Oversee billing programs for certified home health agency providing quality home care in the Metro New York area.
Lead team of up to 20 employees in complex medical billing activities; perform insurance verification, inpatient billing, and data entry, leveraging expert knowledge of 3rd-party insurance reimbursement to identify billing errors and make system adjustments. Manage interface with insurance providers during claims follow-up; conduct remittance processing, monitor self-pay collections, and file appeals to resolve outstanding balances, ensuring all claims are submitted with proper memo descriptions.
Key Contributions:
ï Played key role in building strong, highly accurate Data Management & Analysis Solutions team; advised hiring managers on staffing options, provided guidance through recruitment process, and spearheaded new staff orientation and training.
ï Capitalized on excellent organizational and multitasking skills to manage heavy workloads in high-pressure environment, consistently delivering results within firm deadlines.

Managed billing processing for nationís largest not-for-profit home healthcare organization.
Skillfully navigated intricate Medicaid programs to determine patient eligibility and authorizations for care; created and maintained patient billing records, verified insurance, and conducted research and review of candidate records to process denials and quickly address eligibility issues. Adeptly managed both computer-generated and manually processed billing functions; compiled, batched, and input data into program databases, and supervised temporary employees.
Key Contributions:
ï Prepared detailed, high-quality fiscal reports, commercial billing invoices, EOBs, UB92s, and ICD coding, ensuring all work conformed to HIPPA regulations.
ï Thoroughly documented all billing activities and communications, working closely with all key parties through entire billing cycle and account follow-up to resolve billing issues.