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Medical Billing Insurance

Buffalo, NY
January 06, 2020

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*** *. ***** ******

Buffalo, NY 14206



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


Medical Billing Specialist

Gateway-Longview, May 2018 until Current

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 physcians

Direct contact with patients and insurance companies

Medical Biller and Coder, June 2013 until December 2015

CAO Dart Program, Main street buffalo, NY

Daily Submission of Medicaid Claims

Weekly posting of cash

Verifying insurance

Follow up on denials

Answering phones and speaking with clients regarding insurance and billing

Medical Biller, May 2012 until June 2013

American Homepatient, 3556 lakeshore road

Verifying insurance and cmn status for new DME orders

Obtaining prior authorizations

Qualifying patients for equipment as per Medicare guidelines

New dme orders for 27 branches in 9 states

Follow-up on denials

Medical Biller, May 2010 until May 2012

Practice Management, 983 niagara falls blvd

Medicare and all commercial payors

Post daily payments


Patient phone calls

Medical Biller, June2007 until May 2010

Rural Metro Ambulance, 481 William Gaiter Parkway

Verify demographic and insurance information

Follow up on denials

Submit appeals

Responsible for all workers comp and No fault claims for buffalo and ohio

Daily adjustment sheets

Incoming pt phone calls and correspondence

Reimbursement Specialist, August 2006 until May 2007

Academic Medicine Services, 3980 Sheridan Drive, Amherst NY

Followed acceptable AMSI billing procedures that conform to applicable standards from Medicare, Medicaid, and third party payors

Verified demographic and insurance information; obtained referrals if needed

Generated new claims; and followed up on denials

Responsible for follow-up and resubmission of aged claims

Posted manual and auto-payments received from third-party payors and patients

Received incoming phone calls and correspondences from patients, providers and insurance companies; contacted carriers to follow-up on claim status


Electronic Medical Record

Strong ability to multi-task

Strong team contributor, excellent leadership skills

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