Dorothy Fogarty Email & Phone Number

Jersey City, New Jersey, United States

• Conduct A/R follow-up on both front-end scrubs and back-end denials, ensuring timely and accurate claim resolution.
• Scrub and review claims for submission, managing high volumes of billing and ensuring compliance with payer guidelines.
• Review and resolve claim edits related to registration, insurance, charges, and other issues across multiple high-volume practices.
• Read and interpret Explanation of Benefits (EOBs) and denials, providing actionable feedback and initiating appeals for reimbursement.
• Effectively communicate with insurance companies, utilizing web portals to track appeal status, eligibility, reconsiderations, remittance, and payment details.
• Generate detailed reports to identify trends in claim denials and report findings to management for processimprovement.

Clarksville, Arkansas, United States

• Prepares patient accounts for billing (Prepares & Issues bills)
• Maintains strict confidentially and adheres to all HIPAA guidelines and regulations.
• Evaluates patient financial resources
• Establishes payment terms and performs collections
• Responds to patient billing or financial inquiries.
• Collect and posts payments and record receipts

Springdale, Arkansas, United States

• Prepared and submitted medical and dental claims to Medicaid, Medicare, Commercial insurance, and private pay accounts for twelve clinics.
• Maintained strict confidentially and adheres to all HIPAA guidelines and regulations.
• Reviewed rejected claims for errors and resubmits claims to payer for payment.
• Provided customer service for the patient financial services department.
• Consulted with and resolves patients account questions both in person and over the phone.
• Assisted patients with financial assistance and payment plans.

Clarksville, Arkansas, United States

• Provided clerical support and customer service ie. Scheduling, answered and documented incoming calls, greeted all patients and visitors to the department.
• Maintained strict confidentially and adheres to all HIPAA guidelines and regulations.
• Fulfilled all duties required to assist in the smooth functioning of the department.
• Established primary contact and rapport with patients, family members and visitors.
• Identified available services and provided direction to departments and areas within the facility.
• Maintained office supplies and maintenance of office equipment.

Arkadelphia, Arkansas, United States

• Electronic billing of all Medicare Part B claims, Medicaid, and private insurance fourteen retail pharmacies and accounts receivable.
• Maintained strict confidentially and adheres to all HIPAA guidelines and regulations.
• Verified eligibility of patient’s health insurance verification, data entry, prior authorizations, overrides and rejections for the pharmacy department.
• Attended to all customer service calls from Nursing homes and family members of residents.
• Assisted the Accounting Department with daily bank deposits and posting when needed.
• Generated and processed the mailing of monthly patient statements.

Dania Rexall Pharmacy & Medical Supply

• Ensured highest level of customer service to retail, institutional long term care, Fire department and medical rescue clients.
• Responsible for invoicing all accounts including fire rescue, ALF’s and group homes.
• Retrieved and processed orders for Fire Departments, Doctor’s Offices, Developmental disability Medicaid waiver patients, Nursing homes, and Pharmacy patients.
• Insurance billing and verification of Workman’s Compensation, Major medical, Florida MedicaidDME, Medicare DME, Home and Community Based Services, and Project Aids Care.
• Verified Health insurance, prior authorizations, and rejections for the pharmacy department conducts interviews, screenings and training of new employees and performs employee evaluations on a routine basis.
• Responsible for daily cash reconciliation and deposits of receipts and checks.

Education record

High School Diploma