Post Job Free

Resume

Sign in

Receivables Specialist Medical Billing

Location:
Hudson, NH
Salary:
$60,000
Posted:
December 23, 2022

Contact this candidate

Resume:

ANDREIA FREITAS

adt7md@r.postjobfree.com

Hudson, NH 617-***-****

PROFESSIONAL PROFILE

Administrative professional with proficiencies in business and hospital administration technology. Excellent Interpersonal relations, Customer Service, Communication and Organization skills. Clinic coordination and operation management in medical practices awareness.

PROFESSIONAL EXPERIENCE

Federal Aviation Administration, DOT, Hanscom AFB Bedford, MA 07/2022-Present

Management & Program Assistant – Engineering Services - Salary $61,142

Assist managers and other employees in day-to-day operations applying experience and advanced knowledge of various administrative functions, maintain a broad understanding of organizational activities and responsibilities to support multiple programs and functional teams.

Provides support to the FMP Manager in providing administrative advice and assistance to all FMP personnel. Receives visitors and telephone calls, referring them to the appropriate person or office.

Receives, routes and controls incoming correspondence. Prepares and reviews outgoing correspondence, memos for grammatical correctness and adherence to FAA policy prior to signature.

Maintains and revises all filing systems: manages and requisitions office supplies and equipment and performs office maintenance duties, (i.e. copier, fax, telephone).

Reviews all FMP’s accounting / obligations and data before they are approved and entered into the Regis / Delphi Accounting system. Provides feedback to employees on accounting errors and makes necessary corrections to accounting code errors and discrepancies.

Works in conjunction with other Program Assistants, Fund Certifiers and Managers to modify existing office processes and procedures to improve office efficiency. Purchases administrative supplies, initiates and reviews procurement requests for equipment and other items.

Acts as point-of-contact for all contract vendor activities. Monitors status of program, activities, including expenditures, so as to identify and inform managers of problems or issues that require attention.

Enters fiscal data, tracks, reconciles and analyze data using a variety of automation tools such as NEXUS, Delphi, Regis, USBank, Castle, E2, and PRISM.

Modifies and maintains automated systems for tracking obligations and expenditures of funds throughout the execution phase of the annual operating budget. Reconciles discrepancies to ensure effective use of funds.

Reviews budget data for accuracy of technical treatment and format, mathematical accuracy, and conformance with budget policy and guidance.

Performs various analytical studies, such as travel administration, overtime usage trends, leave usage, etc., with limited review by a higher level or more experienced employee. Prepares administrative directives or revisions needed to implement recommendations.

Ensures effective management of assigned agency property via AITS and NWP. Ensures internal control of property by conducting property inventories periodically by validating property assignment and locations.

Responsible for managing assigned group government vehicles entailing managing log book for keys; reporting mileage in MVS; notifying employees when preventative maintenance is due.

Assists with new hire orientations for FMP new hires which includes badging and providing assistance on standard office procedures.

Generates reports from available databases to support performance. Ability to work and manage multiple assignments simultaneously.

Edith Nourse Rogers Memorial Hospital, Bedford, MA 07/2021-Present Full-Time $57,320.00

Access Scheduling Coordinator/Supervisor MSA - Group Practice Management

GS 8 -2 Supervisor: Sarah Carnes 781-***-****

•Orient and educate the development of Onboarding Trainings for Bedford VAMC utilizing the National Schedulers directives.

•Develop strategic Scheduling training for all new AMSAs(Advanced Medical Support Assistants), Nurses, and staff required to have access to scheduling keys.

•TMS (Talent Management System) class assignments, mark completion of required trainings for Onboarding MSA trainings.

•Utilize BISL Scheduling to performed Scheduling Audits and diverse scheduling reports.

•Participate in VAMC National Trainers meetings for Scheduling/Audits/Access Community of Practice, New Enrollee Appointment Request.

•Support GPM team with development and implementation of new process relating to new National Directives from OVAC.

•Run daily reports of systems applications, approving access utilizing software/web base programs (Vetex, VetLink, ICBWeb, VSE GUI, CPRS.

