Client Account Specialist /Collections




69-01 21st Avenue, Brooklyn,
NY 11204  (H)718-232-4684

                                                                             Carol Vicens


                       Abacus Staffing LLC/Executive Physician System Inc.  (TEMP)

2012 -2012

Follow –up on receivable and posting on IDX



  • Posted rejections

  • Followed –up on Physician billing

  • Assignment completed Sept.29

2010 - 2011                                         
Business Solutions (Daytop)

Client Account Specialist

  • Register clients upon admission

  • Complete applications, recertification’s, Face to Face for HRA

  • Complete Out of County Applications and Re-certs for benefits

  • Ensure continuity of benefits/entitlements/ food stamps

  • Complete overrides, exemptions, restrictions for Medicaid and
         follow up             

  • Change payee and Social Security Benefits Transferred. All Social
         Security issues

  • Update files enter all issues in computer

  • Do Rotations for clients going Upstate with transfer letter and chart

  • Make sure clients obtain ID

  • Enter billing sheets

  • Reconcile Status Report.

  • Verify Insurance benefits and obtain authorization.

  • Check EPACES monthly for continuity of benefits

  • Help with PNA Balances and disputes thru Counselor

  • Work with Saams, Stars and Relay Health


 VillageCare of New York

Senior Medical Biller


  • Responsible for all aspects of Medicaid Billing
  • Review aging for Medicaid and other accounts receivable

  • Update and maintain budgets for patient funds

  • Follow up on all denials and pending claims

  • Responsible for daily, weekly and month end reports reconciling
         all patient billing, overpayments

  • Perform all necessary steps to refund overpayment

  • Maintained daily census


1984-2008                                                            VictoryMemorial Hospital


Patient Account and SNF Supervisor

  • Assist billers with problem accounts until resolved

  • Delegate and schedule daily employee work assignments


  • Perform evaluation and disciplinary actions

  • Telephone follow-ups with insurance representatives and clients on
         account status

  • Meet deadlines for Patient Commencement and Medicaid Audits

  • Approve trial balances, issue refunds, and followed up with
         accounts payable

  • Close and post nursing home revenue Modify and calculate billing disk
         for weekly Medicaid update

  • Responsible for all pay classes to reduce outstanding balances on

  • Billed all pay class in SNF and maintained PNA and SSI accounts



  • Billed insurance handled recievables,payments,adjustments,trial
  •   balance and timely follow up

  • Register and discharge patients, collect payments for in-room services

  • Nursing home biller

  • Commercial collections clerk

  • Trained billers on Medicare and Medicaid billing



Omnipro, Epaces, Edifice,
SDK, Accuplus, AS400, Excel, Client Management, Keane Care, IDX ,EMEVS.eMEDny, Knowledge
of various government and commercial insurance claim forms

Proficient in working with
insurance representatives as well as fellow employees


Cross, Medicare and Medicaid seminars; various commercial insurance seminars

Denial Recovery Specialist/ Cert#0072 July 8 2010

of Attendance Medico legal Issues/ March 19, 2004

of Completion for Confidentiality Training, 
CASAC Section 4, CPP Section, CPS Section,

   Drug and Alcohol Confidentiality RE:
Treatment and Records            

 HIPAA Privacy and Security

 Mandatory Child Abuse Reporting

 NYS HIV Confidentiality / April 21, 2011
Provide by OASIS

of Completion Course HIPAA 101/ May 13 2010 by HBSCertificate
of Training STARS/ August 24, 2010 BY NYC Human Resources Admin.

of Training  Keane Care Inc. Vistacare
Computer System /June 22, 2001

How to Supervise People/ April, 6, 1999 



References upon Request

  • ID#: 66358
  • Location: Brooklyn, NY , 11204

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