Jessica A Narvaez

** ****** ****** *******, ** **920 347-***-****

QUALIFICATIONS

Results-oriented professional with broad based experience in medical/surgical billing and business office environments. Excellent communication and interpersonal skills to establish and maintain successful managing time, prioritizing tasks and organizing projects. A firm understanding of medical terminology and coding procedures. Computer proficiency includes Partner Programs, Lytec, Accumedic, Medisoft, ADS Medics Medical Manager, Allscripts, Advantx, MD Office, Practice Insight and Microsoft Office.

AREA OF EXPERTISE

MANAGEMENT ORGANIZATION INSURANCE PLANS AND POLICIES

ADMINISTRATION INVOICE RECONCILIATION MEDICAL TERMINOLOGY

COLLECTION PROCEDURES FLUENT IN ENGLISH AND SPANISH BOOKKEEPING

FUNCTIONAL RESPONSIBILITIES

• Firm understanding of the intricacies of numerous insurance plans, HMO, PPO, No-Fault, Workers Comp billing, Medicare and Medicaid.

• Define Billing and collection objectives, establish procedures and implement day-to-day functions to ensure timely receipt of payments from patients and insurers.

• Generate billing and institute appropriate collection procedures; explain internal billing and insurance policy guidelines to patients.

• Consistently update knowledge and understanding of insurance guidelines, prepare and analyzed reports, review coding regulations and specifications with staff and providers.

• Monitor employee attendance and execute adjustments to personnel records as well as payroll duties.

• Experience in EMC Billing through NEIC, ENVOY and MD On-line and obtaining pre-authorizations for surgical procedures.

• Excellent written and oral communication skills.

• Obtained Medicaid authorizations though EPACE’s.

• Conversant in medical terminology; able to communicate with doctors regarding specific procedures and recommendations; experienced in accurately transcribing physicians’ dictions.

• Obtain re-creditalizing with insurance companies as well as CAQH.

EXPERIENCE PROFESSIONAL

Academy Spine and Physical Therapy, LLC 12/18 - present

Billing Manager

Day to day functions of billing for physical therapy, acupuncture, emergency medical, internal medicine, pain management and chiropractic providers. Daily obligations also include electronic claims transmission, pulling of electronic eob’s, printed claim forms. weekly statements, posting of charges, payments, no fault verification, workers comp verifications and dealing with the attorneys that represent the patients. Running aging reports and delegate billing department on how to work on them.

Handle all the no fault arbitrations with various lawyers. Negotiate contracts to go in network with insurance carriers.

Ramsey Sport and Spine, LLC 9/16 – 11/18

Administrator

Day to day functions of billing for physical therapy, pain management and chiropractic providers. Training of all staff on insurance websites and well as the EHR system. Day to day functions of training staff on policy and procedure. Running aging reports and delegating staff on how to work on them. Obtaining authorization for services rendered. Daily obligations also include electronic claims transmission, pulling of electronic eob’s, printing claim forms. weekly statements, posting of charges, payments, no fault verification and workers comp verifications.

Medical Management Solutions 2/16 to 8/16 - Tarrytown, NY

Assistant Director of Operations

Day to day functions of pain management, dermatology, neuro and physical therapy billing. Training staff on how to bill claims correctly. Daily obligations also include electronic claims transmission, pulling of electronic eob’s, printed claim forms. weekly statements, posting of charges, payments, no fault verification, workers comp verifications and dealing with the attorneys that represent the patients. Running aging reports and delegate billing department on how to work on them. Daily obligations also include electronic claims transmission, pulling of electronic eob’s, printed claim forms. weekly statements, posting of charges, payments, no fault verification, workers comp verifications and dealing with the attorneys that represent the patients. Training account managers how to work aging reports and spreadsheets. Implemented all Medicare LCD’s for billers to be able to code properly.

AOSM Merged 5/1/2015 to Neosm - NANUET, NY – Present

Administrator - Trainer

Day to day functions of training staff on policy and procedure. Running aging reports and delegate billing department on how to work on them. Authorize all orthotics for patients, pain management procedures, orthopedic procedures and well as explain to them how their insurance companies work. Authorize MRI’s for patients. Billing of office visits, fracture care, ultrasound guided prodecures and surgeries. Help administrator in meaning full use to ensure maximum reimbursement. Negotiate with carriers for better reimbursement. Also assist in tracking employee’s time off, sick time and making sure coverage is available at all times. Prepare time sheets for payroll. Preparing of spread sheets for physicians to see if the purchase of new equipment is profitable. Responsible for all deposits and daily banking. Enrolled practice for electronic fund transfers and electronic explanation of benefits. Daily obligations also include electronic claims transmission, pulling of electronic eob’s, printed claim forms. weekly statements, posting of charges, payments, no fault verification, workers comp verifications and dealing with the attorneys that represent the patients.

