Finance Associate at Freedom Care (2025-02 – 2025-11)
- Posted insurance payments accurately to ensure seamless account reconciliation.
- Managed claim submissions, ensuring billing accuracy and minimizing delays.
- Resolved billing discrepancies promptly, maintaining financial accuracy and compliance.
- Followed up on claim denials to expedite resolution and optimize revenue cycle processes.
- Conducted thorough account reviews to uphold accuracy.
- Documented denial reasons and gathered supporting documentation for appeals.
- Monitored assigned accounts for payment resolution or appeal opportunities.
- Investigated and documented payment errors from incorrect claim processing, supporting accurate resolutions.
Reimbursement Specialist at Addus Homecare (2020-08 – 2025-01)
- Led the patient insurance authorization process for services requested by the clinical staff responsible for the patient's care.
- Communicated regularly with clinical team during authorization process, ensuring timely updates on insurance service request outcomes.
- Managed and coordinated intake processes for new clients.
- Identified and corrected insurance claims, resolving billing inconsistencies and errors to facilitate accurate reimbursement.
- Ensured unpaid claims were reviewed and appropriate action was taken.
- Reviewed rejection reports and collaborated with providers to resolve issues preventing payment, ensuring prompt claim resolution.
- Researched rejections, investigating problems to appeal claims.
- Verified insurance authorizations with payers via phone or online systems.
Medical Biller at New Hope Fertility Center (2019-11 – 2020-03)
- Verified accuracy of patient information, including demographic data and insurance coverage details.
- Recorded payments in electronic medical records system promptly upon payment receipt, maintaining billing accuracy.
- Prepared and reviewed claims for submission, resolving upfront claims edits and errors.
- Advised patients on insurance coverage and out-of-pocket fees, facilitating informed financial decisions.
- Processed patient billing for fertility treatments and services.
- Handled billing inquiries from patients and providers, ensuring accurate and timely responses.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
Financial Coordinator at Rma Of New York (2017-11 – 2020-10)
- Executed daily audits of patient accounts to ensure accuracy and completeness.
- Managed billing processes by accurately posting insurance and patient payments to ensure timely revenue collection.
- Communicated fees and payment options to clarify patient financial responsibilities.
- Addressed patient inquiries and concerns promptly to enhance satisfaction.
- Ensured completion of all pre-certifications prior to treatment or surgery.
- Handled financial calls to verify insurance claims for accuracy and completeness, facilitating faster resolution of patient inquiries.
- Maintained meticulous cash drawer log books and processed credit card receipts.
- Consulted with patients on insurance coverage and out-of-pocket fees to provide clear understanding of financial responsibilities.
Medical Biller at Columbia University Medical Center (2015-08 – 2017-07)
- Verified accuracy of patient information, including demographic data and insurance coverage details.
- Received and posted payments from patients and insurance companies.
- Researched and resolved patient billing issues as necessary.
- Answered a high volume of calls related to billing inquiries.
- Obtained necessary authorizations for procedures as well as insurance verification.
- Counseled patients regarding insurance coverage for treatment and estimated costs.
- Submitted claims to insurance companies and followed up on unpaid claims.
Claims Specialist at Doshi Diagnostics (2011-12 – 2015-07)
- Identified root cause issues for insurance denials and effectively resolved complex payment issues, streamlining claims processing.
- Negotiated payment arrangements with customers, enhancing payment recovery based on individual financial situations.
- Resolved disputed amounts for customers through thorough research of account history, improving customer satisfaction.
- Provided excellent customer service while collecting past due payments.
- Maintained accurate records of all collection activities in collections system.
- Responded promptly to inquiries regarding account balances and payment arrangements.
- Generated periodic reports detailing progress on collections efforts.
- Received payments and posted amounts to customer accounts.
