Contact information

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You can get this candidate's contact information from https://www.work.ua/resumes/3947786

Work experience

Assistant to the general, Office Manager

from 11.2017 to 12.2018 (1 year 1 month)
“GOLDEN WAY”, Kiev (Real State)

•Performing a variety of general office support duties.
•Running general errands for director.
•Reception duties such as greeting and looking after visitors.
•Assisting with internet searches.
•Answering the phone and dealing with enquiries.
•Making sure that the day-to-day office tasks are done properly.
•Monitoring office stationary and then ordering supplies when stocks are low.

Manager, Billing Specialist.

from 04.2017 to 11.2017 (7 months)
Ultimate Billing Inc. outsourcing in Kiev, Kiev (Medical)

•Overseeing daily office operations of the healthcare facility to ensure smooth work-flow daily as well as supervising and scheduling staff in an efficient and cost-effective manner
•Hiring and training healthcare management staff as well as addressing staff issues, and conducting regular performance reviews
•Overseeing financial aspects of healthcare, including medical billing, budgeting as well as processing, and submitting health insurance claims
•Drafting financial reports for senior management timely and accurately as well as maintaining accuracy and confidentiality of patient and medical records
•Maintained up-to-date and accurate medical and staff records as well as recorded and updated financial information regularly

Office Manager / Billing Specialist.

from 09.2015 to 04.2017 (1 year 7 months)
A & A Vinograd MD, USA (Medical office)

•Collect and entering claim information.
•Post insurance and patient and manage accounts.
•Submit claims and following up with insurance carriers on unpaid or rejected claims.
•Answer patient inquires on account status and charge.
•Typically reports to billing supervisor or provider office manager.
•Reviewing medical procedures as documented by doctors.
•Translating medical procedures into codes that can be translated by payers,other medical
•Coders,and other medicalfacilities.
•Transmitting coded patient treatment information to payers and other recipients.
•Coordinating insurance reimbursement of care providers.
•Handling patient billing.
•Reviewing patient medical records.
•Coding treatment information using Common Procedure Terminology (CPT) codes.
•Communicating with medical billing specialist to ensure treatment codes are accurately
•Received.
•Receiving patient treatment codes to use in assembling reimbursement claims.
•Coordinating reimbursement activities with payers.
•Billing patients for medical services.

Medical Billing Supervisor

from 08.2015 to now (8 years 9 months)
Universal Billing, USA (Billing Company)

•Enters information necessary for insurance claims such as patient, insurance

•ID, diagnosis and treatment codes and modifiers, and provider information. Insures claim information is complete and accurate.
•Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
•Answer patient questions on patient responsible portions, copays, deductibles, write-off’s, etc. Resolves patient complaints or explains why certain services are not covered.
•Follows up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims.
•Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal.
•Prepares patient statements for charges not covered by insurance. Insures statements are mailed on a regular basis.
•May work with patients to establish payment plan for past due accounts in accordance with provider policies.
•Provides necessary information to collection agencies for delinquent or past due accounts.
•Posts insurance and patient payments using medical claim billing software.
•May perform “soft” collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.
•For patients with coverage by more than one insurer, prepares and submits secondary claims upon processing by primary insurer.
•Follows HIPAA guidelines in handling patient information.
•May periodically create insurance or patient aging reports using the medical practice billing software.These reports are used to identify unpaid insurance claims or patient accounts.
•Understands managed care authorizations and limits to coverage such as the number of visits. This is encountered often when billing for specialties.
•May have to verify patient benefits eligibility and coverage.
•Ability to look up ICD 9 diagnosis and CPT treatment codes from online service or using traditional coding references.

Reception

from 11.2014 to now (9 years 6 months)
Ledo Medical Rehabilitation PLLC, USA (Medical office)

•Reviewed, investigated and processed reports within the organizations multi-state sites.
•Recognized and removed barriers to assure high quality claims outcome
•Reviewed injury circumstances to analyze merit and estimate financial impact
•Reviewed investigative reports and other documentary evidence
•Organized and evaluated legal strategic conference calls at critical claim development intervals
•Interacted with the physician before and after every visit
•Recognized cases that needed medical management and surveillance
•Analyzed employee compliance to prescribed therapy
•Office billing assistance

Reception, Mannager

from 07.2010 to 10.2012 (2 years 3 months)
Dr. Maria Grohovski Medical Office, USA (Medical office)

-Welcome patients, families and visitors
-Check in patients
-Verify and fill in essential information in the medical record
-Set up and follow up on appointments of patients
-Provide excellent customer service and skills
-Office billing assistance
-Recognized cases that needed medical management and surveillance

Education

NHA

USA
Secondary, from 2015 to 2016 (11 months)

Knowledge and skills

Language proficiencies

English — advanced

References

Olga Martinoff, Ph.D.

Olga Martinoff, Ph.D.

Professor at the College of Advanced Software Analysis, DIVISION OF HEALTH DISCILINES

Additional information

-Over 4 years of experience as a receptionist in USA
-Highly skilled in greeting patients and visitors in a quick, courteous and obliging manner.
-In-depth knowledge of answering telephone, monitoring and directing calls, tasking messages and providing information
-Hands-on experience to determine patients requirements and processes
-Proven record of preparing new patients medical charts with proper information and official procedures
Diversified academic preparation and experience requiring extensive use of organizational, medical, administrative, and interpersonal skills; analytically and quantitatively oriented, detail conscious, independent with ability to work within time constrains. Efficiently meets all assignments and objectives. Maintain proven ability to develop a rapport with colleagues and all levels of management. Possesses flexibility to quickly learn and adapt to new methods. Maintain comprehensive knowledge of medical management principles.
Foremost trait is professionalism.