Finance Associate – Financial Clearance - (Management (Full Time-Promotion) - NYU Langone Medical Center
(2018-02 - 2026-04)
Revenue Cycle Operations
- Accurately obtained all financial information to properly record to maximize reimbursement for the medical center.
- Assisted both patients and physicians to comprehend the complexities of third-party payer systems as it applies to their cases.
- In-depth knowledge of insurance verification.
- Elevated and escalated eligibility, authorization, billing, and claims processing inaccuracies to implement upstream solutions.
- Demonstrated knowledge of the organization's Service Standards and incorporates them into the performance of duties.
- Assessed the patients' financial status relative to the Medical Centers policies.
- Collaborated with physician's offices, the managed Care Department and third-party payer to maximize financial revenues for the Hospitals Center.
- Utilized independent judgment and initiative to identify and troubleshoot issues with minimal supervision.
- Communicated and collaborated well with fellow staff members as well as other departments of the institution.
- Accessed the Finesse call line to direct patient with questions regarding their benefits; estimates or an authorization for services cleared within RCO.
- Adhered to compliance and departmental policies and procedures including compliance with 100% of HIPAA.
Business Office Associate –Financial Clearance (Full time) - NYU Langone Medical Center
(2016-12 - 2018-02)
Revenue Cycle Operations
- Obtained benefits and eligibility for Diagnostic, Radiological & Nuclear Medicine patients whether via online or via phone calls to in network insurances.
- Followed communication procedures, guidelines, and policies.
- Managed multi-line phone system providing quality benefit information to clients and insurance companies.
- Created and completes referrals, internally and externally as well as obtained authorizations for diagnostic services rendered.
- Answered heavy call volumes of patients seeking information on patient responsibility and other account matters. Follows up on accounts under 9 days.
- Responded in a prompt and accurate manner by telephone to resolve patient financial inquiries or issues.
- Scanned all necessary documents into the Epic registration system.
- Obtained estimate patient responsibility using the Clear IQ estimate tool.
- Recognized when delinquent situations could not be resolved internally, therefore issues were escalated to Sr Leadership for recommendations.
- Provided back-up and coverage for other BA's when necessary.
- Acted in accordance with the departmental policies and performs all necessary tasks required to bring accounts to resolution.
- Collected payment from patients paying their out-of-pocket responsibilities, batching, and reconciling.
Assistant Coordinating Manager & Secretary to the Associate Director (ED & Admitting) - NYC Health & Hospitals – Kings County Medical Center
(2015-08 - 2016-12)
- Promoted a positive and pleasant attitude conducive to the workplace which enhances and furthers the Mission, Vision, and Value Statement of Kings County.
- Participated in Performance Improvement Activities.
- Reviewed ED Registrations for correct scanning of patient consents.
- Reviewed and analyzed ED and Admitting reports as directed by the Associate Director.
- Demonstrated an awareness of the organization's Safety Plan and Guiding Principles.
- Maintained the calendar for the Associate Director of Admitting and ED
- Scheduled and coordinates meetings within and outside of Kings County for the Associate Director and staff.
- Create invoices and processes Temp staffing time sheets within the WFX system.
- Managed filing, phones (also for the Associate Director), orders, supplies including Admitting Face sheets, water, requests Temp-Staff from agencies, daily office supplies, etc.
- Reviewed reports using various systems to verify patient eligibility, ePrescibe data, and demographic information.
Senior FGP Assistant (Full time) - NYU Langone Heart and Rhythm Center-Cardiology Division
(2014-10 - 2015-08)
- Greeted patients, preps new patient charts, data entry, co-pay collections, insurance verification, etc.
- Scheduled appointments & procedures for both new (New chart registration) & existing clients within and referred to HRC.
- Appointments scheduled for both cardiovascular treatment as well as Genetic counseling.
- Managed heavy phone calls of about 300-600 per day on a multi-line system (which does not have a directory phone tree).
- Liaison between the patient and OBS, NP's and PA'S regarding client inquiries or concerns regarding.
- Scheduled procedures, broad questions including medications questions using Outlook.
- Maintained 5 Electro physiologists client calendar using the Epic Registration system.
- Updated physician request to SPECTOCOR for client heart monitoring systems.
- Obtained authorizations for scheduled appointments prior to client visits.
- Completed medical records requests for clients and physicians outside of the HRC Network.
- Obtained INR/Lab work from outside labs per client or physician request. Scant all necessary documents into the Epic registration system.
Senior Secretary & Receptionist II (Contract Assignment – 3 months) - Center for Cancer Care at Montefiore Medical - Bronx, NY
(2013-10 - 2013-12)
- Scheduled patient appointments for over 20 Physicians & billed insurance companies for services rendered.
- Managed heavy phones (multi-line system), routed calls to the appropriate party, and filed faxed and coordinated charts.
- Composed correspondence, reports, and memos for physician disposition review.
- Obtained authorizations for scheduled appointments, scheduled mammograms, and CT & Bone Density scans.
- Managed purchase requisitions by updating the system with purchased inventory.
Administrative Assistant & Receptionist (Contract Assignment – 3 months) - NEW YORK BLOOD CENTER - New York, NY
(2013-07 - 2013-10)
- Scheduled patient appointments for the blood centers Center East (NY), all boroughs & upstate.
- Answered heavy phones (multi-line system), filed, faxed, updated Apheresis schedules for 11 Nurses.
- Managed all intake orders from healthcare facilities, referrals, and Physicians.
- Prepared all Q & A reports for audit review.
- Managed heavy chart coordination for all Cancer cases.
- Data entry into FMP (File Maker Pro).
- Obtained authorizations for all referral cases and extended treatments.
- Billed insurance companies for services rendered using the Eagle system.
Administrative Assistant/Auditor/Consultant (Contract Assignment 15 months) - INTERFAITH MEDICAL CENTER - Brooklyn, NY
(2012-02 - 2013-05)
- Answered phones (multi-line system), filed, faxed, distributed mail, scheduled & prepared agenda, and records minutes for staff meetings, oversaw internal and external correspondence.
- Prepared end-of-month activity reports and quality review reports, reconciled day- and month-end reports.
- Communicated with physicians and physicians' staff, medical records staff, patients, and patients' families to effectively meet their needs.
- Maintained the Director's calendar, scheduled meetings, prepared phone conference calls.
- Scheduled travel arrangements for the Director as well as outside vendors, processed invoice payments, etc., Communicated with vendors for equipment (fax/copy machines and phones), ordered office supplies.
Financial Auditor/Biller/Client Liaison (Full time) - FLUSHING HOSPITAL - Flushing, NY
(2001-04 - 2011-12)
- Conducted corporate compliance, financial and operational audits on fifty plus facilities within the healthcare network.
- Operated high-volume phone system and maintained daily direct and indirect client relations operations including acting as point of contact for patients.
- Made appropriate corrections to systems and resubmitted claims as needed.
- Provided alternatives to resolve account balances where guarantors were unable to pay (e.g., budget plans).
- Assisted patients in appealing denied claims by carriers with information needed to process claims.
- Reported denials, and overturned success rate (83%) weekly to the Director of Finance.
- Demonstrated experience in ICD-9 and CPT-4 coding terminology and expertise in optimizing collection efforts and expediting reimbursements.
- Billed for Inpatient and Outpatient services for all lines of business.
