CALESTINA BHASIN

646-***-**** adrfvj@r.postjobfree.com

WORK EXPERIENCE

HSS Hospital for Special Surgery March 2021– June 2021

Temporary AR Representative - EPIC

●Insurance follow-up with primary, secondary & tertiary claims

●Denial management to include payer denials & denial solutions

●Reviewed & processed correspondence from patients & insurance carriers

●Performed billing tasks assigned by management including data entry, claim & charge review, & accounts receivable follow-up

●Annotated adjustments/updates to patient accounts

NYU Preston Robert Tisch Center for Men’s Health October 2015 – December 2020

FGP Billing Coordinator - EPIC

●Billing Compliance/Coding Review - Responsible for advising physicians, management & staff of local & national coding & documentation policies

●Ensured charge submission & AR follow-up is occurring on a timely basis by collaborating with 3rd party billing company

●Interacted with patients in person & via phone relating to billing inquiries

●Provided input on system edits, processes, policies, & billing procedures to ensure maximization of revenues

●Identified payer & provider credentialing issues & address them with management

●Communicated with providers, patients, coders, or responsible persons to ensure that claims are correctly processed by 3rd party payers

●Verified items in assigned work queue(s) are resolved within required time frame using payer website, billing systems, & CBO pathways

●Participated in work groups & meetings, attended all required training classes, escalated issues to management as needed, read and applied policies & procedures to make appropriate decisions, & maintained confidentiality

Patient Point July 2011 – July 2014

RCM Account Manager - AllScripts

●Coded inpatient & outpatient services for various specialties including Pulmonary & Internal Medicine

●Documentation of denials/correspondence & performed action on transmission reports

●Called insurance companies to check claim status/discuss rejection received & follow-up as needed

●Conducted weekly meetings between onsite & offshore staff to ensure communication that enhanced client productivity

Murray Hill Medical Group May 2009 – June 2011

Medical Billing Specialist - Centricity Physician Office PM 7.1

●Performed extensive follow up on outstanding Medicare claims

●Conducted telephone & website inquiries regarding claim status, Medicare current billing guidelines, member eligibility & COB status

●Corrected & resubmitted claims that deny erroneously electronically or via a written appeal

●Updated patient demographic information as needed, answer patient calls pertaining to account balance on Medicare claims, & discuss Coordination of Benefits issues

●Emailed doctor(s) for communication & clarification purposes on denied claims due to diagnosis, medical necessity & verification of CPT codes billed

EDUCATION

LaGuardia Community College September 2000 - September 2002

●Major: Human Services-Mental Health Curriculum

●Completed 45 credits toward an Associate Degree in Science

Lincoln Technical Institute, Edison, NJ February 2008 - September 2008

●Medical Coding & Billing Certificate

●GPA 4.0, Dean’s List

SKILLS

●CPC Certified (AAPC)

●Experienced with many phases of medical billing & office support including ICD-10 & CPT coding

●Trained in EPIC, Medical Manager, Med Comp, Citrix Paragon 7.1, Telescript 5.6, MediSoft, Centricity Practice Manager, Medics Elite 7.0, AS 400 & the hospital billing process

●Proficient in MS Office & MS Excel

●Fluent in Hindi

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