Experience

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  South Shore VNA

  • Rockland, MA

  • Billing Clerk

    • Jun 2014 - Present
    • Rockland, MA

    • Determine the causes of claims rejections and denials• Work with insurance representatives and patients regarding eligibility and claims issues• Work with IT and Process Improvement staff regarding billing issues & Medicare requirements• Work with Process Improvement staff in processing Medicare “Additional Document Requests”• Submit claims to Medicare according to the accounts receivable billing cycle • Post electronic remittance payments to patient accounts

• 

  Medicompts

  • Canton, MA

  • Medical Biller

    • Sep 2011 - Jun 2014
    • Canton, MA

    • Manage third-party and patient billing for a large city ambulance service grossing $1.9 million/year • Abstract from service narrative ICD-9, CPT and HCPCS codes and charges for 3rd party claims• Manage denials and retractions from insurers to maximize receivables

• 

  Professional Tutor

  • Quincy, MA

  • Quincy College

    • Jan 2011 - May 2011
    • Quincy, MA

    • Provided ICD-9, CPT and HCPCS coding tutoring to students in the Tutoring Center

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  Wireless Communications, Verizon Premium Retailer

  • System Analyst (levels I – IV)

    • Mar 1988 - Nov 2003

    • Analyzed, designed, coded and tested software for various applications comprising a billing system• Established toll call processing within quality assurance testing and documented test execution• Developed quality assurance test plans based on analysis of projects impacting the billing system• Reviewed software test output to ensure data integrity, identifying and researching inconsistent results • Taught team members DB2/SQL querying• Created and maintained system documentation and job aids, sharing knowledge with team members • Implemented recoveries in a twelve-month period worth $491,000.00• Uncovered and remediated hidden revenue leaks• Coordinated with cross-functional team members to implement process improvements• Received three “Special Recognition Award” for accepting additional responsibilities