Medical Billing Manager
Resume:
CALESTINA BHASIN
646-***-**** ***************@*****.***
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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