Amy L. Rozelle

*** ********** ******

Geneva, NY 14456

315-***-****

admy9g@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

Microsoft Office, Medent, EPIC, Avatar

Ability to multitask

Excellent customer service

Ability to work in the office or remotely

EXPERIENCE

ACR Health

Billing Associate March 2021 – present

Review Care Coordinators’ notes to ensure that a core service was performed and ready for claim submission and add charge to the EMR system

Verify each clients Medicaid eligibility and review exceptions and restrictions.

Review list of employees with the Medicaid Fraud system to ensure that there are no conflicts

Helio Health March 2020 – March 2021

Billing Specialist

Locate denial trends among both commercial and CCBHC carriers.

Contact carriers regarding denials and either make the necessary changes and resubmit, have the carrier re-review and process or make the decision to have claim written off.

Trained new employee in the billing department.

Assisted management, providers and other billing staff with procedural and diagnosis coding.

Rochester Regional Health November 2018 – February 2020

OBGYN Coder

Read surgical notes from providers to verify the charges that they entered into the HER system

Made the necessary changes to any ICD-10 or CPT codes to ensure that there was no unbundling or missing procedure codes, but also to ensure maximum reimbursement. Notification was sent to providers if there is a coding issue so they can review and ask questions.

Made any necessary changes to a claim that fell into the Claim Edits work que

Anthony L. Jordan Health Center, Rochester, NY April 2018 – November 2018

Dental Billing Specialist

Review claim submissions and prepare them to be sent to insurance carriers. Correct registration mistakes and compare to dictation software used by the providers.

Submit claim through software that reviews the claims for errors. If there are errors, I review and correct to complete the submission.

Review and reduce the amount of outstanding Accounts Receivables by contacting carriers for status of payment, making necessary adjustments, review the account for missed insurances or place in the patient responsibility status.

Accept payments from patients as well as review bills or prepare Sliding Scale Discount paperwork either over the phone or in person.

Trillium Health, Inc., Rochester, NY November 2017-December 2017

Billing and Coding Specialist

Entered pharmacy payments into TPMS and made sure that the payments posted matched what was entered into the A/R worksheet.

Posted Excellus and Medicaid electronic payments and denials and worked the A/R for additional payments or make the appropriate adjustments.

Medical Management Resources, Inc., Syracuse, NY April 2017 – October 2017

Reimbursement Specialist

Confirm that ICD-10 and CPT codes are entered correctly for insurance submission.

Answer patient phone calls regarding their billing statements and process payments.

Fix Medicare edits to ensure timely and correct submission.

Enter Medicaid claims into Epaces.

Work through A/R issues for additional reimbursement.

FLH Medical, PC, Geneva, NY May 2013 – March 2017

Biller/Clerical

Utilize CPT and ICD-10 to code fractures and assist with codes for surgeries.

Post denials from the payers.

Request treatments from workers compensation carriers and discuss details of workers compensation with patients.

Prepare files to be sent to collections and collect copays and payments from self- pay patients. Check in/out patients from their appointments.

Answer the multi-line phone lines to assist patients with their needs.

CERTIFICATION

Certified Professional Coder – A September 24, 2016

EDUCTION AND TRAINING

AAPC Certified Professional Auditors Review Currently in Process

Bryant & Stratton College, Rochester, NY 2016

Certified Professional Coding

Bryant & Stratton College, Rochester, NY 2012-2013

AAS Medical Administrative Assistant

Finger Lakes Community College, Canandaigua, NY 2002-2003

AAS Paralegal Studies

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