1. DESIREE E. SIMMONDS
96 HART BOULEVARD
STATEN ISLANDNEW YORK 10301
Cell: 347 267 4205
Email: dsimmonds1@hotmail.com
Email: desew2@yahoo.com
EDUCATION
1976 ERASMUS HIGH SCHOOL GRADUATE
1977 HUNTER COLLEGE UNDERGRADUATE STUDIES
1978 ADVANCED CAREER TRAINING/HEALTH ADMINISTEATION
1979-1980 PACE UNIVERSITY UNDERGRADUATE STUDIES
1991-1992 COLLEGE OF STATEN ISLAND UNDERGRADUATE STUDIES
EMPLOYMENT HISTORY
3/07-Current- METROPOLITAN CENTER-NEW YORK
Accounts Receivable Representative
Handle all claims from billing through resolution
Review/prepare claims for manual and/or electronic submission
Identify/correct billing errors and resubmit to insurance carriers
Review insurance EOB’s/initiate appeals
Submit UB92s or HCFA 1500s for account resolution
Cooperation level of responsibility professionalism: management-workers all contacts
Post and allowance remits
Handle appeals and denials
10/04-3/07 SHIELD INSTITUTENEW YORK
Prepared revenue journals and processed re-billings associated with all claims
Heavy communication with vendor and governmental agencies

2. Input all service data to ACCUMED database
Prepared surplus receipts/reconciled Medicaid checks and remittances
Prepared statistical data for billing
5/01-1/03 ST. VINCENT’S HOSPITALSTATEN ISLANDNY
Project Specialist - Pro-med Personnel Service
Team member Price Waterhouse Cooper on patients’ accounts
Resolved all aspects of billing cycle demonstrated progress via spreadsheets
Heavy contact with third party carriers follow up Medicaid remittance reportsMedicare and
commercial denials billed secondary carriers made account adjustments
1/94-4/01 DAVISGARRETT & WESTBROOKSTATEN ISLANDNY
Claims Analyst
Liaison for client and hospital personnel/extensive professional contact.
Reviewed/processed claims account representative (payable/receivable)
Maintenance medical billing and collections via computer systems
DESIREE E. SIMMONDS * RESUME * 2
1/93-12/94 AMALGAMATED LIFE INUSRANCE COMPANYNY
Provider Representative
Maintain/input/verify patient provider insurance information for computer database
Heavy communication with clients and physicians
Maintenance of all mail systems and liaison for funding officers
6/91-6/92 MALDANSKYGRUNTHERKURZBANSTOLTCOHEN & ZIMMERNY
Medical Billing Coordinator
Responsible for entire billing cycle - daily bills prepared for insurance
carriersoommercialMedicareWorkmen’s Compensation
Follow up disputed claims/insure payments maintain balance and monthly progress reports

3. 3/90-5/91 TOWER FINANCIAL CORPORATIONNY
Collections Claims Analyst
Responsible for entire billing cycle and all high balance accounts
Follow up hospital claims nationwide with insurance commercial carriersMedicareMedicaid
4/78-3/90 EMPIRE BLUE CROSS AND BLUE SHIELDNY
Senior Claims Examiner
Supervised Senior Claims Examiners
Trained all Junior Examiners and audited their coded claims
Extensive computer coding of medical surgical and non-surgical procedures laboratory and
radiology claims.
Read and interpreted operative reports/prepared surgical claims reports
RELEVANT MANDATORY SKILLS
Highly professional highly organized highly detail oriented
Highly knowledgeable of all aspects of Health Administration
Benefits/Claims/Reimbursement
Excellent communication follow up and resolution skills
Excellent high tech knowledge and skills
Loyal trustworthy and committed to good work ethic
REFERENCES AVAILABLE ON REQUEST
Desiree W.