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Medical Billing Specialist

Location:
Allentown, PA
Salary:
$15.00 or better
Posted:
October 11, 2021

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Resume:

Phyllis L. Williams

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

Allentown, PA. 18101

347-***-**** Cell/Home

OBJECTIVE: A Medical Billing Specialist position utilizing relevant expertise to ensure accurate, neat, timely and quality completion of all transactions.

SUMMARY OF QUALIFICATIONS: Ten years experience in all phases of medical billing; a resourceful, solution focused; highly motivated team player with solid customers and communication skills; proficient in IDX, EAGLE, ADS, EPACES, ECW and ERA and knowledge of Microsoft Office.

RELEVANT ACCOMPLISHMENTS: Recognized for investigating claims increasing insurance payments; troubleshooting billing problems.

PROFESSIONAL EXPERIENCE:

Iqor, Inc, Bethlehem, Pa. (2016-2018)

Meter collector, Data entry and collector

responsible to collect the amount of copies use on copiers, for billing for the month, quarter or annual for billing purpose also work for a second client...to do closing of accounts that were over 60 day non payment...

Children's Aid Society, New York, NY (2015-2015)

Medical Billing Specialist

Responsible for Accounts receivable for all accounts over ninety days, for all insurance Medicaid, Third Party and commerical. Follow ups with knowledge of manage care regulations; verified and obtained authorizations for procedures. Posted payments. review Explanations of Benefits (EOB's) and worked the denials and partial payments. Reviewed Providers progress notes for correct coding for all procedures.

Citicare, Inc., New York, NY(2013-2014)

Medical Billing Specialist

Responsible for registrations, charges, payments, denials and patient accounts management; handling billing and collections for Medicaid, third party billing; accounts receivable follow ups with knowledge of manage care regulations; review providers progress notes for correct coding for all procedures, verified and obtained authorizations for procedures; assisted with credentialing of providers; worked on ECW (eClinicalWorks) and regulations for Article 28.

Dr. Gwen S. Korovin, MD, New York, NY(2013 )

Medical Billing Specialist

Responsible for all accounts receivable follow ups and collections. Worked on ADS system.

Various Temporary Agencies, New York, NY(2010-2014)

Medical Billing Specialist

All aspects of medical billing and accounts receivable.

Maimonides Cancer Center, New York, NY(2009-2010)

Financial Service Representative

Responsible for receiving and coding transactions accurately from Hematology, Oncology, Labs, and Infusions.

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Mount Sinai Hospital, New York, NY(2007-2008)

Senior Billing Coordinator

Responsible for all aspects of accounts receivables including Medicare & Medicaid accounts; handle and reviewed pre/post denials, appeals, charges, and payments for all insurance claims in an accurate and timely manner; reviewed and recommended accounts to be forwarded to collections; reviewed and delegated all incoming mail from insurance companies to other billers in department; assist with training new employees; verify UTs through EPACES.

Columbia Presbyterian Medical Center, New York, NY(2004-2007)

Billing Coordinator/Medical Biller

Challenge insurance denials maximizing claims payments; accountable for all aspects of accounts receivable; follow up with focus on Medicare and Medicaid accounts; post charges and payments in an accurate and timely manner; reviewed and recommended accounts to be forwarded to collections; assist in the training of new employees.

Beth Israel Medical Center, New York, NY(2000-2004)

Financial Specialist

Insured proper posting of physician and surgical charges; investigated unpaid claims increasing insurance payments; verified insurance information to facilitate billing process; handle providers credentialing.

EDUCATION: Medical Records Certificate – LaGuardia Community College (1994)

References furnished upon request.



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