Post Job Free
Sign in

Medical Data Coordinator Census Analyst Billing Coordinator

Location:
Rochester, NH
Posted:
March 05, 2020

Contact this candidate

Resume:

Linda Maggio * Jamaica Lane; Rochester, NH *****

C - 603-***-**** ************@*****.***

H - 603-***-**** https://www.linkedin.com/in/linda-maggio-2757ab15/

OBJECTIVE

SKILLS

McKesson (HPF) software

Meditech software

Rap and Go (RCCM) software

Ingenios Med software

Benefit Driven software

Patient Portal software

Account Tracker software

Medimobile software

Omnicare/Omniview

Microsoft SQL Server Management Studio

File Zilla

Message Broker

Coding, 1500 form, ICD

Explanation of Benefits

3rd Party Billing

Audits

Logging checks prior going to Accounts Receivable

Utilization Reviews with Hospitals and Clinicians

Credentialing for health professionals

Credentialing for health facilities

Point Click Care

Bulk Mailings through FedEx

Clerical Duties in Medical Records

Multiple Line Phones

Typing, Faxing, Scanning

Internet Explorer

Microsoft, Word, Excel, Outlook

Updating Computer

EMPLOYMENT HISTORY

09/2019 - to present Omnicare, a CVS Health Company (Beacon Hill Staffing Group) - Rochester, NH

Digital, Medical Data Coordinator / Census Analyst / Contractor

Credentialing for Assisted Nursing, Senior Living, Skilled Nursing and High Skilled Nursing Centers throughout the USA.

Entering the credentials for new companies into the main data base (Microsoft SQL Server Management Studio)

Analyzing and reporting patient error in the billing reports and reporting this information to Point Click Care.

Coordinating with Point Click Care for testing feed.

Changing feeds from internal to external.

08/2014 - 08/2019 ~ Envision Healthcare/EmCare - Portsmouth Regional Hospital, Portsmouth, NH

Billing Coordinator III

Work directly with Envision Healthcare Hospitalists (doctors, nurse practitioners and physician assistants), on the medical, mental health, rehabilitation and partial hospitalization programs (PHP).

Check billing codes for Mental Health and Partial Hospitalization Program.

Check all written documentation for completion of notes, face to face and electronic signature on all completed notes.

Incomplete notes are followed up are corrected, verified and resent 3rd party.

All charts are recorded daily on several excel spread sheets and sent to management and finance for billing and future records. These spread sheets include admissions, discharges, and consult for each doctor. Total hospital, behavioral health, rehabilitation census are also included in these charts.

Collect data for audits that are performed once a week based on above information.

Updating doctors, nurse practitioners and physician assistants monthly work schedules.

Receptionist duties include: typing, answering phone calls, scanning, sort and deliver mail and faxes and having death certificates signed off.,

Assist in training new staff.

Assist in other two other locations in New Hampshire with completing the documentation (based on the above information).

01/2012 - 08/2014 ~ Allegiant Care/Northern New England Benefit Trust - Manchester, NH

Receptionist

Greet all visitors and answer incoming multiple line phones

Sort and deliver daily incoming and outgoing of mail

Log all checks received and send to accounting for payment

Remittance checks

Prepare insurance binders for new employees and update quarterly for over 5,000 members

Follow up on returned insurance papers

Scan documents to main computer system

Update personal information in computer system

Bulk mailings

Assist with processing of Dental claims

06/2004 – 01/2012 ~ Northern New England Benefit Trust - Teamsters Behavioral Health, Manchester, NH

Administrative Assistant

Managed Care for counseling or medication checks

3rd Party Billing

Dual Billing

Utilization review with hospitals and in-patient facilities

Correspondence and meetings with other insurance companies

Answered phone and address billing issues of providers

Credentialing providers

Visited facilities to discuss new contracts

Enter coding for claims of mental health and physiological testing

Scanned documents

Excel spreadsheets for annual meetings

Handled shipping and receiving of UPS

Computer updating of members and providers information

Maintained the highest HIPPA standards

EDUCATION/CERTIFICATIONS

New Hampshire Community Technical College, Manchester, NH 1998

Western Suffolk Boces School of Nursing, East Northport, NY 1995

Suffolk Community College, Brentwood, NY 1994

Nursing: Anatomy and Physiology I & II; Psychology; Child Psychology; Algebra; Chemistry; Sociology; English; Composition; Microbiology; Nursing I

New Hampshire State License Nursing Assistant, 1998 - 2004

New York State Certified Nursing Assistant, 1996

North Babylon Senior High School, North Babylon, NY

Member of the Board of Trustees, Parkland Medical Center 2007 - 2014

References Available on Request



Contact this candidate