Accomplished Medical Billing Specialist at Medsac, adept in claims resolution and accounts management. Proven track record in enhancing productivity and streamlining operations. Leveraged effective communication and cultural competence to resolve complex billing issues, achieving a 95% claims approval rate. Skilled in team training and operational oversight, driving market expansion and customer satisfaction.
Overview
13
13
years of professional experience
Work History
Medical Billing Specialist (remote)
Medsac
Brooklyn, NY
11.2023 - Current
Processed medical claims using advanced health record software Prognocis, and tools.
Reviewed patient accounts for accuracy and completeness of information.
Resolved denied claims through effective follow-up and documentation.
Collaborated with team members to streamline billing procedures and workflows.
Posted charges, payments and adjustments.
Applied payments, adjustments, and denials into medical manager system.
Maintained detailed records of all billing activities including denials, adjustments, and payments received.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Submitted refund requests for claims paid in error.
Collaborated closely with other departments to resolve claims issues.
Reviewed patient records for accuracy and completeness of information in medical billing system.
Utilized communication software such as Google Chat, Slack to coordinate between departments remotely.
Worked with CRM platform including Go High Level to ensure efficient patient interactions.
Designed and delivered training programs for new staff members.
Operations Manager ( Remote )
Gadimbayli Inc, DBA Bakumoving
Falls Church, VA
08.2018 - 07.2023
Managed inventory and supply chain operations to achieve timely and accurate delivery of services.
Developed and implemented strategies to maximize customer satisfaction.
Trained and guided team members to maintain high productivity and performance metrics.
Scheduled employees for shifts, taking into account customer traffic and employee strengths.
Led hiring, onboarding and training of new hires to fulfill business requirements.
Analyzed and reported on key performance metrics to senior management.
Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
Dealed with the company’s state files -IFTA, IRP, taxes - IRS, documents and systems- FMCSA, DMV.
Managed to online applications such as Zapier, Trello, Square, Ringcentral, Wix, and etc.
Assistant Director
BankTechnique
05.2013 - 02.2016
Worked closely with management to provide effective assistance for specific aspects of business operations.
Created and updated records and files to maintain document compliance.
Tracked important information in Software spreadsheets and ran reports or generated graphs using data.
Completed all tasks in compliance with company policies and procedures.
Organized, maintained and updated information in computer databases.
Front Desk Receptionist
Pasha Construction
04.2013 - 05.2014
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Scheduled, coordinated and confirmed appointments and meetings.
Resolved customer issues quickly and notified supervisor immediately when problems escalated.
Collected room deposits, fees, and payments.
Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
Confirmed appointments, communicated with clients, and updated client records.
Resolved customer problems and complaints.
Collected cash, card and wire-transfer payments, processed transactions and updated relevant records.
Front Desk Receptionist
Azerinshaatservice
08.2012 - 12.2012
Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
Answered multi-line phone system and transferred callers to appropriate department or staff member.
Sorted and delivered mail and packages upon arrival to correct staff members and departments.
Organized, maintained and updated information in computer databases.
Sorted, received, and distributed mail correspondence between departments and personnel.
Compiled information from files and research to satisfy information requests.
Department of Service Organization – Senior Specia at Azerbaijan Food Safety Institute Department of SerDepartment of Service Organization – Senior Specia at Azerbaijan Food Safety Institute Department of Ser