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Experienced Medical Biller

  1. #1
    Nassau Central New York Chapter
    Default Experienced Medical Biller
    Medical Coding Books
    Luis Marin
    Merrick, NY 11566 ยท ยท


    Medical biller with over eight years of healthcare experience. Solid background in customer service, problem solving, research, and investigation. Able to expedite multiple projects within tight deadlines. Strong team player that excels in a fast- paced, high volume environment.

    TOWN OPTICAL, New York, NY 3/2007 ? Present
    Optometry/Vision Therapy, High End Eyewear
    MEDICAL BILLER (Lead) (3/2007- Present)
    ยท Process over 800 medical claims quarterly for four clinicians
    ยท Correct denials in a timely manner
    ยท Obtain preauthorization for ophthalmologic prescriptions and ensure insurance guidelines are met
    ยท Schedule appointments and prepare billing forms for each patient
    ยท Responsible for various word processing assignments
    ยท Call insurance companies to verify patient eligibility and medical benefits
    ยท Obtain paper and electronic referrals from primary care physician
    ยท Act as liaison for insurance companies and provide requested information
    ยท Manage patient database and ensure all medical file information is accurate
    ยท Communicate and explain insurance coverage to patients from over 50 insurance plans
    ยท Inform patients of standard procedures and company policy

    INSTITUTE FOR URBAN FAMILY HEALTH, New York, NY 5/2002 ? 3/2007
    Non-profit Health Care Organization targeted to service low income families
    MEDICAL BILLER/Finance Department (5/2004- 3/2007)
    Created an accounts receivable tracking system, utilizing MS Excel, to provide accurate management of financial data
    Anticipated workflow and collaborated with supervisor on ideas on how to improve daily job functions
    Posted close to three million dollars in Medicaid payments
    Corrected and reprocessed Medicaid and all other major medical insurance company denials in a timely manner
    Communicated daily with patients and their insurance companies
    Handled inquiries from insurance companies
    Established a professional and respectable working relationship with co-workers and management

    REFERRAL SPECIALIST/Referral Department (5/2002- 5/2004)
    Expertly processed over one hundred referrals per week for patients and physicians
    Reviewed and tracked completed referrals
    Collaborated with co-workers and supervisor by multi-tasking to speed up the referral process
    Designed a directory of Doctors, Practices, Specialties, and Facilities, utilizing MS Excel, to accelerate the process of locating physicians and submitting referrals
    Assisted physicians in obtaining referral, insurance, and member information

    American Academy of Professional Coders (CPC Certification)

    SKILLS: Experienced in MS Word, Excel, Access, Medisoft, EPIC, IDX, Office Mate, Code Master, ICD-9 and CPT Coding
    Last edited by luismarin1; 05-15-2009 at 08:16 PM.

  2. #2
    Nassau Central New York Chapter
    Saturdays ONLY.

    Thank you.
    Last edited by luismarin1; 07-10-2009 at 01:11 PM.

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