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Finance / Billing / Collections

Location:
Syracuse, NY
Salary:
$25.00
Posted:
April 10, 2024

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Resume:

JENNIFER M. WILLIAMS

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

Syracuse, New York 13219

ad4w13@r.postjobfree.com

680-***-****

Education

Bryant & Stratton College December 2007

Associates in Occupational Studies with a Major in Business Bryant & Stratton College January 2009 – June 2010 (Transferred) Business Administration/General Management

Capella University July 2010 – April 2011

Public Administration/Specialization in General

Public Administration

Computer Skills

• Quickbooks

• Lauris

• My Availity

• Payspan / Echo

• Optum (United Health Care)

• Inovalon one (Fidelis My Ability)

• Change Health Care

• Sunshine Health (Child Net)

• Medical System Incorporated (MSI)

• EMedNY Epaces – Medicaid Verification

• MS Excel

• MS PowerPoint

• MAS90

• Pentatmation (SunGard)

• MS Word

• MS Publisher

• Outlook

• PC ACE Pro 32

• AccuMed

• FSCM

• SAP

• Service Bench

• Sales 2 Cash

• FSCM – Financial Service Claim Management

• Ariba – Refunds

• HVAC Partners

• Sunshine Health Portal

Experience

Cayuga Homes for Children

101 Hamilton Avenue, Auburn, NY (September 2021 – March 2024) Account Receivable Insurance Claims Specialist – September 2021 – January 2023 Manager of Third-Party Insurance (TPI/MCO) Accounts Receivable – January 2023- March 2024

• Managed a staff of six in four different locations, Auburn (2), Delaware (1), Florida (2) and New York City (1).

• Pulled the various providers google billing sheets for various programs for Behavioral Health.

• Responsible for making sure the FIPS Code (Federal Information Processing Standards County Code and Locator Code is added to each claim that is required.

• Responsible for verifying that Rate Code, Procedure Code and Modifiers all match up.

• Responsible for adding the prices to the provider’s google billing sheets.

• Responsible for emailing the providers and providers for missing or incorrect information.

• Responsible for making sure claims are billed to the correct insurance companies.

• Responsible for managing various denials – passed denials out to assigned staff.

• Responsible for managing payment posting into QuickBooks and Lauris.

• Responsible for passing out payments to be processed.

• Responsible for pulling remittances from various portal for checks that are electronically deposited, Echo, PaySpan, Optum.

• Responsible for updating the service description and prices in Quickbooks.

• Responsible for recording voids and refunds for services that were billed in error/ log was created.

• Responsible for training all new staff.

• Working with various providers, staff from various departments.

• Reported to the Director of Finance.

Syracuse Hearing Solutions

5639 W. Genesee St, Camilus, NY (July 2021 – September 2021) Front Desk Receptions

• Answered phones

• Signed patients in

• Processed patients payments

• Processed the daily billing

• Put supplies away

Carrier Technologies

6304 Thompson Rd, Syracuse, New York (May 2015 – April 21, 2021) Collection Associates

• Managed 193 Collection accounts for ICP (International Comforts Products) Domestic and Canadian for Wolseley, RE Michel, United Refrigeration etc.

• Monitor daily disputes / resolve varies types – products not received, damages, UAD

(unauthorized discounts taken)

• Monitor distributions of monthly statements, Credits Memos and Invoices as requested via SAP

• Provided monthly updates A/R reporting at month end for previous months outstanding balance.

• Process offset via SAP / Refunds request via Ariba as requested

• Review each account on a monthly basis for past dues, outstanding disputes

• Accomplished training new staff.

• Work closely with distributors/Sales Representatives on a daily basis resolving disputes, verify claims pending credits and denials.

Cayuga Home for Children

101 Hamilton Avenue, Auburn, New York (March 4, 2013- May 6, 2015) Medical Billing Specialist

• Responsible submit claims to Medicaid, Third Party Insures and Individuals daily

• Verify various Insurance via eMedNy Epaces, Website

• Responsible for submitting monthly Invoices to all self-pay clients

• Processed all payments Insurances and Self pay to the clients’ accounts

• Track payments and adjustments received on above Invoices

• Maintain detailed balances for Accounts receivables that have not yet been collected

• Assist in clean-up of aged Accounts receivable balance

• Set up sliding fee and make payments arrangements on past due accounts

• Train new staff coming in

• Responsible for packing up prior years EOB’s and Invoices

• Worked with the Auditors

• Complete all correspondences to Third party Insurances and clients

• Perform other duties as requested by immediate supervisor or the Chief Executive Officer

• Billing system – Anasazi now called Cerner

ARC of Onondaga, Syracuse, New York (February 2009 – March 2013) Medical Billing Specialist

• AD/CPT4/CDT and ICD-9-CM coding

• Research outstanding claims on A/R aging report

• Prepare and post charges into eMedNy Epaces for Medicaid clients.

• Review Medicaid Denial Reports as well as make corrections.

• Prepare and post charges to Medicare via the Internet.

• Prepare and Post charges for Third Party Payor and mail claims.

• Review Third Party Payor denials and make proper corrections.

• Update current clients’ demographics.

• Invoice all charges into MAS90.

• Create client accounts via MAS90.

• Add clients to Pentatmation (SunGard) and create account numbers.

• Create and update consumer insurance information using Excel spreadsheets.

• Follow up phone calls with various insurance carriers/Medicare and Medicaid

• Prepare and process Park-side School SED and EI billing.

• Retrieve Information via Therap IDF.

• Trained in processing DayHab and Prov for all consumers via Epaces.

• Process all OMPS and SEMPS via the Internet.

Syracuse Community Health Center, Inc., Syracuse, New York (October 1991 – October 2008) Billing Manager (Interim); AR/Billing Supervisor; Interim Billing Manager; Billing/Collection Supervisor; Interim Charge Entry Supervisor; Dental Manager; Patient Account Supervisor; Dental Collection Specialist; Patient Account Representative

• Posted month end close/all payments.

• Prepare and corrected denial reports and claims as they were returned.

• Balanced system payment batch to input source documents

• Performed collection activities including sliding fee set up, budget plan set and monitoring collections calls, financial counseling at time of visit.

• Registered new patients.

• Update current patients’ demographics.

• Supervised a staff of seven / set up new employee training.

• Posted and made corrections to Total Care Payments.

• Posted and made corrections to CMCM Payments.

• Reviewed Monthly Error Reports.

• Scheduled patients’ appointments.

• Reviewed Medicaid Posting errors.

• Posted and made corrections to Medicare Payments.



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