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

• 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

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

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

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