Experience

Acclara Solutions

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Accounts Receivable Representative

  • Nov 2014 - Present

  Account Receivable Representative •Translate for AR Representative and Patients calls (Bilingual)•Train new AR Representative •Help AR Representatives when needed•AR for Inpatient claims (all carriers) •AR for LGH•AR for managed care claims (current) Review and process outstanding client receivable, as assigned, to facilitate subsequent payment and claims adjudication on a timely basis.Report AR trending on individual projects on an ongoing basis.Assist with status report for clients.Perform insurance verifications as well as the preparation and submission of electronic and paper claims for various carries.Review payments, from both remittances and EOB's for accuracy. Process appropriate adjustments and/ or payments when necessary. Investigate and reprocess denials and partial payments.Prepare patient files verifying completeness and accuracy of information for billing and payment including, Follow all HIPAA related procedures ensuring the maintenance of patient's PHI (Protected Health Information).



Richard H. Kaplan, M.D., P.C. Physical Medicine and Rehabilitation

• Medical Billing Specialist

  • Aug 2014 - Oct 2014

  Translated for MA and Physicians (Bilingual)Prepared CMS-1500 forms including notes and ledgers Front Desk: Answered phones: schedule appointments, answer patient questions, provided information to personnelMaintain patient files; ensure files are closed when patient has completed all visitsBilling (W/C and Auto)Scanned diagnostic test to patients EMRScanned new patient PHI to EMRInput ICD-9/CPT codes in 1500 formsFiled medical records and patient information Sort patient information for subpoenaIMS software used



Cardone Industries

• United States
• Motor Vehicle Manufacturing
• 700 & Above Employee

• Maintanence Associate

  • Oct 1997 - Aug 2013

  Prepares, Proofs, Sorts and files source documents, and identifies and interprets data to be enter. Processes, routes and edits equipment move request and related documents as directed.Keep of work completed and reports work status on a weekly basis.Answer hotline calls, create and close work orders and reports enters, coding, adjust and close preventive maintenance schedules as directed.Responds to inquires regarding entered data for operations and corporate leaders.

• Quality Auditor

  • Oct 1997 - Aug 2013

  Performed QSA and Safety audits.Observed and asked employees question base on job function and procedures.Read procedure information such as worker logs, process documentation, prints and control plans to verified procedures are followed as documented.Document corrective action to supervisor personnel for product, process and safety related issues.Audits employees to ensure equipment is being operated and maintained according to company's standard.Assisted in the development of the audit plans, and Control Plans.