Robert Larty
Medical Billing Specialist
About
A dedicated professional with a strong background in medical billing and claims, possessing extensive experience in accounts receivable follow-up, billing analysis, and clinical reimbursement. Leveraging advanced skills in Office 365, interpersonal communication, and analytical problem-solving, previous roles have included utilizing EHR systems such as Modern Medicine®, e-Clinical Works®, and EPIC® for tasks like claims monitoring, appeals, pre-certifications, and payment processing. Known for collaborating closely with management, physicians, and patients to ensure efficient processes and timely claim resolutions. Committed to contributing to organizational success by creating and implementing billing strategies that enhance revenue, streamline workflows, and minimize claim denials.
United States
Toms River
Outsourcing/Offshoring
Interpersonal Communication, Analytical Skills, Office 365, Insurance Claims, Medical Terminology, Medical Claims, Prior Authorization, U.S. Health Insurance Portability and Accountability Act (HIPAA), Revenue Cycle Management, Appeals, Pre-certification, Payment posting, Billing Process, Outpatient Orthopedics, ICD-10, ICD-9, Spreadsheets, Time Management, Current Procedural Terminology (CPT), Data Entry
Experience
Medical Billing Specialist
medSR (Consultant for PSANJ)
New Brunswick, NJ
• Initiated an alternate billing process, with approval, resulting in swifter returns, increased revenue & less denials • Utilized Modern Medicine® for Financial Tasks & Summaries, Claims’ monitoring, Inquiries, Scheduling and Reports • Interacted closely with management, the physicians, and patient/clients via in-person, video meetings and/or by phone • Ran daily reports for the tracking, aging and results of claims including the requests & status of Pre-Cert's & Prior Auth’s
Medical Biller; AR Rep; Records Custodian
Advanced Orthopedics and Sports Medicine Institute
Freehold, New Jersey, United States
• Applied e-Clinical Works® for A/R follow-up, Reconsiderations, Appeals, and Pre-Certifications • Received, processed and posted Insurance credit card payments as well as Patient check payments • Appointed as Records Custodian; retrieved medical records then sent to requesting entity via mail, email, or fax
Medical Biller; Accts Receivable Rep
Advanced Physical Medicine & Rehabilitation
Belmar, New Jersey, United States
• Created & justified claims; managed reconsiderations, outstanding and denied claims utilizing Kareo now known as Tebra® • Generated patient statements; manually mailed to patients • Accessed patient’s medical records when requested and updated demographic PHI using WebPT
Insurance Claims Rep
Monmouth Ocean Neurology, LLC
Neptune, New Jersey, United States
Responsibilities Included: • Utilized Epic® EHR for A/R follow-up, Prior Authorizations, Reconsiderations and Appeals • Assigned as Record Custodian; physically collected, copied then mailed/faxed medical records per request
Billing Coordinator
VNA Health Group of NJ, LLC
Holmdel, NJ
• Implemented Waystar and EPIC® for A/R Follow-up, Pre-Certifications, Redeterminations, Appeals, and Medical Record retrieval
Driver
Lyft
Toms River, New Jersey, United States
• Worked freelance part-time nights & weekends; due to loss of employment, * Went full-time as of 09/2018
Accounts Receivable Representative
Med-Centrix, Professional Fee Services
Neptune, New Jersey, United States
Responsibilities Included: • Continued through Epic®, processed claims, worked denials, and initiated appeals specific for Medicaid or Medicaid type plans • Logged productivity and actions taken of each worked claim or account via specific Excel spreadsheets
Accounts Receivable Representative
Hackensack Meridian Health
Neptune, New Jersey, United States
Responsibilities Included: • Used GE Centricity® then Epic® to process, work and complete A/R claims, including Reconsiderations, Denials & Appeals • Intensely intercommunicated with Coding, Credentialing and Prior Authorization depts.; learned the processes of each dept. NOTE: As of 10/2017, Hackensack Meridian Health outsourced its Administrative Departments to MediCentrix, LLC. There was no gap of employment.
Dental Claims Examiner
AIG
Neptune, NJ
• Created a billing strategy that improved turnaround time, increased revenue, & reduced denials all by 25% • Processed greater than forty claims per day, enabling the processing of over 250 claims p/week
Education
Bergen Community College
Bookkeeping and Accounting
Workshop
Bergen Community College
Economics and Business Management
Workshop
Robert Larty's Contact Information
Phone
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