Embed Size (px)
Citation preview
SOPHIA JAMES
[email protected] ▪ 718-708-4837 ▪ 140 Benchley Place , #22B ▪ Bronx, NY 10475
Resourceful accounting professional with over 15 years of broad expertise collaborating with internal and external clients to drive solutions for seamless operations in diverse industries. Computer skills include:
Microsoft Office Suite (Excel & Outlook) ▪ Easy ▪ eMedNY ▪ OmniPro
PROFESSIONAL EXPERIENCE
The New Jewish Home (fka Jewish Home Lifecare/The Jewish Home & Hospital)A/R MANAGER 2010 – PRESENT Supervises five employees, meeting with staff to review aging report on problem cases for Medicaid
applications and private and NAMI billing. Prepares monthly reports, and runs preliminary A/R reports to ensure monthly goal is met. Meets with
Administration once per month to discuss A/R receivable. Monitors daily cash flow, reviews all postings of journal entries prior to closing, and follows up with
attorneys on legal cases.
SENIOR BILLING COORDINATOR 2006 – 2010 Submitted and followed up on claims sent to insurance companies to receive payment for services
rendered. Processed insurance denials, taking appropriate action to resolve denials received at EOBs. Reviewed and posted payments, and reviewed admission packages and OmniPro to make sure
information for billing was correct. Processed electronic claim submission, checked claims for correct revenue codes and levels for billing,
and maintained aging report to ensure claims were paid on time.
A/R COORDINATOR 2003 – 2006 Responsible for census, updating Reliable and Comet for all census transactions. Reconciled daily
census for all financial classes, and processed daily deposits, posting and breakdown of cash receipts. Handled NAMI billing, analyzing all outstanding A/R. Analyzed Medicaid receivable for 2003 and prior,
and OHI receivable as requested by manager. Entered rebilling adjustments and voids in eMedNY system. Assisted with monthly billing closing and
assisted in rebilling manage care, completing appeals to manage care companies as needed. Contacted insurance companies to verify benefits and follow up on bills.
COLLECTIONS 2002 – 2003 Processed billing for private and insurance claims, reviewing changes and adding all necessary
information to bill claims in timely fashion. Maintained continuous contact with insurance carriers and customers regarding delinquent payments.
AccountProsCOLLECTIONS, HOT JOBS 2002 Initiated first contact with customer, making collection calls on delinquent accounts to obtain payment. Managed assigned portfolio and worked closely with account managers to resolve any problems.
COLLECTIONS, NET CREATIONS 2001 Placed calls on accounts that were past due or over their credit limit, assisting customers with any
problems that prevented them from making timely payments on their accounts. Sent duplicate invoices or credits at customer’s request.
Viking Office ProductsCOLLECTIONS 1998 – 2001 Made first call to delinquent customers to collect past due balances, obtaining promise to pay.
Reevaluated need for collections once dispute was resolved or responded to. Provided turnaround to prevent account from slipping into next state of delinquency without collection effort.