ADVANCED ORTHROPEDICS, PMNR AND SPORTS MEDICINE, PLLC - NANUET, NY 2011 - PRESENT

Office Manager

Day to day functions of training staff on policy and procedure. Running aging reports and delegate billing department on how to work on them. Authorize all orthotics for patients and well as explain to them how their insurance companies work. Authorize MRI’s for patients. Billing of office visits, fracture care, ultrasound and surgeries. Help administrator in meaning full use to ensure maximum reimbursement. Negotiate with carriers for better reimbursement. Also assist in tracking employee’s time off, sick time and making sure coverage is available at all times. Prepare time sheets for payroll. Preparing of spread sheets for physicians to see if the purchase of new equipment is profitable. Responsible for all deposits and daily banking. Enrolled practice for electronic fund transfers and electronic explanation of benefits. Daily obligations also include electronic claims transmission, pulling of electronic eob’s, printed claim forms. weekly statements, posting of charges, payments, no fault verification, workers comp verifications and dealing with the attorneys that represent the patients.

COMMUNITY MEDICAL & DENTAL CARE, INC - MONSEY, NEW YORK 2010 - 2011

CREDENTIALING ADMINISTATOR & BILLING TRAINER

Helped the corporate office with the new set up of software with the billing department. Liaison to medical billing department, call room and registrars with new software. Credentialed existing providers as well as new ones. Ran month end billing reports for CFO. Brought in a radiology group where we can send our patients. Taught new providers how to code encounters. Assisted with the new purchase of medical equipment to better diagnose patients. Posted charges and payment in a timely manner as well as insurance follow up.

OLD TAPPAN PEDIATRIC’S PA - OLD TAPPAN, NEW JERSEY 2007 - 2010

PRACTICE ADMINSTRATOR

Manage two office locations with a total of fifteen employees. Make sure that coverage is available at all times. Interview and terminate employees. Evaluate staff’s performance for reviews and annual raises. Maintain a current log of all changes in pediatric billing. Delegate daily functions to staff members. Ensure that monthly meetings are performed to make employees as well as physicians are aware of billing, insurance and office policy changes. Set up new billing software transition from Advantx to Partner Programs. Ensure that daily electronic submissions as well as patient billing are completed on a day-to-day basis. Perform follow-up on all patients and insurance collections. Created super bills to print in software for vary office visit reasons. Maintain billers and posters informed on all billing changes.

PEDIATRIC SPECIALITIES - ELMSFORD, NEW YORK TO HACKENSACK, NEW JERSEY 2005 - 2007

FORMERLY KNOWN AS PEDIATRIC SERVICES OF AMERICA

Office Manager / Assistant Medical Director

Managed six customer service reps. Made sure that they processed all intakes for new orders and existing orders for durable medical equipment properly as well as supply orders. Interviewed and terminated employees. Managed monthly budget for equipment and supplies. Performed annual employee evaluations or raises as well as every three month evaluations to ensure that they were up to par with responsibilities.

NSW PROFESSIONAL BILLING - STAMFORD, CONNECTICUT 2001 - 2005

Medical Billing Manager

Coordinated and managed billing and collection procedures for a variety of specialty groups including internal medicine, pediatrics, cardiology, neurology and urology. Acted as liaison between staff, patients, healthcare providers and insurance companies. Supervised, trained and delegated day-to-day functions to ensure maximized cash flow for all accounts. Attended quarterly meeting with physicians, including monthly meetings with billing staff. Excellent follow-up experience with insurance, with firm understanding in appealing claims and heavy patient contact. Analyzed billing guidelines with specific carries based on physician specialty to ensure office staff and billing department for accurate and correct billing procedures.

CAROL DIAMOND, MD - NEW YORK, NEW YORK 1999 - 2001

PRACTICE ADMINISTRATOR

Established and manages a highly successful internal medicine and rheumatology practice. Formulated budget, maintained accurate records, and performed bookkeeping / medical billing tasks. Personnel manager, acquired, trained, scheduled and assigned duties to staff members and two doctors. Set-up and designed patient charts for accurate medical documentation to support coding for billing purposes. Coordinated and managed billing to maximize accounts receivable and obtained accurate financial reports.

MOSHE HAIMOV - NEW YORK, NEW YORK 1997 - 2000

OFFICE MANAGER

Managed a highly successful vascular surgeons’ practice. Formulated budget, maintained accurate records and performs bookkeeping / medical billing tasks. Set-up and designed patient charts for more accurate documentation to support coding for billing procedures and well as pre-cert and medical necessity. Coordinated and managed billing with biller to maximize accounts receivables to obtain accurate financial reports.

EDUCATION

Westchester Business Institute - 1999 - Double Associates degree in Accounting and Business Management

John Jay - 2002 - Bachelors in Accounting

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