Client Account Specialist /Billing Collections

 

69-01 21st Avenue, Brooklyn, NY 11204  (H)718-232-4684 (C)718-908-8007  carolvicens@yahoo.com

 

                                                                Carol Vicens

Experience

 

 

                      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                                          Health 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

                         

2008-2009                                                            Village Care 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                                                            Victory Memorial Hospital

 

1994-2008

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

1984-1994

Biller-Cash-Control

  • Billed insurance handled receivable, 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

_______________________________________________________________________________________

SKILLS

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

TRAINING

Blue Cross, Medicare and Medicaid seminars; various commercial insurance seminars

Certified Denial Recovery Specialist/ Cert#0072 July 8 2010

Certificate of Attendance Medico legal Issues/ March 19, 2004

Certificate 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

Certificate of Completion Course HIPAA 101/ May 13 2010 by HBS

Certificate of Training STARS/ August 24, 2010 BY NYC Human Resources Admin.

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

Seminar, How to Supervise People/ April, 6, 1999 

 

 

References upon Request

 

                 

  • ID#: 71011
  • Location: Brooklyn, NY , 11204

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