•Participate in various hospital staff meetings to review, discuss, and plan strategic objectives, patient flow, administrative management, staffing and business operations.

Provide management and guidance for staff recruitment to all Advanced Medical Support Assistants. Evaluate applicant resumes according to qualification standards.

Provide information and support to weekly meetings assisting Human Resources and Hire Right Hire Fast Team with staffing. Coordinate interviews, currently select official.

Improve and facilitate recruitment process for position management with the reorganization of the variety of Departments and Clinics.

Evaluate position description, functional statements, and job analysis.

•Certify/approve employees timecards utilizing Vatas/WebTA system for Payroll.

•Weekly supervision to direct reports with administrative and focus to ensure best practice standards are met. Evaluate and prepare performance appraisal for direct report staff.

•Support all MSAs at Outpatient Clinics with technical program navigation.

•Prepare meeting agendas, presentations, and transcribe minutes

•Facilitate weekly Teams Supervisors Meetings to identify staff development needs and Clinics utilizations

•Collaborate in creating questions for Q-Stream Scheduling Training

COVID-19 Vaccine Clinic – Detail 01/2021-06/2021 - Collateral duties

Still providing staff coverage and assistance since clinic reopen and transition with Swab Testing Operations

• Provide staffing recruitment, orientation, placement, training, support, and scheduling for day-to-day operation to the Covid clinic

• Pre-registered Veterans during check-in and utilize call lists and telephoned Veterans to notify and schedule based upon need and updated patient demographics.

• Facilitate coverage for weekend shifts (Saturday/Sunday) check-in and registration needed

• Traveled with Vaccine Clinic for registration/check-in assistance to various Veterans community base location services

• Run daily appointment reports and queries on Vista

• Assisting communication with diverse departments to ensure of necessary equipment and services needed (Logistics/Volunteer Services/housekeeping/Eligibility/Nurse Units

Edith Nourse Rogers Memorial Hospital, Bedford, MA 11/2020 –07/2021

Scheduling & Compliance Coordinator/Lead MSA Full-Time GS 7-2

Supervisor: Marianne Ciulla 978-***-****

• Oversee, direct, and evaluate the MSAs working in the various clinical services to ensure successful scheduling practices, which relates to clinical operations, managing independent clinical duties for

patient care and customer service

• Evaluate equipment, systems, and processes to make recommendations for improvement

• Conduct monthly/quarterly/biannual scheduling Audits and analyze data for performance measures while detecting opportunity areas and review with senior management to find practical solutions

• Develop training strategies and materials for training and development of Medical Support Staff utilizing National Schedulers trainings

• Organize work, set priorities, delegate tasks and responsibilities to meet deadlines

• Skilled in communicating with individuals to maintain compliance with established policies and regulations

• Build working relationships with providers, administrative staff, internal and external customers

• Handle all administrative duties while working with Human Resources and clinic services for Bedford VA’s Hire Right Hire Fast Program to improve and facilitate applicant interviewing and hiring processes

• Provide cross coverage/training for all health clinics

• Timecard keeper responsibilities for payroll processing using VATAS Attendance System

Edith Nourse Rogers Memorial Hospital, Bedford, MA - VISN 1

Clinical Primary Care Call Center, 10/2017 – 11/2020

Advanced Medical Support Assistant Full-Time GS 6-1

Supervisor: Stacie Fantasia 781-***-****

• Scheduled appointments in accordance to Veteran affairs Hospital scheduling directives

• Established, monitored, and evaluated all administrative procedures of the clinics

• Ensured health information & documentation requirements were met for each appointment

• Ensured compliance with established processes, policies, and regulations

• Entered data into EMR pertaining to patient demographics.

• Identified, troubleshooter, and documented EMR system functionality problems/issues/gaps.

• Transcribed orders and other data and arrange for proper scheduling of patient consults

• Worked with clinicians, nurses, and other staff to expedite emergency requests for patient care

• Kept the various clinical services up to date with the current administrative practices and regulations pertaining to patient care.

