Accounts Receivable Health Care

Lauren H. Langford

Email: ***********@*****.***

Phone: 347-***-****

REFERENCES AVAILABLE UPON REQUEST

EXPERIENCE:

Mount Sinai Hospital System New York N.Y April 2018 - Present Accounts Receivable Coordinator

• Manage and document authorizations received from Managed Care Companies. HMO’s and other health Care plans.

• Coordinate with various health insurances to ensure payments of claims.

• Submit denials on providers behalf, which have not pass the payers edits to determine payment.

• Continuously evaluate current policies and recommendations for improvements.

• Accountable for accurate and timely preparation of accounts submitted to third-party carriers and guarantors.

• Process assigned accounts routinely to meet quality goals.

• Identify and record the correct denial reason and value before initiating resubmission of claims.

• Utilize various resources to verify patients eligibility, benefits and health plan confirmation. The Phoenix Rehabilitation & Nursing Center Brooklyn, N.Y. July 2017 – April 2018 Nursing Administration - Medical Liaison/Adm. Assist

• Scheduled, coordinated & transcribed monthly departmental meetings for Organization.

• Liaised between Medical Staff and Department Administration.

• Generated reports, spreadsheets, invoices, letters case histories and medical records requests.

• Responsible for departmental bookkeeping appertaining to financial statements and billing.

• Secured patient database monthly.

• Screened and directed calls, mail, and visitor’s; answer inquiries as needed. Interfaith Medical Center Brooklyn N.Y. August 2016 – July 2017 Patient Medicaid Associate

• Received referrals, prepared and submitted transmittal through MEDE with 4A (2985 & 2921) to Medical Assistance Program (MAP) for clock-in.

• Conducted face to face interviews with In-house patients/family members to procure documents necessary to complete Medicaid applications.

• Finalized Medicaid application with mandated guidelines by the Medical Assistance Program (MAP).

• Procured and documented all pre-approvals and authorizations received from Managed Care Companies, HMO’s and other Health Care plans.

• Updated computer system with submission and decisions data received from MAP. Patient Business Associate/ Patient Access – Emergency Room February 2010 – August 2016

• Registered high volume of patients daily; obtained documentation for insurance and demographic verification.

• Verified insurance for Emergency Room and Admission patients.

• Ensured patients meet financial obligations through Hospital and software programs.

• Assisted patients with cash, credit card, deposits and deductible payments for services rendered.

• Assisted in the preparation of vital statistics by collecting data of births and deaths.

• Ensured Health Insurance Portability and Accountability Act (HIPAA) was enforced and confirmed. the patients comprehended their patient rights.

• Oversaw and cross trained embarking personnel for the department. Education: City As High School, Diploma

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