PROFESSIONAL EXPERIENCE:
09/10 to Present Certified Nurse Assistant Branford Hills Health Care Center
Ledge wood 3 23 hours per week Part time
Responsibilities include intensive patient care which includes baths, massages, taking patient's temperature, pulse, blood pressure, light cleaning, distribute linens, set up equipment, deliver messages, and assembling meal trays for patients who are on special diets.
08/07 to 08/11 Utilization Review Manager, Cornell Scott Hill Health Center
Northside Site 37.5 hour per week Full time
Manages and follow up on monthly/bi-monthly insurance verification. Ensures entitlement information is accurate via EDS in order to re-file claims to appropriate carrier. Maintains and edits spreadsheets, rosters, and census documents. Understands and articulates Sliding Fee Scale, Financial Agreements, Spend downs and Advanced Beneficiary Notices (ABN’s) working with the client and billing department. Contact carriers for claim information on accounts that have been primary filed out and display no rejection to avoid time filing. Advance knowledge of Centricity Practice Solution 9.5. Responsible for identifying claims for re-file and generating letters of appeal. Responsible for organizing and collecting data for all requests for medical records and planned reviews. Understands and organizes complex billing detail offered by insurances carrier. Takes initiative towards problem solving to ensure collections. Assists in bringing closure to issues related to billing, CPT-4 and ICD9 coding, authorizations and credentialing issues as they relate to claim denials
04/10 to 10/10 Volunteer Phlebotomist National Kidney Foundation
Connecticut 8 hours per month
Responsibilities include drawing blood from patients or donors in hospital, blood bank, assembling equipment for specified tests or procedures. Verifies or records identity of patient or donor and converses with patient or donor to allay fear of procedure, conducting interviews, taking vital signs, drawing and testing blood samples to screen donors at blood bank
2003-2007 Behavioral Health Administrative Assistant, Cornell Scott Hill Health
Billing Department 37.5 hours per week Full time
Schedules Appointments, verifies insurance, calls for authorizations, keypunch encounters, refiles claims and writes Letter of Appeals for denied claims. Receives initial contact and documents referrals for service. Gathers necessary client information and refers clients (distressed or not) and/or families to the appropriate professional discipline.
2000-2003 Behavioral Health Billing Team Leader/Supervisor, Cornell Scott Hill Health Center
Billing Department 37.5 hours per week Full time
Identifies new payer’s sources by making accounts receivable reports. Facilitates the Corporation’s ability to collect fees for services rendered. Analyzes rejections, suspensions and denial for payment. Processes and post transactions daily. Posts incoming revenue and writes down un-collectable Claim amount. Writes reports analyzing the source of payer revenue against services delivered for assigned contracts so that administration may have data to inform policy and conduct strategic planning. Runs re-files a...
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