger/Balance Sheet/P&L

Internal/External Auditing

IN/ OUT of Network

Book keeping

Policy and Procedures

Advanced Microsoft Excel

Collections

QUALIFICATION SUMMARY:

Excellent research, analytical and strong communication skills. Multi-task and detailed oriented. Ability to handle complex and multiple priorities. Strong work ethics and highly motivated.

Professional Experience

Northern Monmouth Regional Center. May 2022 -- Present

Billing Specialist

Invoicing, Entering PO and invoices into system database.

Getting Purchase orders and invoices to pay out to vendors. This is done on a daily basis. Over 100 invoices and purchasing orders for Implantable items for Surgery Center.

Pricing out Billing on surgeries from each Insurance contracting, Multiple insurances.

Accurately applied payments to Patients Accounts

Excellent administrative and data management skills

Accurately applied payments to Patients Accounts

Post and reconcile insurance and patient payments, research and resolve incorrect payments. EOB rejections and other issues regarding patients account.

Hitting Milestone LLC Matawan NJ

Medical Billing Specialist / Credentialing Specialist

October 2019- May 2022

Improved revenue for recent provider.

Ensured claims were entered and submitted within 48 hours of service.

Accurately applied payments to Patients Accounts

Post and reconcile insurance and patient payments, research and resolve incorrect payments. EOB rejections and other issues regarding patients account.

Set up new patient accounts, Set up software for submission of Electronic claims to clearinghouse. Retrieve electronic Remittance Advice (ERA’s )

Monthly processing of patient statements, answer and resolve patient billing inquires. Insure, Verify and correct ICD 10 codes and CPT Codes.

Follow up on insurance and patient aging. Resubmitting insurance claims. Adr’s.

Knowledgeable in timely filing restrictions.

Work with In and Out of Network Benefits.

Sunny Days Sushine center Inc. Manalapan NJ

March 2014- May 2022

Receptionist/ Patient Intake Coordinator

Responsible for handling all aspects of the patient intake process, Establishing and maintaining positive relationships with patients and Therapists. Responding to customer requests and concerns, also handling of insurance verification and authorization processes.

Coordinates entire intake process as necessary with referral recourses, Patients, and internal team members

Process thorough, accurate and complete referrals and new orders based upon current contracts and information from payor sources including obtaining organizations / re –authorizations for services required.

Maintain daily patient referral and intake process

Complete services and fees appropriately on new admissions, changes, or additions to therapy on ongoing patients

Effectively communicate referrals and patient information to management

Superior communication and customer service skills

Excellent administrative and data management skills

Ability to coordinate between therapist and patients

Scheduling both therapist and patients on a daily basis

Collect co payments and apply to customers accounts, also reconcile account and send patient statements of paid balances

Work on Kareo and help out on reconciliation and customer accounts

Outgoing and professional, maintaining patient confidentiality able to multi task and data entry entering all patients in Web PT

Looking to grow with the Company

October 2006- August 2007

UBS Financial Services Inc. Weehawken, NJ

Senior Representative- ADR’S International Dividend Processing

Processing ADR’S and International Dividends on a daily basis.

Payout Customers on a daily basis.

Responsible for producing and running Macro’s on customers Dividend Reinvestments

Balance out and ran entries to balance out ledgers responsible for.

Run reports on Adr’s and go on Dtc to get rates and make payments to customers accounts.

Resolve branch office inquiries for customer accounts involving all Adr’s and Reinvestments

Researched and resolved for agents issues involving back dividends and/or distributions due on exchanges

October 2005- October 2006

Fidelity Investments, New York, NY

Operations Associate- REORG

Identify and escalate financial service risk exposure issues.

Responsible for processing checks, Mergers, Bond Redemptions, Stock transfers, Firm transfers, Legal transfers

Restricted stock transfer clean ups.

Payout wires from Sids, and Puerto Rico Bonds.

Productivity statistics on a monthly and weekly basis.

Processing the credit and daily balancing of receivables.

Reconcile check balancing account on a daily basis.

Resolve branch office inquiries for customer accounts involving physical reorganizations exchanges, bonds, calls

and redemptions.

Knowledge of DTC functions.

January 2005- October 2005

Bank Of New York, Brooklyn, NY -Income Specialists-

CMO – Collateralized Mortgage Obligations.

Inputting Principle and Interests Payments for Bondholders

Gathering and researching Data. from Websites, Bloomberg, DTC and Calling

Agents to get the Principle and interests payments.

December 2001- December 2004

Wachovia Securities /Prudential Securities, New York, NY

Operations Associate-

Received, researched for accuracy and processed physical securities and funds for mandatory reorganizations,

bonds, calls, and redemptions for customer or firm’s receivable accounts (average 100 transactions daily).

Verified the correct expected exchanged quantities and proceeds and maintain complete files on a daily

basis for all reorganizations, bonds, calls, and redemptions.

Responded to and resolved branch office inquiries for customer accounts involving physical reorganizations

exchanges, bonds, calls and redemptions.

Researched and resolved for agents issues involving back dividends and/or distributions due on exchanges.

Coordinated, created, maintained and produced weekly, monthly and annual reorganizations and transfer reports for agents, to ensure that all merger and bond transactions are captured.

Reconciled accounts daily.

Knowledge of DTC functions Rips, Diva, Coni, Atam, Dawn.

Education

College of Staten Island, Staten Island, NY

Expecting Bachelors of Science in Business Management still in process. (93 credits received)

Kingsborough Community College, Brooklyn, NY

Associates Degree in Business Administration, January 1996

Skills

Working knowledge of Microsoft Word

Microsoft Access

Excel

PowerPoint

Navinet

Office ALLY

Provider portals



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