• Review claims submitted to insurance companies by various providers within the Northwell Health system for any unpaid services and research why these services were denied by using various tools at my disposal such as Supercoder, QOPI Guidelines, assistance from senior representatives and supervisors as well as the knowledge I have acquired while employed in the healthcare industry. • Finding, reporting and tracking issues and trends regarding claim denials to increase the quantity of… Show more • Review claims submitted to insurance companies by various providers within the Northwell Health system for any unpaid services and research why these services were denied by using various tools at my disposal such as Supercoder, QOPI Guidelines, assistance from senior representatives and supervisors as well as the knowledge I have acquired while employed in the healthcare industry. • Finding, reporting and tracking issues and trends regarding claim denials to increase the quantity of paid claims and to make the process more efficient and quicker.• Maintain a high level on quality and activity in claim resolution duties• Work with colleagues to improve work flow and environment Show less

• Contact various insurance companies to verify patient benefits for infertility, artificial insemination and in vitro fertilization• Update patient accounts with benefit details• Follow up on status of pending authorizations for patient infertility care• Post daily transactions for patient office visits

• Review billing slips for coding CPT and DX coding accuracy for maximum reimbursement• Post billing charges for annual visits, obstetric visits, surgeries and deliveries.• Review, research and resolve any missing charges • Conduct insurance verification and maternal authorizations.

- Visit various medical facilities on Long Island to collect necessary data for current HEDIS (Health Effectiveness Data and Information Set) Medical Records Review. - Assist in main office with clerical assignments as needed.

Responsibilities include visiting various medical facilities to obtain necessary documents including progress notes, lab results and correspondences to be utilized for chart reviews.

Assist HIM Supervisor in clerical duties such as the organization and sorting of documents related to patient charts and folders.

Process billing charges for patient office visits and surgical procedures.Research and resolve patient billing inquiries.Review submitted insurance claims regarding payment status.Credential physicians for affiliation with desired insurance companies.

Responsibilities include visiting various medical facilities to obtain necessary documents including progress notes, lab results and correspondences to be utilized for chart reviews.

Assist staff in the Healthcare Information Management office in the preparation of outgoing mail documents to include patient charts, lab work and consultation details. Previously assisted in the Wound Healing Center and offered assistance to include filing of dictation and progress notes, tests and correspondences. Preparation of patient files and charts as well as other office related tasks

Assist Rooms Divisions Manager in the analysis and updating of current and future rates in order to achieve maximum revenue. Rate analysis consists of researching current market trends and competitor pricing as well as seasonal considerations such as holiday travel and special New York events such as New York City marathon, UN General Assembly etc. Supervise reservations department staff to ensure calls are being attended to and that all existing reservations are updated and contain… Show more Assist Rooms Divisions Manager in the analysis and updating of current and future rates in order to achieve maximum revenue. Rate analysis consists of researching current market trends and competitor pricing as well as seasonal considerations such as holiday travel and special New York events such as New York City marathon, UN General Assembly etc. Supervise reservations department staff to ensure calls are being attended to and that all existing reservations are updated and contain accurate information regarding the incoming guest and their stay. Show less

Responsible for room assignments of incoming guests based on guest preferences etc. Supervise Front Desk, PBX, and Door/Bellstaff. Resolution of guest disputes or complaints, as well as attend to guest's needs i.e. concierge requests. Assist Rooms Division Manager with reports for incoming VIP clients and amenity requests as well as rate and yield management. Inventory control and purchasing of front office departmental supplies. Certificate of Fitness for Fire Safety Director: January… Show more Responsible for room assignments of incoming guests based on guest preferences etc. Supervise Front Desk, PBX, and Door/Bellstaff. Resolution of guest disputes or complaints, as well as attend to guest's needs i.e. concierge requests. Assist Rooms Division Manager with reports for incoming VIP clients and amenity requests as well as rate and yield management. Inventory control and purchasing of front office departmental supplies. Certificate of Fitness for Fire Safety Director: January 2003 Show less

Responsible for overseeing of duties of Refreshment Center staff as well as the hiring and training of said staff. Purchasing and receiving of supplies. Inventory control including detailed monthly inventory check. Staff scheduling. Daily accounting prodcedures to verify revenue earned and spending costs. Research methods and products to increase sales, revenue and efficiency of department

Responsible for all front desk operations, including automated reservations and check-in/out procedures. Assist front office supervisor in coordination of all group guest requirements, including tour package organization. As night manager, verify accuracy of all daily financial transactions. Supervise PBX and bell staff and compile all necessary reports for department managers. Employee of the Month

Assist Rooms Divisions Manager in coordinating all front desk and housekeeping operations. Institute improvements in accounting procedures to maximize efficiencies in hotel revenue tracking and verification. Interview and hire all night auditors; train and supervise night audit staff.

Responsibilities included processing all financial reports for departmental managers; verifying accounting for all hotel revenues; exercising security procedures to ensure hotel and guest safety. Cross-training in Food and Beverage, Maintenance and Housekeeping management procedures.

Duties included reservations, guest credit verification and cashier duties. Employee of the Month

Duties included inventory control, room reservations and cashier clerk.