Accounts Receivable Front Desk
Resume:
Patricia Hemingway
Brooklyn, NY *****
**********@*****.***
Professional Experience:
Kindbody Fertility
Payment Poster/ Biller 02/2022 – Present
Post all payments that comes into the office
Generate claims thru our Medical billing system Azaleaa
Maintain and protect patient confidentiality
Verify accurate patient demographics and insurance information are reported on claims
Responsible for accurately reporting correct authorizations are on claims
Work closely with our front desk staff to ensure all office encounter forms are received for billing purposes
Catholic Charities of Brooklyn and Queens 01/2020 – Present
Biller/AR R
Coordinate all electronic and manual Remittance processing from multiple pay sources ie: Insurance companies
Review and work aging reports
Rebill and adjust claims as necessary
Post denials and update spreadsheets
Follow up with payer regarding issues or denials
Communicate with direct care program staff as needed
Work as part of the interdepartmental team in the development implementation team in the develop and implementation of standardized billing process.
Supports the agency mission, vision and code of ethics stated in the agency’s Personnel policies Manual
Visiting Nurse Services, New York, NY 10/2019 – 12/2019
Biller/ Collections
Handled more than 50 Accounts Receivable claims daily
Developed expertise in commercial, private and managed care insurance programs, including Medicare and Medicaid
Submitted claims for Medicare and Medicaid to the highest level of accuracy
Developed a cross checking system with the nurses and aides to ensure that patient data is complete and accurate for claims processing
Prepared and presented reports on collection activities and progress.
Handled write offs and appeal letters
Investigated historical data for debts and bills.
Knowledge of EMR system Homecare Homebase and Excel
NYU Student Health Center, New York, NY 10/2018 – 10/2019
Biller/ Account Receivable Representative
Analyzed and submitted monthly billing for the student’s insurance agencies.
Executed accounts receivable and accounts payable reporting and reconciliation procedures.
Received and recorded cash and check payments
Communicated with health insurance agencies regarding unpaid claims.
Maintained and updated collections tracking spreadsheets to help organize payment information.
Knowledge of OASAS and OMH regulations
Knowledge of EMR systems Athena, Point and click, and Excel
Brooklyn Surgery Center, Brooklyn, NY 01/2014 – 08/2018
Medical Biller/ credentialing
Processed paperwork relating to MD's credentials
Ensuring databases details the practioners' education// training licensing and experience
In charge of all Medicare and Medicaid billing
Performed Accounts Receivable functions, sent appeal letters with patient notes and all correct information
Used coded data to produce and submit claims to insurance companies
Posted payments and denials into the STI system[i]
Recorded daily cash activities such as co pays, deductibles or self-pay payments
Answered patient billing questions
Acted as a liaison between the patient and insurance companies
Knowledge of EMR systems Omnipro, Epaces and Medical Management, Eagle, Epic
Forum Staffing - NYU Medical Center, New York, NY 7/13 – 11/13
Medical Biller/Charge Entry (Temp)
Responsible for Accounts Receivable, corrected all claims that were scrubbed, rejected or denied by Emdeon
Handled Medicare and Medicaid billing
Prepared and posted batches of worker’s compensation and no-fault claims
Entered and reconciled charge batches, surgical batches and co-pays
Registered patients into the Epic system
Negotiated a reasonable payment plan if needed
Responsible for responding to patients in a timely manner about billing issues (i.e. insurance and collection questions)
Interacted with insurance companies to resolve issues delaying the collection accounts
EMR systems Excel, Eagle, ECW
Beth Israel Medical Center, New York, NY 6/07 – 07/12
Patient Billing Liaison
Billed to insurance companies and EOB collection for Medicare and Medicaid audits
Charged entries into the Epic billing system
Collected and maintained a third-party account and reviewed billing edits
Recorded all payments (i.e. deductibles and co-pays) and denials from patients and insurance companies
Created and closed all visits for treatment into the eagle system
Imported and exported all of the front-end daily billing
Performed telephonic and prospective review of radiation therapy services in accordance with the patient
Knowledge of EMR systems Mosiac, Cerner, Eagle, and Emdeon
EMR Systems : Point and Click, Mosaic, Eagle, Cerner, Veriquest, Ontrac, Epic, ECW, Athena, Medical Management, IDX, Stock amp, Emdeon Typing 65 – 80 WPM, Microsoft Word, Excel, OAM, Sms Net, Omnipro, HHA, Point and Click. Axxess
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