Medical Billing Specialist

CHRISTINE DILLON

*** ** ****** **, *******, NY **433 • 516-***-**** • **********@*****.***

Professional Summary

Dedicated Medical Billing Claims Specialist with over 15 years of billing and collection experience providing satisfactory service. Ability to recognized inefficient process, implement change. Maintain current proficient knowledge of Medical terminology with ICD-10 CM, CPT codes and HICPA 1500, UB 400, CMS guidelines.

Skills

• CPT Coding

• ICD-10 Code

• Accounts Receivable

• Medical Terminology

• Knowledge of

Medicaid, Medicare

and Managed Care

Reimbursement

Policies

• Medical Billing

• Accounts Payable

• Collection Specialist

• Proficient in IDX, EAGLE, Soarian, EPIC,

AEOS, Citrix, Meditech, EMR, Allscript,

Invision, Keon, GEGCB, and Assurance.

Work History

Billing Specialist, 11/2021 to current

JZanus LTD- Floral Park, NY

• Sign coded data to produce claims to insurance companies.

• Appealed and reviewed denied and unpaid claims, and resubmitted all denied claims.

• Verified patient’s insurance coverage, answered patients’ questions.

• Handled all collections on unpaid accounts.

• Prepared underpayment appeals letter and followed up with denied CPT and DX codes.

• Managed facility’s accounts and receivable reports. Physician A/R Clerk, 07/2014 to 4/2022

Northwell Health -New Hyde Park, NY

• Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.

• Contacted customer to follow up on outstanding claims, bills denial of insurance invoices.

• Answered average of 40 calls per day, addressing customer inquiries, solving problems and providing new product information.

• Assist patient in denial of EOB and resubmit claims to insurance carrier both commercial, private, Medicare and Medicaid claims.

• Follow up on accounts that are sent to Trac for patient disputes, email correspondence for f/up issues that needs to be resolve.

Medical Collections, 03/2013 to 06/2014

Long Island Plastic Surgical Group - Franklin Square, NY

• Improved timely payment of bills by developing flexible payment plans for patients.

• Contacted patients regarding unpaid and underpaid accounts to resolve issues.

• Worked with computerized and automated systems for dispensing medications and editing new patient profiles.

• Prepare agent report from old to current account follow up on outstanding account with both patients and insurance of denial claims.

• Handle self-pay rate for patients, prepare fee scale for payment and financial hardship package.

• Review operative report from hospital and nursing home. HCI And Medicaid Investigator Specialist, 01/2012 to 10/2012 Bellevue Hospital - Manhattan, NY

• Generated and mailed updated statements.

• Maintained integrity of general ledger, including the chart of accounts.

• Discovered major instances of fraud, embezzlement and large balances due.

• Collected and arranged information and entered details into computer database. Prepare worksheet flow for patients that come through ER department.

• Assist in qualifying patient for HHC and Medicaid insurance to meet guide lines. Contact family, social worker doctors for information and documents to obtain financial assistant. Medical Billing, 06/2010 to 07/2011

Help PSI Inc (Temp) - Queens, NY

• Reviewed documentation for compliance with requirements and accuracy of information.

• Collect batch superbills and demographic sheet and transmit claim to clearing house, electronic

• Work on accounts receivable reports process commercial and private insurance in regards to ICD-9/ CPT Code.

Medical Billing/ Collection, 03/2006 to 04/2009

Advanced Dermatology P.C. - Floral Park, NY

• Contacted patient to collect outstanding payments via one-time or negotiated installment.

• Followed up with insurance of denial of claims, resubmission, and charge correction of claims.

• Perform administrative functions in a fast pace health care center, verify patient eligibility.

• Complied and maintained records of changes with the HIPAA policy and guideline.

• Post payment from patient and insurance carrier of commercial, Medicare and Medicaid and private insurance on follow up claims.

• Work on Manage Care, HMO, PPO POS, Workers Comp and no fault claims. Education

Medical Coding Academy:Certificate-Freeport,NY

Associate of Science: Medical, 2012

Queens Borough Community College - Bayside,NY

Empire Business Institute - Medical Billing Certificate

Contact this candidate