Elizabeth Rivera has over 25 years of experience in medical billing and collections. She is currently a Medical Biller at the Center for Women's Reproductive Care at Columbia University, where she is responsible for insurance verification, obtaining authorizations, collecting copays, and training new employees. Previously she has held medical billing and collections roles at neurosurgery, OBGYN, and ENT practices, as well as radiology and hospital settings. She has a certificate in medical billing and business education.

1. ELIZABETH RIVERA
80 Paladino Avenue, Apt. 5F, New York, NY 10035 - Cell: (646) 639-6865
E-mail: erivera569@yahoo.com
EMPLOYMENT HISTORY:
02/11-Present ​61
st
Street Corporation – Center for Women’s Reproductive Care at Columbia University – New York, NY
​Medical Biller
• Responsible for insurance verification, referrals, obtaining pre-authorizations and
authorizations, collection of co-payments, posting payments and entering charges.
• Provide patients with financial counseling and options.
• Assist patients with statement and account inquiries.
• Train all new employees in billing procedures.
11/06–01/11 ​Neurosurgery, OBGYN & ENT Departments - Practice Service LLC - New York, NY
​Medical Biller/Collector
• Processed insurance claim forms to maximize reimbursement promptly, accurately and
tactfully.
• Obtained approvals on denied claims for payment and processed Worker’s Compensation
claims.
• Collected and processed payments arrangements for third party payers & co-payments.
• Verified insurance coverage and payments with the UPN Fee Schedule to ensure accurate
payment of claims.
08/97–10/06 ​Westside Radiology Associates, Inc. - New York, NY
​Radiology Collector ​
• Processed and expedited refund/information requests received from Medicare.
• Followed-up on claims for submitting and resubmitting to insurance companies.
• Calculated hospital charge tickets and entered data into IDX computer system.
• Registered patient’s accounts, posted payments, denials and contractual obligations.
• Responsible for accounts receivable and monthly reports.
• Using various follow-up reports, contacted insurance carriers and/or patients regarding
outstanding aged and problem accounts.
• Updated patient demographic and insurance information with the use of the ADS
computer system.
• Researched misdirected/missing payments from patients and insurance carriers.
• Filed appeals to insurance companies for claims denied incorrectly or for low
reimbursements.
03/90–05/97 ​New York Medical College at Lincoln Hospital - Bronx, NY
​ ​Account Representative​
• Reviewed, edited and processed in and outpatient charge tickets used by the Faculty
Practice Plan.
• Responsible for the coding, editing, and batching for the Medicine and Rehabilitation,
Neurology, Podiatry, ENT, Ophthalmology, Orthopedics, OBS/GYN, and Surgery
Subspecialties Departments.
• Interacted with Chiefs of Service and Departmental Coordinators to ensure completion of

2. daily patient billing activity and admissions.
• Researched and audited patient demographics and information within the hospital’s
computer system and Medical Record Department when required.
• Identified trends in workflow that may indicate changes in census or Physician delays in
submission of charge tickets.
• Researched, completed and logged for resubmission to billing system.
EDUCATION:
12/03–12/04 ​Medical Billing Certificate Program - Continuing Education Program, Brooklyn College - Brooklyn, NY
09/87–06/88 ​Business Program – Education Services United, Allied School - Toa Baja, Puerto Rico
09/84–06/87 ​High School Diploma - Jose Nevares Lanbron High School - Toa Baja, Puerto Rico
​
SKILLS:
• Knowledgeable in Microsoft Word, Excel and Outlook
• Hospital & Physician Billing systems IDX and Omni Pro,EMR
• Bilingual: English and Spanish
• ICD-9 & CPT-4
• Medical Terminology
• Auditing & Quality Assurance