Accounts Receivable Medical Billing

Irene Prins

Hackensack, NJ ***** • Cell: 631-***-**** ***********@*****.***

Professional Summary Goals

To utilize my experience in customer service management, office management, accounts receivable management and technological literacy in an organization that offers challenges, increased responsibility and the opportunity for growth.

EDUCATION

Queensborough Community College – Bayside, NY

Business Training Institute - Rochelle Park, NJ

Diploma: Medical Billing and Coding

TECHNICAL SKILLS

Revenue Cycle Management, Medical Billing, Payment Posting, Medical Front End Operations, Insurance Claim Processing and Insurance Plan Literacy, HIPPA Literacy, PQRS, Microsoft Word, Microsoft Excel e-MDs, Tier, Evolv, Medisoft, Lytec, ADS, Bilingual in English & Russian.

ACCOMPLISHMENTS

Implemented the Data Media/patient statement protocol Integrated the Patient Account process including collections and statements into a new system.

Set up the practices ICD 10 system to meet all CMS guidelines Coordinated with Lytec to have staff to have ICD-10 training.

Implemented the use of collection module

Created user name and accounts for all EFT and ACH transactions Created online account for Navinet and advised staff in the cardiology billing department on the benefits.

Denial management: Reduction of denials and monitoring of types of denials EMR Implementation Team Member: Successful EMR implementation and achievement of Meaningful Use.

PROFESSIONAL EXPERIENCE

Accounts Receivable Representative October 2018 to Present

Care Plus NJ

Physician Billing on HCFA

UB-04 Billing

HIPAA Certified

Follow up on Insurance claims. Re-submit insurance claims as necessary.

Knowledgeable in timely filing restrictions.

Medicare Appeals

Work with Medicare, Medicaid and private insurance

Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts

DCPP Billing and payment posting

Cash Posting

Insurance Verification

Patient Accounts Representative June 2016 to July 2018

Sunspire Health

Recorded information about financial status of clients and status of collection efforts.

Monitored overdue accounts, receive payments and post amounts paid to client accounts.

Located and notified clients of delinquent accounts by mail, e-mail, telephone, etc.

Arranged for debt repayment or established repayment schedules, based on client’s financial situations.

Oversaw external vendor collection efforts, as appropriate.

Prepared statements to credit department if client fails to respond.

Diagnostic Ultrasound Plus Inc August 2015 to June 2016

Office Manager

Billing and coding for multiple ultrasound technicians

Responsible for posting payments daily

Interacted with multiple physicians on a daily basis

Coordinated schedule with technicians and physician's offices

Verified insurances which included checking deductible and coinsurance information.

Created Spreadsheets of Multiple studies and the reading radiologist

Uploaded documents on coreweb (PACS) so all physicians can review their patients records

Bergen Management April 2014 to July 2015

Collections Specialist

Ran monthly A/R reports for both patient and insurance accounts specifically but not limited to Medicare and Medicaid insurance.

Responsible for the collection of Primary care, Psychiatry and Cardiology Departments.

Payment posting for multiple physicians Verification of insurance (both commercial and state)

Assisting patients understand their bills, phone calls etc.

Rheumatology Associates of Long Island November 2005 to October 2013

Assistant Billing Manager

Revenue Cycle Management responsibilities included but not limited to: Insurance verification Patient data registration PQRS Participation for Rheumatology practice of 8 physicians Medical Billing, specializing in Infusion Therapy Billing (Rituxan, Remicade, Orencia, Actemra, Benlysta, Prolia, Reclast, Boniva, Tysabri) Medicare and Medicaid billing Claim scrubbing: Pre and Post Transmission Claims dropping, Reduced claims errors by 40%.

Account Posting: Posting $75,000 average payments per day manually and later even more through auto-posting and auto-posting monitoring while applying patient responsibilities and sending secondary claims.

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