Medical Billing Insurance
Resume:
Noel E. Rossano
Tavares, FL 32778
adg82j@r.postjobfree.com
ADMINISTRATIVE SKILLS
—Proficient in Microsoft Office Suite
—Medical terminology
—Accounting experience
—Medical office procedures
—Medical law & ethics
—Working knowledge of Medisoft, Intergy, eClinicalWorks, AdvancedMD,
—Patient Scheduling
—HIPAA Compliance
—Medical billing and coding
—Medical insurance applications & procedures
PROFESSIONAL EXPERIENCE
Prior Authorization Specialist
Alliant Dermatology
July 2020 to October 2020
Verification of insurance companies
Request prior authorizations from insurance companies
Post payments from insurance companies and patients
Check claim denials
Resubmit corrected claims
File appeals
Work A/R report
Neurological Institute of Central Florida – Leesburg, FL October 2017-July 2020
Billing Specialist/Medical Administration
Post patient and insurance payments
Handle claim questions for doctor’s office
Assist patients with questions regarding balances on their accounts
Resubmit claims to either primary, secondary, or tertiary insurance
Send medical records to the insurance company with requested
File appeals when necessary
Check-in and check-out patients, schedule appointments for new and established patients, schedule diagnostic imaging appointments
Assist with getting prior authorizations from insurance companies for office visits, Botox, and EMG/NCS
Assist with setting up interviews for candidates of employees
Meet with pharmaceutical representatives to receive samples
Meet representatives from facilities
Network with physicians from primary care offices as well as specialist offices for referrals
Assist with insurance credentialing through United Healthcare, Blue Cross Blue Shield, Aetna, Human, Cigna,
Lakeview Healthcare System – Leesburg, FL September 2016-July2017
Billing Customer Service Representative/Estates Representative
Post patient and insurance payments
Handle claim questions for either doctor's office or hospitalization
Assist patients with questions regarding balances on their accounts
Resubmit claims to either primary, secondary, or tertiary insurance
Send medical records to either the insurance company when requested
File appeals to the insurance company when necessary
Perform estate searches of deceased patients and submit a statement of claim when necessary
Healthcare Partners Family Medicine LLC – The Villages, FL April 2016 to June 2016
Healthcare Reimbursement (180+ Hours)
Coded and billed for traditional medicine and alternative treatments
Completed payment collections for copays and balances
Performed insurance verification for patients on procedures
Answered telephones & scheduled/cancelled appointments
Addressed alternative treatment information that a patient may have
Checked-in patients; informed staff when patients have checked-in for procedures
Checked patients out after visits
Reviewed processed claims for denials
Entered insurance company payments received via Electronic Funds Transfer or check
Resubmitted denied claims
EDUCATION
Barry University – Miami Shores, FL Aug. 2018-Present
Bachelor of Science Degree in Healthcare Services Management
—Grade Point Average: 2.5/4.0
Virginia College Online - Birmingham, AL
Associate’s Degree in Healthcare Reimbursement June 2016
—Grade Point Average: 3.42/4.0
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