Scarly Rousseau

**** ****** *** ***** ********, MD 21044 · 845-***-****

ady0cg@r.postjobfree.com

knowledgeable, articulate communicator with over 5 years of experience in customer service & patient care. Adept in working with patient records, medical billing, worker’s comp, payment poster, and patient care. Advanced understanding of customer needs with excellent attention to detail. Strong collaborative skills with experience working in a team environment to achieve advancement and growth for the company.

Education

Bachelor In Healthcare Administration

December 2018

Associate Degree, Rockland community college, spring valley, NY June 2013

High School diploma, Ramapo high school

Experience

2022-2023

Medical billing/ Accounts receivable, Kolmac Outpatient recovery, Maryland

• communicated with supervisor on any insurance issues, reimbursement, setback on accounts, also prepares information for the collection agency.

• Monitored online claims submission and correct any rejections

• Reviewed, appealed and attached all necessary documentations on claims to ensure appropriate reimbursements.

• Exported /processed claims via clearinghouse, EOBs

• Posted insurance payment to accounts

2021 – 2022

Medical billing/ Account receivable, Sierra health services LLC, New Jersey

● Enter CPT codes and patient information by kinto billing software

● check eligibility and benefits verification

● Prepare, review and transmit claims using software, including electronic and paper claim processing

● Make out calls or emails to clinic staff, insurance payers, MVA adjusters, Work comp case managers, attorney offices

● Provided medical billing support, with insurance and patient aging report to resubmit insurance claims when necessary

2017 – 2021

Medical billing /collector, Northeast orthopedics and sports medicine Nanuet NY

● Ensure new and current patient records contain complete billing contact and insurance information

● Complete monthly statements, and payment plans, and provided collection support

● Negotiate overdue balances to recover payments from patients

● Generate invoices for patients including payment plan options

● Maintain communication with insurance companies regarding claim denials, verbal and written appeals

● Update cash spreadsheet and run collection reports

● Monitor aging reports for assigned insurance carrier July 2013 – June 2016

Restaurant manager, Burger king- Spring Valley NY/ Nyack NY

● Recruiting, training, managing and training a team of 12

● Maitained adherence to all company policies & safety standars, receiving health inspection scores at or above 98%

● keeping control of food labour costs. Dealing with & ressolved customers complains

● Managed accounts, Payroll & Weekly inventory

Skills

Medical terminology, ICD/CPT Coding,

Progress documentation

HMO/PPO, EMR

Customer support, explanation of Benefits

HIPAA compliance/food safety

Efficient communication, organization, and detail-oriented Microsoft Office systems (Word, Excel, Office)

United Healthcare, Aetna, Medicare, Medicaid, and private insurance

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