Sharon Roselle

Sharon Roselle’s 12 years of healthcare administrative experience as Medical Billing Specialist and Collections Specialist makes her a specialist with NY state and commercial payers. Sharon can be an individual or a team player as per requirements.

QUALIFICATIONS:

• Extensive experience in Medicare, Medicaid and all third party billing
• Medical billing systems – IDX BAR, IDX GPMS, Centricity, MED FLEX
• Software skills – MS Excel Level II, MS Word. MS PowerPoint and File Maker
• Extensive knowledge of ICD-9, CPT and HCPCS coding
• Excellent written and oral communication skills

EXPERIENCE:

• Perform daily follow-up activities for all insurance companies
• Post denials and forward claims to next payer
• Conduct responses to NY State Medicaid audits in a timely manner
• Verify patient's coverage, plan type and pre-authorization status
• Generate monthly receivable reports and ageing reports
• Post payments from Medicare and private insurance carriers
• Maintain a liaison with Doctors to follow correct coding procedures
• Maintain a liaison with MSCs' and patients for current eligibility status
• Update monthly receivable, census reports and ageing reports
• Provide consulting for patients within the Medicaid Managed Care population
• Research and develop payment plans for patients
• Advise patients on obtaining monthly payment plan options
• Obtain pre-authorization approval for specific procedures and/or equipment
• Update patient demographics