Experience

Massena Hospital

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

• Provider Onboarding/Enrollment Specialist & Patient Accounts Specialist

  • Feb 2014 - Present

  Onboarding/Enrollment of all Professional Providers with Payers/Insurances.Facility Revalidation and Recertification requirements-All government and Insurance payersResearch and processing of credit balances..Aged Trial Balance review, interpretation, and status of Aged ClaimsEducate Patients on Insurance/Payer rules and guidelines.Assist Billers with questions and claim issues.RAC recovery claims.Claim AppealsWorking knowledge of many software programs used for billing, documentation, verification, reporting, etc. (Meditech, Meditech LSS, EPACES, MEIPASS, Excel, Microsoft Word, Ability, CMS I&A, Emdeon/Envoy, IACS, NPPES)New Clinic/Practice set-up. (Super Bill, Charges, phones, equipment, files, furniture, etc.)Financial Claims projects.Meetings with Insurance Provider Representatives.Patient Claim Inquiries.Knowledge of most current CMS, NYSDOH, HHS, NYS Medicaid, and Medicare laws/guidelinesMedicare Billing Excellus BCBS BillingCommercial BillingIndian Health Services Billing 27 years Facility Billing Experience5 years Professional Billing ExperienceSupervisory DutiesMeaningful Use, PQRS, e-scribing Incentive Programs and reporting registration/program requirements3 years Information Systems Help Desk/ office CoordinatorInformation Systems InventoryInformation Systems Policy and Procedure/Security and ComplianceUser Access E-Prescribing DrFirst and ImprivataMeditechMedhost

• Senior Healthcare Billing Clerk

  • Jan 1988 - Present

  Medicare, Commercial, Excellus BCBS, and MAO billingClaim AppealsRAC claimsProvide guidance and assistance to Billers

• Clerk

  • Jan 1988 - Jun 1989

  I duties included answering the hospital switchboard, monitoring hospital alarms, inpatient admitting, outpatient registration, responsibility for a cash drawer, mailing statements, filing, etc.