• Worked in close liaison with Pharmacy staff to expedite patient’s medication requests

• Supported the supervisor for continuous process improvement through quality & performance measures

• Maintained advanced knowledge of medical terminology and health care technology tools

Medical Interpreter

CCCS, Inc. Woburn, MA 06-10/2017

• Proficient bilingual (English/Portuguese) Interpreter assignments to various locations: Hospitals, Clinics, home visits

Field Representative

U.S. Census Bureau New York Regional Office, NY 06-10/2017

Enumerator

U.S. Census Bureau, Tewksbury, MA 04-08/2010

• Interview and Research People/Houses to process questionnaire for census database to complete assignments. Interpreter for Portuguese/Spanish community to complete assigned cases

Medical Billing Technician

Billing Advantage & Psychotherapy Associates of N. Reading, MA

11/2016-02/2017

• Schedule appointments, expedite patient requests. Retrieved pertinent patient data for clinicians

• Benefit/eligibility verification. Create referral/authorization reports to submit to individual providers weekly. Utilize Kareo, Practice Fusion, EClinical, and Klink software. Work aging reports

• Work scrub reports to ensure all referrals, prior authorizations, CPT, and diagnosis codes were corrected and in place to send claims for processing

Research and Resolution Associate

Epic Health Services/formerly Americare at Home N. Andover, MA 5/2016

– 11/2016

Accounts Receivables Specialist

Americare at Home, Inc., N. Andover, MA 06/2008-08/2009

• Verify Referrals, Eligibility, Benefits, and Authorizations. Post payments, process adjustments online for commercial, and Medicaid insurances. Call insurance companies to resolve outstanding accounts

• Research aged accounts utilizing HealthWyze Software to finalize outstanding receivables. Verify and made corrections to ICD 9, ICD 10, CPT, and CMS 1500 forms to submit correct claims, late charges,

appeals, and refunds. Prepare spreadsheets, reports to finalize write offs accounts.

Medical Billing Specialist

Neighborhood Diabetes/Insulet, Billerica, MA 03/2012 – 02/2016

• Prepare Excel spreadsheets, reports, and forms to process Major refund project, overpayments to patients and insurance companies, which was reduced to more than 70%

• Utilize Noble House Software to analyze remittance advice and post electronic payments

• Enter clinical service documentation data and ensure accuracy of proper patient demographics, insurance to submit claims to all Medicaid Insurances

• Complete major Pharmacy Billing Project with MassHealth Web portal to resolve outstanding audit receivables through the QS1(Pharmacy) software. Train colleagues with MMIS portal

Medical Billing Coordinator

Saints Medical Center, Lowell, MA 01/2007-06/2008

• Process Hospital Billing utilizing Meditech Software, with UB04 claim forms and ICD 9, CPT codes to submit primary, secondary claims, correct claims, denials, appeals, refunds to outstanding

accounts

• Obtain Referrals from Providers and Prior Authorizations from Insurance companies for patient services

• Update observation accounts daily to verify discharges and inpatient status. Verify insurance eligibility daily. Analyze and process Worker’s Compensation claims

• 15h training to provide medical Interpretations as needed by the patient accounts department

SKILLS AND QUALIFICATIONS:

Proficient Bilingual (Portuguese/English), Training Development, Scheduling Auditing, Clinical Scheduling, Data Analysis, Microsoft Office, Veterans Affairs Software Vista, Vatas/WebTA, VSE GUI, CPRS, VetLink, DST, EARR, ICB, Front Office Administration, Medical Terminology, Hire Right Hire Fast, Electronic Medical Record Systems

EDUCATION

Business & Microsoft Application Certificate, John Mason Inst., Nashua NH

Medical Interpreter Certificate, CCCS, Woburn, MA

Youth Mental Health First Aid USA Certificate, Lowell Gen. Hospital, MA

Health Claims Specialist, Salter School, Tewksbury, MA

Colegio Padre D’Amato Technical High School, Accounting, Brazil



Contact this candidate