Medical Billing Specialist
Resume:
KIMBERLY ROMANO
Depew, NY *****
ad5csi@r.postjobfree.com
EDUCATION
High School Diploma
John F. Kennedy High School, Cheektowaga, NY
Medical Billing Certification, 200-hour training program, March 2006
Erie 1 BOCES 1526 Walden Avenue, Cheektowaga, NY
Medical terminology
CPT and ICD 9 coding
Claims processing
1500 Form
Medisoft software
Managed care
Medicare, Medicaid, Workers’ compensation,
Keyboard proficiency
EXPERIENCE
Medical Billing Specialist
Present
Save The Michaels of the World Inc.
737 Delaware Avenue
Buffalo NY 14209
Claim submission.
Posting payments
Denials and appeals.
Oversee Revenue for the organization, DSS and MCO
Purchasing and implementation of new billing software
Supervise employees in the revenue department.
Facility and Provider Medicaid Applications
Insurance Contracts and Credentialing
Revenue Cycle Specialist
Jewish Family Services
70 Barker Street
Buffalo, NY 14209
May 2021 until March 2023
Claim submission.
Posting Payments
Month End Financial Reporting
Appeals and Denials
Credentialing and Contracts
Daily Eligibility
Direct contact for clients
Oversee Billing for 2 Programs
Revenue Cycle Coordinator
Cazenovia Recovery Systems
January 2020 until May 2021
2671 Main Street, Buffalo NY
Claim submission.
Posting payments
Denials and appeals.
Oversee Revenue for the organization, DSS and MCO
Purchasing and implementation of new billing software
Supervise employees in the revenue department.
Direct contact for provider reps
Direct contact for the department of social services
Oversee DSS applications and documentation requirements.
Assist residents with DSS interviews and Managed Care Selection
Medical Billing Specialist
Gateway-Longview, May 2018 until December 2019
10 Symphony Circle, Buffalo NY
Intakes, Eligibility and Prior Authorizations
Posting payments and denials
Working with insurance reps and clinicians to maintain services for clients.
Work with program directors on setup of new programs
Oversee and educate the front desk.
Managed Care, Medicaid and all Third-Party Insurance
Work with families on insurance eligibility, financial hardships
Medical Billing Specialist
Baker Victory Services, September 2017 until May 2018
790 Ridge Road, Lackawanna NY
Supervise and oversee all billing for three programs.
Process weekly claims
Experience with Medicaid, Managed Care and Third-party Insurance
Payment posting
Oversee and educate front desk on correct eligibility and insurance setup.
Appealing all denied charges in a timely manner
Working with software vendors to setup electronic billing and streamline the billing process.
Work with program directors on setup and billing procedures for new programs
Medical Billing Specialist
STI Computer Services, December 2015 until July 2017
1191 Bowen Road, Elma, NY
Daily coding and submission of charges
Manuel posting and auto posting of all payments.
Daily and monthly balancing.
Worked aging for all insurance carriers.
Educated Office Staff with correct billing codes and insurance.
Verified all insurances and coverage.
Worked daily claim rejections from electronic submission.
Responsible for billing of two practices and two private physicians
Direct contact with patients and insurance companies
ADDITIONAL SKILLS
Electronic Medical Record
Strong ability to multi-task
Strong team contributor, excellent leadership skills
Contact this candidate