Senior Medical Billing and Claims Specialist - Assist Ambulance - 4420 Farragut Road
(2023-05)
- I processed complex medical claims using dedicated billing software to secure prompt, accurate payouts from commercial and government payers.
- I monitored claim adjudication across Availity Essentials, Inovalon, NGSConnex, ePACES, and insurance web portals to flag and appeal denials immediately.
- To drive down denial rates, I performed comprehensive upfront reviews of patient records to catch coding and billing discrepancies before submission.
- I utilized Accurint software to locate accurate demographic and insurance data, which significantly boosted successful skip-tracing and debt collection efforts.
- I spearheaded insurance collections by maintaining strict follow-up schedules with insurance providers regarding outstanding or aging accounts receivable.
- I submitted the timely filing appeals along with valid proof of timely submission.
Medical Billing Specialist - Columbia University Medical Center - New York, NY
(2018-06 - 2019-08)
- Knowledge of working with Epic, Idx, Crown and other insurance web sites.
- Responsibility for the proper and timely processing of multi-specialty claims and payments from state third party payers.
- Ability to navigate Medicare, Medicaid and third party website and applying all coding rules and use of CPT and ICD codes.
- Timely filling appeal process and follow up claims.
Medical Biller & Follow Up Representative - RTR Financial Services - Staten Island, NY
(2017-08 - 2018-03)
- Knowledge of working with EPIC system software, Crown, and other insurance web portals.
- Processing encounters and claims in the electronic medical record system.
- Identify and resolve insurance claims and client issues in a timely manner if necessary, submitting appeals in a timely manner.
- Meeting with partners regularly to discuss preparation and status of invoices.
- Performing transfers, write-offs, and adjustments.
- Working closely with partners and legal support staff to resolve and issue and ensure bills are accurate and complete.
- Drafting, finalizing, and posting invoices and maintaining billing files.
Medical Billing Supervisor - Jacob Nursing And Healthcare Agency - Brooklyn, NY
(2014-11 - 2017-07)
I managed full-cycle billing operations and consistently met or exceeded departmental reimbursement timelines.
- Processed and submitted medical claims using advanced billing software, ensuring compliance with regulations.
- I utilized an expansive suite of software platforms—including Epic, IDX, Epaces, Change Healthcare, Experience Health, Crown, and IGEA—to seamlessly manage medical billing workflows.
- I performed rigorous eligibility checks to accurately enter primary insurance and responsible-party details directly into patient charts, preventing downstream billing errors.
- I took full responsibility for the proper and timely processing of multi-specialty claims and payments from state third-party payers to ensure consistent cash flow.
- I drafted and submitted highly detailed medical appeals, paired with assertive, consistent follow-up to overturn wrongful insurance denials.
- I accurately applied payments, contractual adjustments, and approved write-offs to patient accounts as required by compliance guidelines.
- I posted Medicaid, managed care, and commercial check remittances while systematically correcting and resubmitting open or denied claims.
- I expertly navigated Medicare, Medicaid, and private payer websites to apply precise CPT and ICD coding rules for maximum reimbursement.
- I resolved complex customer and insurance inquiries via mail, email, fax, and phone in a highly professional and timely manner.
Accounting Manager - Axis Bank & Securities ltd - Anand, INDIA
(2010-04 - 2014-08)
- Responsible for maintaining petty cash records and updating of fixed asset register.
- Responsible for banking transaction like withdrawal of cash, submission of expense utilities bills to accounts department.
- Utilizes computer to prepare spreadsheets to analyze project data as per requirement.
- Managed vendor accounts, generating weekly on demand checks.
- Performed general office duties and administrative tasks.
