Medical Interpreter Surgical Coordinator
Resume:
Hackesack, NJ *****
adqa09@r.postjobfree.com
Adriana Romero
SKILLS
• Customer Service • CPT Coding • ICD-10 • Interpretation
• Insurance Verification • Medical Billing • Anatomy and Physiology Knowledge
• Managed Care • Leadership • Spanish - Fluent
Certified Spanish Medical interpreter, advanced user for all Microsoft O ce Suites, proficient in EPIC Financial, Siemens Medical Systems (SMS), Riverbend Medicare Claim Inquiry System. Epremis, Vitalware and Navinet. EXPERIENCE
Palisades Medical Center, North Bergen, NJ — Patient Financial Counselor
September 2019- Present
● Responsible for collecting and posting payments accurately to patient accounts daily in a courteous and professional manner. To greet and assist patients with questions regarding their bill and set up payment agreements. Works with and through a third party or patient follow up to assist with timely resolution to patient account concerns. Responsible for ensuring financial counseling on patient accounts in a courteous, efficient and professional manner.Primary emphasis on accounts pending third party payment.
Bergen New Bridge Medical Center, Paramus, NJ — Surgical Coordinator
September 2018 -September 2019
● Scheduling appointments with the surgeon, calling patients to remind them about appointments, rescheduling appointments, and scheduling patient’s surgeries. Work with insurance companies to obtain authorization for hospitals and physicians.
Hackensack UNiversity Medical Center, Hackensack, NJ —3rd Party follow Up Representative
February 2015- June 2019
● Accountable for timely and accurate follow-up on AEtna hMO/PPO claim reimbursements for inpatients and outpatients in a major medical center with 900-beds. ANalyze claim rejections/denials and or partial payments; rectify claims using the Direct Data Entry (DDE)system and Navinet claims portal. conduct a report of claim issues/trends to submit to insurance carriers.Identify reasons for payments issues, make appropriate adjustments and re-submit electronically. Analyze and adjust inaccurate application of ICD-10 CM codes; refer to the coding department for corrections. Monitor trends such as incorrect coding or modifiers; generated reports on finding for further investigation. Proficiency with Vital Ware for verifying modifiers and checkings MUES, Epremis billing management software. Liaison to multiple departments for reimbursement resolution, and as well as outside facilities for overlap billing issues. EDUCATION
Bachelor’s degree in Healthcare Administration, Devry University June 2019-Paramus, NJ
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