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Expertise In: Anesthesiology,
Experience : 12
Specialty : Anesthesiology,
Location : Bronx,NY
Description :

YISSELL DELROSARIO wishes to find a position with a successful company where acquired professional skills can be utilized effectively. Is hardworking, detailed oriented and possesses multitasking abilities that help in increasing profitability.


  • Type 45-50 WPM.
  • Fluent in both English and Spanish.
  • Internet savvy.
  • Computer knowledge (Microsoft, power point, and some excel.)


  • Ability to negotiate with insurance carriers for full payment on claims and to correct billing
  • errors.
  • Handles numerous accounts.
  • Knowledge of all major medical insurances
  • Monitors postings and claim status
  • Claim submission, posting payments
  • Processing appeals, denials and resubmits
  • CPT/ICD-9 coding
  • Electronic billing of Medicaid and all commercial carriers both in and out of network
  • Referrals/authorizations
  • Pre-authorizations & Verifications
  • Manages delinquent accounts
  • Answering EOBs
  • Knowledge of Medical Manager (INTERGY)
  • Experience dealing with insurance contracts
  • Making sure that claims are paid in the time frame.
  • Submit claims to primary and secondary payers in accordance with payer requirements.
  • Schedule and perform regular timely collection follow up telephone calls on all assigned accounts.
  • Run daily or monthly reports
  • Processing accounts for bad debt
  • Working knowledge of contract insurance, HMO’s, PPO’s, /Medicaid, Workers Compensation
  • Understand collection rules and regulations
  • Prepare reviews and sends out patient statements.
  • Maintain and updating patient records.
  • Making referrals appointment.
  • Patient coordinating.
  • Medical records request for hospital and clinics.
  • Sending invoices for medical records for attorneys and medical offices.
  • Schedule new patients’ offices visits as well as follow up.
  • Pull charts by the physician’s request.
  • Supervise new staff by the manager permission.
  • Updating demographics information in the computer.
  • Calling patients for next day appointments.
  • Charts preparation for the next day of the doctor’s appointments.
  • Answering phone calls and directs them to the different departments.
  • Announcing the arrival of visitors and guests to each department and related functions.
  • Register patient’s information in the computer using medisoft and practice software.
  • Collecting co-payments, insurance verification.
  • Ordering office supplies, calling lab to send specimens.
  • Advising the patient when they will need a new referral from their PCP.


  • Certificate: Medical Biller clerk/Ms office
  • Major: Medical secretary and liberal arts.
  • Accumulated 40 degree credits.

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