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Tracy A. Ventura

Name : Tracy A. Ventura
Experience : 11
Specialty : Hospitalist Billing,Neurology,Ambulance Transportation,
Location : LittleCompton,RI
Description :

Tracy is enterprising and detail-oriented with 7 years of experience as the owner of a billing and coding consultancy working for neurologists. A certified medical biller and coder, she has also worked as managing Sales Assistant, Pharmacy Technician/ Scheduler for Pharmacist, intern, and is presently working as a Qualified Resources International with an ambulance company. Her specialties are Neurology and Hospital and Ambulance billing.

She is well-versed in handling insurance filing and coding, processing appeals for denied/problematic/old/third party claims, collections, primary and secondary billing, such as UHC, BC/BS, and has knowledge of CPT, HCPCS, CMS-1500, UB-04, ICD-9, patient scheduling, data entry, verification/eligibility of benefits, and insurance pre-authorizations/pre-certifications. She is familiar with Microsoft Office suite, MediSoft Office Software, Calyx, Trust Desk, SMS, RUMBA, SSI, NPPES, CAS, People Safe, AS400, Citrix, and AIM.

Her key responsibilities have included the following:

  • Coded and billed for all walker, wheelchair, and ambulance runs; both emergency and non emergency, such as daily dialysis patients, using ICD-9, CPT, and HCPCS
  • Established companies to get set up for audit purposes with brokerage firms
  • Owned a healthcare consultancy, managed small staff; opened satellite office in New Bedford from Providence
  • Assisted in new pharmacy openings and Coordinated pharmacy set up
  • Scheduled and managed over seventy Pharmacists for the district’s forty stores: vacations, sick calls, etc.
  • Worked with District Manager to maximize pharmacy productivity and recommending ideas and changes
  • Assisted four financial consultants in addition to Branch Manager
  • Prepared deposits;  scheduled staff, time sheets, and interviews

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