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Maryann Occhicone 620 Minneford Avenue Bronx, NY 10464 [email protected] cell: 917-837-9026 office: 914-709-1119 home: 718-885-1537 Objective To use my knowledge of insurance and physician billing for an accounting departm ent position within a health care facility. Experience Medicare and Medicaid Billing Specialist Columbia Presbyterian Medical Center, New York, NY Department of Anesthesiology Services, Yonkers, NY, 2008-present * Review and post Medicare and Medicaid payments, denials and contractual adjust ment transactions and claims; initiate and support secondary billing. Evaluate r ejections. Ensure prompt processing of charge corrections. Perform reconciliatio ns. * Retrieve documentation for Medicare audits and 45-day letter requests for addi tional information. * Maintain and review news briefs from governmental payers; stay current with in formation on governmental websites; attend conferences. * Research guidelines regarding major categories of rejected procedure codes; pr opose solutions to senior management. * Work on appeals and special projects, as needed. Monitor junior staff work on special projects. * Contact patients and insurance companies to resolve coordination of benefit is sues. Write appeal letters when needed. Audit and Control Specialist Memorial Sloan Kettering Cancer Center, New York, NY,1996-2008 * Screened charges prior to patient entry. Worked with clinical personnel to ens ure accurate and error-free coding. * Conducted detailed billing records reviews. Maintained internal procedure comp liance, third party requirements compliance and alignment with hospital policies for inpatient and outpatient billing, reducing rejections. * Served as ongoing communication liaison to Medicare officials, insurance compa nies, unions and other insurance carriers for billing and payment issues. Expedi ted problem resolution. * Reviewed database entries for charges, payments, credits and adjustments. * Cross-checked billing summary reports against original documents. Research and resolve discrepancies. Work closely with Account Specialists. * Promoted to Audit Specialist from previous position. Payment Posting Specialist Memorial Sloan Kettering, New York, NY, 1991-1996 Accounts Receivable Bookkeeper Meinhard Commercial Corporation, New York, NY, 1985-1989 AR Bookkeeper and Collections Agent Fawnes Brothers & Co., New York, NY, 1981-1985 Education Monroe Business School, New Rochelle, NY, Medical Coding New Rochelle High School, New Rochelle, NY, Accounting Christopher Columbus High School, New York, Concentration in Business Skills PC Windows, MS Word, Excel Superior knowledge of procedure coding systems such as IDX Shared Medical Systems (SMS) Interface billing system Clin Track

Salary 35,000-40,000

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