Medical Billing Data Entry
Resume:
CONTACT
Queens, NY *****
**************@*****.***
PROFESSIONAL SUMMARY
Motivated and detail-oriented medical billing professional with over four years of experience in claims processing, appeals management, and insurance contract reviews. Proven expertise in resolving payment delays, ensuring compliance, and maintaining billing accuracy to optimize revenue cycles. Skilled in using advanced billing software to streamline processes and improve efficiency. I seek a collaborative team environment to apply my analytical skills and contribute to enhancing billing processes, driving financial performance, and supporting organizational goals.
SKILLS
Patient Advocacy
Data Entry proficiency
HIPAA Compliance
Medical Billing & Coding
Insurance Contract Reviews
Collaborative Relationships
Calendar/ Appointment
Claims Processing & Appeals
Customer Relationship Management
EOBs (Explanation of Benefits) Analysis
Documentation & Correspondence
Billing software and EHR systems Epic, Kareo, Cerner
Accounts Receivable (A/R) Accounts Payable (A/P)
Software Applications (Commercial & Custom Billing Software)
DANIELLE FISH
EXPERIENCE
AR Medical Representative / Medical Follow-up Docgo Oct 22- Oct 2023
Verified claim statuses via phone or web for accurate and timely follow-up.
Processed appeals for aged claims and insurance denials, resolving payment delays effectively.
Reviewed and ensured the accuracy of EOBs (Explanation of Benefits) for payment, deductibles, and denials.
Audited and maintained accounts, ensuring aged claims were processed promptly.
Conducted initial eligibility reviews, recommending courses of action to management.
Tracked and assigned cases using commercial and custom software applications.
Monitored vital performance indicators to ensure efficient claim resolutions.
Medical Billing Representative Northwell/Optum Feb 2022 – Sept 2022
Educated patients on payment options, billing procedures, and invoice clarification.
Resolved billing discrepancies and ensured accuracy in premium invoices through detailed report analysis.
Advocated for timely payment by collaborating with insurance companies on behalf of patients.
Managed Accounts Receivable (A/R) and Accounts Payable (A/P) to maintain billing integrity.
Medical Receptionist 112 GVR Medical P.C: Ida Tetro Nov 2021 - Feb 2022
Handled daily administrative tasks, including scheduling appointments, answering phones, and data entry.
Verified insurance coverage and prepared billing invoices for patient services.
Provided HIPAA documentation and handled patient records requests with attention to confidentiality.
Addressed and resolved complex prior authorization issues with insurance representatives.
Processed prescription authorizations and refills efficiently.
EDUCATION
Medical Billing and Coding
Austin Medical Assistant Training - 2021
Certified Professional Coding Course
BMCC- ED2GO - 2024
Bachelor of Arts in Journalism, Minor in Criminal Justice
University of Albany, SUNY - NY, 2016
REFERENCES
References available upon request
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