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Medical Assistant Manager

Location:
New York City, NY
Posted:
August 18, 2020

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Resume:

SHANTA SANDERS

Finance Professional

New York, NY

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

518-***-****

Finance professional seeking to obtain a position with an organization that can utilize excellent customer service skills and extensive knowledge of accounts receivable and payable procedures, claims processing and auditing to benefit mutual growth and success.

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Billing Specialist

NYU Langone Health - New York, NY

February 2020 to Present

Verify Client eligibility

Entering demographics and insured info

Enter codes for treatment

Apply adjustments

Accounts Receivable Specialist

Kids Time Therapies - Queens, NY

October 2018 to February 2019

Audit past billings and postings

resubmit corrected claims

amend incorrect posting

verify client insurance

post manual payment & verify electronic payments

scrub claims

update and verify treatment referrals

educate Service Coordinators on insurance policies track and appeal denials

Finance Manager

Northern Rivers Family Services - Albany, NY

July 2012 to June 2018

S

WORK EXPERIENCE

Accounts Receivable for NYS Medicaid Residential Treatment and Home & Community based Waiver Service programs and NYS Dept. of Education local district tuitions

• Audit service documentation and claims

• Bill all client services

• Post payments and reconcile General Ledger balances

• Verify and update insurance eligibility

• Complete and file fiscal reports

• Assist in QA policies creation and training

• Systems testing and updates

• Billing trainer for program staff

Accounts Payable

• Review, verify and update client movement information

• Audit documentation to support reimbursement

• Review and Audit manual entries for reimbursement payment

• Assist in QA policies creation and training

• Process checks and direct deposits

Grants Administrator

• Prepares quarterly billing for 20+ local school districts

• Prepares and enters quarterly billing into general ledger

• Codes and enters cash receipts into general ledger

• Prepares monthly accruals

Billing Manager

Neurological & Stroke Care

2007 to 2008

• Ensure proper coding and chart documentation

• Post and electronically bill physician charges

• Verify insurance and referrals

• Train administrative staff

Accounts Receivable Specialist

Renal Research Institute - Schenectady, NY

2005 to 2007

Dialysis Clinic Account Liaison for Medicaid accounts in NY, NC, MI & CT; Medicare & Commercial payer accounts NY & NC

• Account liaison between dialysis facilities & billing group regarding eligibility, billing and documentation

• Follow up and Billing for commercial insurances and government insurance programs

• Educate facility social workers on insurance contracts and policies

• Maintain proper coding and electronic billing procedures Insurance Eligibility Screener

Planned Parenthood Mohawk Hudson

2003 to 2005

• Facilitated enroller for Medicaid insurance programs

• Verify Medicaid and Commercial insurance benefits & eligibility

• Determine patient financial status

Clinic Biller

• Audit superbill

• Posting charges to Medicaid programs & Commercial insurance

• Researching patient inquiries for billing statements

• Audit and Track billing errors

• Educate clinical staff on billing and coding processes Bachelor of Professional Studies in (BPS) Health Information Management SUNY Institute of Technology

2011

Associate in Occupational Studies in (AOS) Medical Assistant Mildred Elley College

2003

Associate in Applied Science (AAS) in Hotel Management Tompkins Cortland Community College

1998

Collections (10+ years)

Billing (10+ years)

Accounts Receivable (10+ years)

claims (10+ years)

Outlook

Data Entry

Excel

Payroll

accounting

Driver's License

EDUCATION

SKILLS

CERTIFICATIONS AND LICENSES



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