Roberta Massuda
Ocean View, NJ
**************@*****.***
www.linkedin.com/in/roberta-massuda-08564892
Education
Thomas Edison State College, Bachelor’s Degree in Liberal Arts, 2012
Professional Experience
Independence Blue Cross Blue Shield, Philadelphia, PA (remote)
Intepros Consulting, Contractor Supporting the Cash Application Team
Cash Application Analyst, December 2024 to present
Correctly identifies premium and non-premium payments
Research and applies unapplied payments for non cust ids, pending post and credit cards, payments are applied in Peoplesoft and ORMB
Logs items for Unpost/Repost, using ONE HUB
Keys non premium checks in CMS (Highview) and SDS (CFMS)
Review and ties out non premium items
Logs items for return mail
Prepares return item letters
Processes Self-Funded wires, identify log and apply in IBC PSAR (NextGen) and Peoplesoft (EnGen)
Processes VA Wires, identify logs and applies in IBC PSAR and Peoplesoft
Daily reporting of all queues for non-premium checks, unpost repost requests —every 2 hours
Lockbox Decisioning—bank items to be identified and allocated to correct accounts
Independence Blue Cross Blue Shield, Philadelphia, PA (remote)
Innova Contractor Supporting the Cash Application Team
Cash Application Analyst, October 2023 to November 2024
Correctly identified premium and non-premium payments
Researched and applied unapplied payments for non cust ids, pending post and credit cards; payment are applied in Peoplesoft and ORMB
Logged items for Unpost/Repost
Keyed non premium items
Reviewed and tied out non premium items
Logged items for return mail
Prepared return item letters
AM Balance reporting: reported any errors, duplicates, returned items, etc.
Wire Notices—pulled daily wires and logged on excel worksheet for daily applications of each wire
Daily reporting of all queues for non-premium checks, unpost repost requests —every 2 hours
The Gastroenterology Group, Medford, NJ
Billing/AR, May 2021 to Oct. 2023
Managed EFT payments
Oversaw billing agency and worked with them on timely filing, AR follow up, coding
Posted patient payments and insurance payments
Patient collections
Tracked/Posted credits
Kept log of denied claims
Worked with insurance companies and billing agency on denied claims resolution
Ran weekly/monthly AR reports
Updated patient recalls
Set up and monitored patient payment arrangements
Reconciled office day sheets
Scanned all pertinent billing documents to the server
The Gastroenterology Group (NJ office closed), Medford, NJ
Office Manager, Sept. 2019 to Dec. 2020
Managed and scheduled staff of up to 8 employees
Distributed documents from fax server
Prepared daily charts for physicians
Pre-authorized medications and radiology procedures
Interviewed and hired; prepared quarterly reviews
Prepared quarterly reviews
Trained and developed new employees
Scheduled hospital procedures
Medical Records
The Gastroenterology Group (NJ office closed), Medford, NJ
Medical Secretary, April 2018 to Sept. 2019
Patient check-in and check-out
Updated demographics
Verified insurance
Scheduled appointments and procedures
Home Health Aide, self-employed
June 2014 to April 2018
One on one, in-home daily care of elderly patients
Administration of medications
Assisted with meals and activities
Weekly reports to caregivers
Virtua Mt. Laurel Family Physicians
Medical Biller, Nov. 2005 to June 2014
Managed and posted patient payments in coordination with insurance companies
Created claims daily, checking coding and submitting electronically
Performed reconciliation and verification of insurance claims
Processed monthly statements and management reports
Resolved billing and insurance disputes
Researched and resolved incorrect payments, EOB rejections and other account issues
Verified demographic and insurance information
Accounts receivable collections via aging reports
Areas of Expertise
Computer proficient: EClinical Works. ChiroTouch, LibTax, EPIC, Navinet, Microsoft Office, Citrix Workspace, EnGen, PeopleSoft, ORMB, Highview, HIBS, Highmark, Insing, One Hub, NextGen, Excel