Administrative Assistant, Receptionist, Medical Billing Specialist
Resume:
Yoselin M. Fernandez
Forest Hills, NY 11375
************@*****.***
Experience:
Out-Patient Clerical Associate III Temp
Bellevue Hospital Center, New York, NY Dec 2009 - Present
• Responsible for billing Medicaid / Medicaid - Managed Care / FHP for Emergency Room Clinic and therapy claims
• Verify insurance information for patients in SMS/ Unity/eMedNY system (ePaces)/Online Management System (OAM).
• Correct remittance statements and re-bill as necessary
• Adjust accounts after payments and denials are received
• Perform accounts “clean up” on Medicaid/Managed Care/ FHP accounts such as adjustments, transfers between insurance and patient as needed.
• Access Receivables Edge, for payments/ denials
• Assist patients with complaints / inquires in person, via telephone and mail.
Medical Biller/Collector Temp
Chelsea Village Medical PC, New York, NY Aug 2009 - Oct. 2009
• Responsible for Accounts Receivable follow up with Commercial Insurance Carriers, as well as collecting, managing account payments, and printing monthly statements.
• Responsible for determining eligibility and benefits verification.
• Proficient with ICD – 9 / CPT – 4 diagnosis codes.
• Knowledge of using Lytec and eClinical works software.
• Experience with administrative duties, answering phones, making appointments, preparing mail, etc.
OPD Finance Clerical Associate
Elmhurst Hospital Center, New York, NY May 2009-Aug. 2009
• Handle reception of patients, disclose and discuss hospital policies/services
• Enter authorizations, schedule patients, and input new insurance information.
• Proficient in the execution of IDX systems.
Senior Claims Supervisor/Medical Biller
Business Dynamics Limited, Mineola, NY Jul. ‘07-Apr. ‘09
• Performed Claims / Data entry.
• Performed billing functions with commercial insurance companies, Medicare, Medicaid, Worker's Comp, No-Fault, etc.
• Experience with ePaces.
• Proficient with ICD - 9 / CPT - 4 diagnosis codes.
• Responsible for accounts receivables, collecting, posting and managing account payments.
• Responsible for submitting claims electronically and on paper, printing reports, fixing issues with the clearing house.
Education:
Berkeley College
Health Administration Services
Skills:
• Bilingual (English/Spanish)
• Proficient in all Microsoft applications & software(Such As: Word, Excel, etc)
• Clerical Skills; Typing Speed 60wpm
References: Furnished upon request
Contact this candidate