1. CARMELA FALLETTA
71 Pond Street (718) 612-0705
Staten Island, NY 10309 mella318@aol.com
A hard-working, dedicated and resourceful professional, offering diversified experience within the medical field • Well
versed in all aspects of office management, accounts receivable/payable, medical billing and coding, collections and client
services • Strengths in communication, time management, organization and attention to detail • Establish and maintain
productive relations with superiors, co-workers and a diverse patient population • Work well independently as well as part of
a team effort • Ability to multi-task, prioritize assignments and function efficiently under fast-paced high-pressure
conditions while adhering to stringent deadlines • Proficient in Medisoft, Collaborate MD, Web PT and Dr. Chrono;
knowledge of MS Word and Excel
PROFESSIONAL EXPERIENCE
RESTORE PHYSICAL THERAPY – STEVEN L. BRAVERMAN PTPC – NEW YORK, NY
Acquired by Orthology, Inc. (2015)
Insurance Specialist, Billing Department: December 2015 to November 2016
Office Manager/Consultant: 2001 to 2015
Selected Achievements:
 Successfully performed collections resulting in significant recovery of monies involving past due accounts.
 Troubleshoot a high-volume of denied claims to obtain outstanding payments from insurance companies.
 Coordinated the conversion and transport of data from Web MD to Collaborate MD ensuring timeliness, integrity of
data and cost-efficiency. Served as a liaison between upper management and IT vendor; modified a new program to
effectively meet the needs of the practice.
Summary of Responsibilities:
 Oversaw and managed daily office operations ensuring a smooth-running, efficient and cost-effective business.
 Independently performed insurance claims troubleshooting and submission to ensure payment of all claims including
previously denied claims.
 Posted claims and followed-up accordingly; researched and resolved discrepancies. Responded promptly to inquiries
and documentation requests from insurance companies.
 Obtained insurance verifications and authorizations.
 Input a high volume of data including patient information, procedure and diagnosis codes, ICD-9/ICD-10 codes,
charges, etc.
 Knowledgeable regarding policies, procedures and compliance pertaining to all commercial insurances as well as
Medicare, Worker’s Compensation and No-Fault.
 Coordinated and performed patient collections ensuring payment of past due accounts.
 Closely monitored and tracked time entries, vacation and sick for all employees including PT employees and
administrative staff. Submitted payroll hours to upper management for processing. Coordinated coverages to ensure
proper staffing.
 Assisted in accounts receivable/payable as needed. Handled daily bank deposits.
 Responsible for ordering office supplies; maintained inventory. Negotiated pricing with vendors.
 Interacted daily with a diverse population of patients. Scheduled and confirmed appointments. Updated patient data;
responded to inquiries and provided information.
 Directed and supervised administrative staff. Delegated assignments and monitored work performance.
 Work with insurance companies to secure providers' credentialing and renewals; update providers' licenses and
required information in the CAQH Universal Provider Data Base.
CUNY – THE COLLEGE OF STATEN ISLAND
Instructor, Medical Billing Course: 2001 to 2002
MEDICAL BILLING CONSULTANTS – STATEN ISLAND, NY
Instructor, Medical Billing Medisoft: 2001 to 2002
REFERENCES FURNISHED UPON REQUEST