Suzanne Fallon Email & Phone Number

Staten Island, Ny

● Read and interpret EOBs. Respond to payer edits, rejections, and denials to resolve them ● Maintain worklist que on daily basis● Multi Specialty physician open/rejected A/R ● Communicate with front desk and coders to obtain pertinent claim information ● Validate insurance eligibility and fix errors for claim resubmission ● Respond to payer communications in a timely manner● Consistently meet deadlines and ability to maintain productivity requirements.● Retractions/ offsets● Post insurance rejections/denials ● Send appeals and corrected claims through websites, mail and faxes● HIPAA compliant

● Posting Private/Insurance contractual adjustments to patient accounts● Review ERAs, remittance codes, remark codes, and identify payer issues● Multi Specialty physician practice for Orthopedic, Neurology, Pain Management, Physical / Occupational Therapy services● Analyze aging reports to identify details of open account balances● Update patient demographics to bill primary/secondary payers● Maintains weekly trials for aging insurance carriers● Review credit balances and insurance/patient overpayments● Post insurance rejections and denials● Collaborate with providers to review patient charts● Utilize insurance websites to troubleshoot denials, send appeals and corrected claims● Contact provider service representatives to troubleshoot denials, send appeals ● HIPAA compliant

Staten Island, Ny

●Multiple specialty practice physician billing for outpatient, inpatient and emergency room services●Posted Private Insurance payments and contractual adjustments to patient accounts●Review front end errors and clearing house rejections, and resolve them●Audit daily and aging postings for accuracy and for contract compliance●Work with insurance carrier provider representatives on resolving adjudication issues, i.e. commercial insurance, Medicare, Medicaid, (including managed care plans), Workers Compensation, and No-Fault carriers●Process primary and secondary billings to payers●Consistently meet deadlines and ability to maintain productivity requirements●Identifying / reviewing / preparing patient and insurance overpayment refunds weekly●Appeal insurance rejections /denials, by both electronic and paper submissions●Maintain and utilize insurance websites to achieve maximum results, i.e. Emdeon, Connex, Epaces, Navinet, etc. ●Customer service resolution for patient accounts●Training new / established staff members on various job functions●Cultivate and maintain relationships with various clients, through account management and problem solving

Brooklyn, Ny

• Insurance and Hospital Credentialing for multiple providers• Retrieve, proof read and distribute dictated transcriptions • Insurance verification and authorizations for procedures• Accounts receivable and collection• Medical records preparation for insurance company audits and request from attorneys•. Helped prepare office for Joint Commission and AAAASF Accreditation survey • Prepare the schedules for physicians and employees• Responsible for ordering supplies• Front desk, answering heavy phone volume, patient registration• Wireless Capsule Endoscopy technician, insurance authorization and educate patient on procedure instructions

Brooklyn, Ny

• Front desk • Medical records• Answering multiple phones • Ordering supplies• Insurance and patient billing • Accounts receivable and collection

Brooklyn, Ny

• Greeting Patients•. Answer phones • Filing• Developing/ Maintaining x-ray films