Billing Specialist Front Desk

Zujeiry Roque

*** ****** *** **** *** NJ *****M: 917-***-**** adwpuc@r.postjobfree.com Highlights

Systems Implementation Review reports for denial trends Streamlined Front Desk Processes Increased Implant Reimbursements by 90% Reduced A/R from 3.2 million to 950k Built cash flow monitoring system Experience in internal medicine, OB/GYN, orthopedics, cardiology, infectious disease and oncology practices.

Experience

Caduceus

Jersey City, NJ

Client Services Supervisor

03/14-Present

Train clients on entering demographics, insurance information, charge entry, posting copayments and reconciling payments in Athena

Maintain and assist clients with Athena go live once training is completed

Handle and provide support in the cleaning up of aging claims

Analyze and assist in editing of patient aged accounts before submitting for collections

Attend client monthly revenue cycle meetings to review all department issues such as coding, credentialing, insurance changes, etcetera

Travel to various client locations as their onsite representative to handle and resolve any issues and concerns as well as software challenges

As team lead manage and assist staff with daily internal and external department issues

Assist the revenue cycle manager/director in reviewing reports to spot any denial trends and loss in revenue Metropolitan Surgery Center

Hackensack, NJ

Medical Collector

5/11-7/13

Met all productivity and collection goals including dollars collected and accounts handled

Analyzed account receivables and corrected all problems

Reduced rates on delinquent accounts and set up payment plans with patients

Documented all activities

Heavy insurance calls as well as initiated appeals of denial of payment for services

Sent out invoices for payments on all reimbursable implantable devices Montvale Surgical Center

Montvale, NJ

Billing Specialist

11/10-04/11

Effectively maintained accounts receivables

Made calls to insurance companies to follow up on outstanding claims resulting in claim payment

Submitted requested information to insurance companies for finalization of claims

Submitted all levels of appeals for all commercial insurances

Extensive work on PIP and WC claims which included records submissions and all levels of appeal Northern Valley Anesthesiology

Englewood, NJ

Biller/Collector

03/08-11/09

Electronic and paper claims billing

Insurance appeals with required paperwork for proper reimbursement

Checked on claim and appeal status

Sent out patient statements and collection notices

Turned over aged accounts for collection proceedings

In charge of all commercial insurance accounts

End of day credit card reconciliation and weekly bank deposits Education

Bachelor of Arts: Healthcare Administration

Associate of Arts: Healthcare Administration

University of Phoenix

Medical Assistant/Patient Care Diploma

HoHoKus School

High School Diploma

Teaneck High School

Teaneck, NJ

Skills: Microsoft Office, Athena, Epic, Navinet, Zirmed, WebMD, Vision, Citrix Proficient in Spanish

References Upon Request

Contact this candidate