Associate Patient Account Representative - SY ORTHOPAEDIC ASSC. GREAT NECK - NEW HYDE PARK, NEW YORK
(2019-11 - 2026-06)
Worker's Comp/No Fault Dept. (Remote)
- Submit authorizations (MG2, C4) for PT, OT, surgery, MRI/CT, EMG, DME, medications, injections and PRP to carriers and WCB in accordance with WCB medical guidelines using Allscripts, TouchWorks, Athena, GECB, Soarian and EPIC.
- Collaborate with 25 Ortho/PMR providers across regions to correct billing issues and streamline claims-edit processes; resolved 90+ complex claims per month, improving billing accuracy by 85%.
- Provide charge-entry guidance and manage claims processing, pre-authorizations/referrals, appeals and claim rejections to ensure timely, accurate submissions.
- Ensure daily claim submissions with proactive follow-up to maintain rapid claim resolution and minimize denials.
- Independently manage heavy workloads while exercising sound judgment and maintaining high attention to detail.
Practice Secretarial Associate - SY ORTHOPAEDIC ASSC. GREAT NECK/NORTHWELL HEALTH - GREAT NECK/GLEN COVE, NEW YORK
(2018-02 - 2020-01)
- Welcome patients and managed front desk duties while ensuring strict HIPAA compliance and accurate medical record handling
- Verified referrals and insurance benefits (Medicaid/Medicare/HMO/PPO), explain coverage and estimate patients cost for procedures to improve financial transparency.
- Prepared charts and consents for new and pre-op patients, collected co-payments, and coordinate scheduling, re-scheduling and pre/post op appointments for three providers.
- Placed outbound calls to confirm appointments and follow up on referrals and paperwork, improving appointment adherence and clinic efficiency.
Office Manager - VETPORT ANIMAL HOSPITAL - JAMAICA, NEW YORK
(2013-02 - 2017-01)
- Recruited, trained and supervised permanent and seasonal staff; developed and implanted policies and standard operating procedures.
- Managed daily business operations including budgeting, cost control, payroll support and basic accounting
- Delivered personalized client service to maintain high satisfaction and repeat business.
Receptionist - VETPORT ANIMAL HOSPITAL - JAMAICA, NEW YORK
(2007-10 - 2013-02)
- Handled boarding, admissions and discharges for a wide range of animals; processed payments and prepared health certificates for domestic and international travels
- Assisted veterinarians during procedures, administered medications (including insulin and vaccines) and supported nursing care
- Maintained hospital cleanliness and logistical operations, ensured professional client communications during check in/out and airline transfers.
Receptionist - DEPT. OF MENTAL HEALTH - NEW YORK CITY, NEW YORK
(2001-08 - 2003-10)
- Managed mail distribution, office opening/closing and filing systems; prepared and type legal documents and reports accurately and on time.
- Answered and routed multi-line phone system (average volume - 15 calls per hour) and provided front desk coverage and administrative support to staff.
- Adapted to different workflows and interacted effectively with stakeholders at organizational levels.