Medical Customer Service

Tyreef Mahboob

Medical Billing/Accounts Receivables Specialist

Yonkers, NY 10705

*************@*****.***

*** - *** - ****

• Contacting Insurance companies to check the status of medical claims and resolve any disputes of payment.

• Reviewing Insurance policies and providers contract rates for procedures performed.

• Working denial reports and writing up appeals for denied claims.

• Correcting claims and updating billing information.

• Knowledge in working with insurance companies provider portals such as NGS, Availity, Navinet, Epaces etc.

• Knowledge with Working with NextGen Sage program, EHR and Gateway clearing house.

• Contacting Workers Comp and No Fault adjusters for claim payment information

• Liaison to council debtors to work out payment plans for overdue Medical Debts

• Processing over the phone payments via Check, Debit, and Credit Card

• Oversee over 3,000 accounts, making outgoing calls to collect and obtain Insurance info

• Checking per Clients for payments

• Scheduling and following up with postdated payments

• Average $75,000-$500,000 per month in collections to help bring profit and growth to company and clients

• Knowledgeable in working with coding systems ICD-9 CM, CPT, and HCPCS

• Familiar with MS Word, MS Excel, MS Power point and Med iSOFT Program; Data Entry

• Proficient Customer Service Skills

• Proven abilities to detailed work

• Proficient Skills in Processing varies Cash/Credit/Debit/Check Transactions at a High Volume Related Work/Training Experience

• High Volume of outgoing calls.

• Working off a spread sheet and keeping a daily log of workflow.

• Contacting insurance companies to verify if prior authorizations, referrals and/or pre certification is required.

• Reviewing providers contract rates and insurance medical fee schedules.

• Adjusting and processing charges to patients' accounts.

• Adding in charges and billing out claims.

• Accounts Receivables for medical practice (Orthopedic Surgeons, Neurologist, Rheumatologist, and Physical Therapists)

• Writing up Appeals to Insurance companies based on policies and medical necessity.

• Reading and understanding medical notes.

• Collecting for multiple Physicians (Anesthesiologist, Cardiologist, Radiologist, OBGYN's, E.R Providers)

• Faxing and Mailing out Invoices to Debtors, Lawyers, and Guarantors for Payment

• Putting debtors on payment plans to help resolve Overdue debt

• Reporting delinquent accounts to Credit Bureau for non-responsive to letters/calls

• Posting on-line payments

• Noting patients insurance information along with EOB'S to forward information to clients for proper billing

• Four Weeks internship working in Account Payables Office

• Receiving Invoices/ Matching up invoices with receiving slips/Filling away Account Payables

• Processing over 50 invoice transactions into A.C.C.P.A.C Sage System

• Mailing out checks to Vendors/Customers

• Creating Spread Sheets for total amounts paid through-out fiscal time period

• 620 HRS Completed Training, Medical Coding and Billing Certificate Program

• Answering multiple phone lines at a high volume/Directing Calls to different departments to help resolve Customers' needs and concerns

• 3-5 years Customer Service experience working with-in a Retail environment

• Building four-foot display sections for Sales floor in Accordance to Blueprints

• Printing out Signage/Processing Defective item and send back Claims

• Unloading Freight Trucks with over 300+ items of Merchandise according to a 1 hour time process Authorized to work in the US for any employer

Work Experience

Accounts Receivable Specialist

Brain and Spine Surgeons of NY - White Plains, NY

February 2016 to Present

Accounts Receivables Specialist

Westchester Health Associates - Katonah, NY

January 2015 to February 2016

Debt Collector

National Bureau Collection Corporation - Tarrytown, NY 2013 to 2015

Cashier/Sales Associate/Freight Flow

Dick's Sporting Goods - Yonkers, NY

2011 to 2013

Merchandiser

Manpower - White Plains, NY

2010 to 2010

Cashier/Inventory

Best Buy - Yonkers, NY

2009 to 2010

Sales Associate

Staples - Larchmont, NY

2008 to 2008

Sales Associate

Toys R' Us - Yonkers, NY

2007 to 2008

Education

Certificate

Educational Opportunity Center - Yonkers, NY

Roosevelt High School - Yonkers, NY

Certifications/Licenses

Medical Coding and Billing

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