Mandy V Whyte

** *** **** ***** #*

Rockville Centre, NY 11570

Phone 516-***-****

Objective: To obtain a position as a Medical Billing Claims Analyst utilizing my acquired organizational and interpersonal skills to a wide range of multiple projects and responsibilities.

Education: Computer Career Center Inc., Garden City, NY 11530 2/2004 – 9/2005 Medical Billing/Coding Office Technology, Medical Terminology Medical Coding/Billing Applications – ICD 9

Work Experience: The W Medical Group Brooklyn, NY 11204 06/01/2022 – Present Specialist Medical Assistant

• Medical Assistant for Mobile Vascular Physicians

• Assistant escorting patients to Vascular Appointment.

• Verify that schedule is created and email to all medical assistants at their facilities

• Provide face sheets to the scheduling department

• Provide all medical and discharge notes to the nursing department.

• Provide transportation details to every facility regarding patients to be pick up and transported to their appointments and brought back to the facility. Work Experience: Mobile Vascular Physicians Bethpage, NY 11570 06/2020 – 05/20/2022 Credentialing and Collections Coordinator

• Billing Software: Dr. Chrono and CyberMed

• Set up all users accounts and insurance payors in Cybermed

• Registered all payors with EFT/ERA Enrollment via Change Healthcare RPA

• Registered all payors API with Change Healthcare ConnectCenter

• Follow up on all denied and rejected claims, create and process 1st and 2nd Level Formal Appeals

• Post insurance payments and work all zero payments

• Process all insurance overpayments, refund request, adjust credit balances and write offs Work Experience: RiteAid Pharmacy Rockville Centre, NY 11570 10/2018 – 01/2021 Night Shift Supervisor – Overnights

• Cash Reconciliation, cashier audit, assist and unload truck delivering inventory

• Reorder inventory when needed, Engage with Customer Service Page 2.

Work Experience: Dermatology Billing Solutions Malverne, NY 11565 01/2019 – 03/2020 Medical A/R Analyst/Payment Poster

• Billing Software: TCMS-Criterions, EMA, Trizetto

• Follow up on all denials, rejections via Change Healthcare, process 1st Level & 2nd Level Appeals

• Post all EOB payments and work all zero payments, adjust credit balances, and write offs

• Process patient credit cards payments and follow up on delinquent accounts Work Experience: Neurological Associates of Long Island Lake Success, NY 11042 11/2017 – 01/2019 Medical A/R Analyst/Payment Poster

• Billing Software: TCMS, Criterions

• Cover Front desk when needed, check in patients, verify insurances and authorizations

• Follow up on all denied and rejected claims, process 1st and 2nd Level Formal Appeals

• Post insurance payments and work all zero payments Work Experience: Ophthalmic Consultants of Long Island Westbury, NY 11590 08/2016 – 10/2017 Patient Account Representative – Ophthalmology Biller

• Billing Software: Nextgen EHR, Viatrak, Clearwave

• Process all denials, rejected and corrected claims, submit 1st Level and 2nd Level Appeals

• Post all ERA payments and work zero paid claims

• Process patient credit cards payments and assist with inquires on patient’s accounts Work Experience: Medisys Management, LLC Melville, NY 11747 08/2008 – 08/2016 Medical Biller and Credentialing Specialist

• Billing Software: EPIC, ADS, TCMS, Ivans and Medisoft

• Credential Providers with insurance companies and hospitals to obtains privileges and become participating as an “in network provider”

• Update Provider’s file on the CAQH web portal

• Verify that the Provider’s credentials such as licenses, DEA, CLIA and Liability and Malpractice insurance are up to date and not expired

• Verify patients’ insurance and obtain authorizations

• Bill out 250 – 300 claims daily

References: Available upon request

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