RAQUEL M ESTRADA
FISHKILL NEW YORK 12524
***************@***.***
PROFILE: BILLING SPECIALIST/ COLLECTIONS SPECIALIST /ACCOUNTS RECEIVABLE 2008-2011
My position with NYSSRM I was responsible for running all facets of biiling.
Which included submitting claims manually and electronically. I worked with
every insurance Workers Comp and No Fault all insurances. I excelled in my appeals
collection and outstanding unpaid accounts with excellent results. I have experience in
EClinical, Medical Manager, Lytec, Web M.D, Epaces NY, Med sys 60. I have extensive
experience with accounts receivable and posting for 5 offices and doing daily close
and yearly close. I recieved several bonuses for my outstanding degree of chasing
and getting unpaid accounts paid. I also implemented several procedures in ensuring
greater clean claims and payment like scanning of eob's to ensure every primary 2ndry .
and tertiary claims go out at timely fashion to avoid non payment.
I worked with all HMO's in state and out of state GHI Wellcare
BCBS etc. I worked with attorney's to ensure payments would be made with excellent
results. I also worked on eclinical scheduling insurance verifications.
I made sure all claims went out the first time with all the necessary
information codes and medical notes and greatly reduced the offices rejections.
I opened accounts that were closed written off 3 years and more and got them paid.
I exceeded in my appeal wins . I also have experience accounts receivable/collections and
Eclinical . I also worked on emdeon and scheduled appointments when I was needed.
HRHC BILLING TEAM LEADER 2006
My position with HRHC I was the team leader in overseeing 3 sites did all the data entry
for these sites and ensured that all claims went out in a timely manner. I worked with all
insurances and specialized in collections and high degree winning appeals. I worked with
Medical Manager Epaces Emed NY Web MD and electronic billing . Posting for all these
sites ensuring all accounts receivable was entered asap to ensure all payment were
recorded properly and deposits.
MEDI-BILL ASSOCIATES CLAIMS REPRESENTATIVE 2004-2006
My position with Medi Bill I was in charge of high degree of Dr's billing and collections
in the Tri State area we did outside billing . I worked with Medsys 60 and had great
reconciliation with unpaid accounts. I went on to win several employee of the month
because of my high degree in getting my appeals paid and overturned. I also did temp
work for dental office.
UNITED PERSONNEL 1985-2004
My position here at United Personnel I was the office manager in charge of all office
procedures and ensured clients went out to their prospective clients on a timely manner
accounts receivable, all facets in running the office high volume of clients.
I take great pride in my wotk I know I can be a great asset to your company
and get you the excellent results you are looking for. I am fluent in Spanish and a little
Italian
Education :Colegio San Pablo Republica Dominicana '1981
REFERENCES
Michael Williams President of United Personnel 212-***-****