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Office Manager Insurance Verification

Location:
Pleasant Valley, NY
Posted:
May 30, 2024

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Resume:

Christopher A. Miller

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

Pleasant Valley N’Y 12569

845-***-****

OBJECTIVE Energetic and Organized individual with a passion for efficient office operations, seeking and office manager position to apply my strong problem-solving skills and ability to multitask in a fast-paced environment ensuring smooth administrative workflows and supporting team productivity with an extensive insurance background, including billing, insurance verification and medical transportation and all forms of banking.

EMPLOYMENT HISTORY

DutchessCare Assistant Living

Office manager

11/2011 – Present

Responsibility for all aspects of banking management of all resident's accounts day to day office functions setup medical appointments, medical transportation to and from medical appointments. Served as a direct assistant to the administrator overseeing a range of administrative functions like answering phone supplying staff with the proper paperwork different aspects of HR duties training on come employee's knowledge of different computer systems outlook words excel.

CBHV

Debt Collector

2013-2015 Poughkeepsie, NY

All aspects of medical billing, processing denials, follow-up claim submission. Systems used: ADS Gentry, Medicare, Medicaid, all commercial insurances and E- paces insurance verification.

2011-present Manpower Poughkeepsie, NY

All aspects of medical billing, follow-up, E- paces insurance verification, working off of aging reports. Self pay accounts, payment agreement.

2009-2010 Day top Village

Case manager Rhine-beck, NY

Applying, maintaining and updating residents at our 24-hour drug rehab Facility, for public assistance, food stamps for better adjusting to return to outside world. E -paces insurance verification.

2008-2009 Classic Westchester Temporaries Prompt Personnel

White Plains, NY

Various temporary assignments: job sites included Mount Kisco Medical Group, Hebrew Hospital, Westchester Medical Center projects of old AR reports and large money accounts completed. E- paces insurance verification,

2007-2008 Medical Billing/Customer Service Rep Argyle Solutions

Atlanta, GA

Manage Medicare and all commercial accounts. E- paces insurance verification.

Accurately and timely reconcile payments to patient’s accounts.

Analyze payments for appropriate reimbursement and post-contractual allowances.

Utilize knowledge of ICD-9, CPT-4, HCPCS coding and FACS Work- Station program

Display excellent communication skills and professionalism while interacting with patients and insurance representatives

2007 Senior Medicare Review Specialist Medical Business Services

Atlanta, GA

Manage Medicare and all commercial accounts (Aetna, Oxford, United Health Care, AARP, Self-pay, etc) aged trial balances and account status.

Accurately and timely reconcile payments to patient’s accounts.

Analyze payments for appropriate reimbursement and post-contractual allowances.

Answer telephone inquiries regarding insurance companies on aged accounts.

2005-2006 Medical Billing Representative Vassar Brother Hospital

Poughkeepsie, NY

Utilize knowledge of ICD-9, CPT-4 and HCPCS coding.

Perform electronic claims and payment postings, rebilling denials and correspondence for ambulance services. Epaces insurance verification,

Analyze payments for appropriate reimbursement and post-contractual allowances.

Display excellent communication skills and professionalism while interacting with patients and insurance representatives.

2002-2005 Medical Billing Expediter Mount Sinai Medical Center

New York, NY

Manage Medicare and all commercial accounts (Aetna, Oxford, Self-pay, etc) aged trial balances and account status. Epaces insurance verification.

Accurately and timely reconciled payments to patient’s accounts using ADS system.

Analyze payments for appropriate reimbursement and post-contractual allowances.

Answer telephone inquiries regarding insurance companies on aged accounts.

1998-2001 No Fault/Workers Compensation Beth Israel Medical Center

Insurance Representative Valhalla, NY

Manage and maintain commercial insurance policies, aged trial balances and account status.

Accurately and timely reconciled payments to patient’s accounts using ADS system.

Analyze payments for appropriate reimbursement and post-contractual allowances.

Answer telephone inquiries regarding insurance companies and aged accounts.

Facilitate the insurance claims process by promptly submitting HCFA 1500 forms/insurance appeals.

Posting payments ICD-9 coding.

Skills

Experience with both IDX and ADS Systems

Education

1989-1991 Mercy College Dobbs Ferry, NY

Bachelors of Science in Sociology

1987-1988 Howard College Big Springs, TX

Associates of Science in Liberal Arts



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