1. Sheldon Carr
75 Hawthorne St. apt. 2A Brooklyn, NY 11225
Phone: 917-774-0418 E-Mail: carrsheldon2@gmail.com
Summary
Extremely organized professional possessing extensive knowledge in the Healthcare industry. Detail oriented,
hard-working individual, proficient in Medical Billing, Coding, and medical terminology.
Experience
Brookdale University Hospital & Medical Center, Brooklyn, NY
Practice Plan Associate (Team Leader) 01.2013 – 4.2014
Billing Supervisor Psychiatric Department 04.2014 - Present
 Accurately submit electronic and manual insurance claims, follow -up on denied claims, and accurately
interpret EOB
 Managed Psych Inpatient discharge planners daily work flow
 Write appeals letter for denied psychiatric inpatient admission authorization
 Train all new department employees on how to use Athena medical billing system
 Work directly with collection agencies to ensure correct collections amounts
 Verify diagnosis and procedural codes
 Resolve and assist in all billing issues for multiple departments
Park Avenue Medical Professional, New York, NY
Medical Billing Specialist 03/2010 – 09/2012
 Prepared and submitted both electronic and manual insurance claims for ENT, Gastroenterology,
Cardiology, Pain Management, and Allergist.
 Followed-up on unpaid claims and denials, and accurately interpreted EOB
 Posted payments and adjustments in billing database, and verified diagnosis and procedure codes
 Verified eligibility and obtained preauthorization of radiology type medical procedures
Grace Family Medical Practice, Brooklyn, NY
Medical Biller 06/2003– 08/2009
 Oversaw facility accounts receivable and tracked outstanding balances owed to facility
 Maintained patient payment records and posted payments from insurance payers
 Prepared and submitted electronic and manual insurance claims and resolved all insurance and patient
billing issues
Certifications
 Certified Medical Biller and Coder
 Certified Dental Assistant
 CPR and AED
 Certified NYS Licensed Security Guard (Anti-Terrorism Awareness, Loss Prevention/Weapon Detection,
Awareness and Response to Biological Events, Level One Homeland Security and Radio Communication)
Education
 Exced Community College, Associates of Business Administration 06/1991
 Kingston College, English Language and Literature, Principles of Business 06/1989
Technical Skills
 Proficient in Microsoft Word, PowerPoint, Excel, Pivot Tables
 Proficient in medical billing software Athena, Epic, Mysis/Tiger, Ssimed

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