Billing Specialist Relations Representative

RHOMINA RODULFO

917-***-**** adw8ln@r.postjobfree.com

PROFESSIONAL EXPERIENCE

New York Presbyterian-Columbia Medical Center • New York, NY 03/17 to Present

International Financial Counselor

Comprehensively manage the process of assessing the financial capabilities of international patients.

Receive cash and post payments accordingly to the hospital, Columbia Doctors, Embassy, etc.

Examine patient inquiries involving financial matters; handle missing payments

Secure and process payments from insurance companies and self-pay patients

Reconcile remittances, checks posted, combine cash & adjustments

Ensure the disbursement of proper refunds; accounts receivable, payable, and reimbursement

Bill for professional services render through Columbia Physicians / Outside Providers

Create bills for International or Domestic Self pay patients

Submit claims and collections for all international patient’s accounts.

New York Presbyterian-Columbia Presbyterian Hospital • New York, NY 09/05 to 03/17

Patient Financial Advisor – Ambulatory, Financial, Radiology, Bed Assignment, Labor & Delivery Areas

Verified third party eligibility, determine patient liability & obtain authorization by closing accounts

Coordinated with OR scheduler to ensure billing report and cases are closed simultaneously

Evaluated area charges for departments on a weekly basis

Opened pre-admit, analyzed quality and completeness of admission data & assign appropriate financial class

Reviewed medical record to help eliminate denials / underpayments by coding accounts with applicable ICD-10, & diagnosis

Solved, correct and resubmit all cases where billed amount and paid amount create variances

Recommended further action on all accounts, when internal collection activity has been exhausted

Made claim submissions in accordance with compliance policies, payer regulations, and /or legal policies.

Mental Health Clinic - CAFSA • New York, NY 06/03 to 08/05

Medical Billing Specialist

Submitted claims online through insurance’s websites

Interacted / Obtained contracts with provider’s relations representative from various health plans

Processed Outpatient Treatment Records to health plans in Accounting Department

Obtained authorization for visits with private, federal, and state insurance

Verified participants' eligibility status through epaces website

Responsible for each clinician's payroll

Managed all petty cash funds.

Best Beginnings – Alianza Dominicana, Inc. • New York, NY 03/99 to 06/03

Office Manager

Assisted in writing grants and reports for funding sources

Served as liaison between program and accounting, and human resources

Helped plan, organize, and implement various activities for trainings & conferences

Managed all petty cash funds

EDUCATION

M.S. in Organizational Leadership at Lehman College • Bronx, N.Y.

SKILLS

Microsoft Office; EPIC, Columbia IDX, Global Services, IRPS, Eagle Refund Portal, Eagle, Eagle Gold, EVERS, Stockamp, OR Manager, HealthPay24, PeopleSoft, Eclipsys, Crown, Bed Tracking, Sunrise Record Manager, VIVA, Streamline, 1199 Policies, 3M, AEOS, Chargemaster, Crystal Report, Image Cast /Centricity, etc. Fluent and literate in Spanish.

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