Summary
Overview
Work History
Education
Skills
Timeline
Generic

Anka Rasic

Park Ridge,IL

Summary

Resourceful and high energy professional with strong leadership, and management experience in healthcare administration, scheduling, project coordination, and contracting. Highly organized and results-oriented, with ability to multitask and prioritize workload, with strong attention to detail.

Overview

23
23
years of professional experience

Work History

Account Specialist

Joint Commission Resources
07.2023 - Current
  • Prepares and processes proposals, pricing, and contracts for individual, non-system, or small system clients
  • Adhered to standards of quality and service as well as all compliance requirements.
  • Resolved complex billing and payment issues for balanced, accurate accounts.
  • Provides scheduling and operational support for Joint Commission Resources product lines, or International Accreditation
  • Developed and managed data reports for internal management (performance trend analysis)
  • Meets the needs of client engagements/events and other activities, based on skill sets, time length and utilization goals
  • Responsible for all facets of scheduling functions
  • Completes all monthly activities associated with supporting and completing consultant or surveyor payroll
  • Reviewed and processed all SOW's and invoices associated with client contracts
  • Supported invoicing for all appropriate department activities
  • Reviewing and releasing all billing set per engagement contract
  • Collaboration with internal accounting, legal, and IT departments for contract and billing support
  • Back-up for Account Managers for contract review.

Testing Coordinator

Niles West High School
08.2022 - 07.2023
  • Administered standardized testing to over 2500 referred students for purpose of assisting teacher, and other professionals in determining class placement and/or program eligibility
  • Created numerous reports for purpose of conveying information and/or statistics to school principal and testing organizations
  • Maintained web page for purpose of communicating school news and information
  • Scheduled student tests for purpose of evaluating students in accordance with state requirements
  • Developed student rosters, prepared room assignments, procured proctors and worked with building maintenance in coordinating logistics for testing
  • Conducted proctor training sessions for all staff
  • Monitored testing conditions throughout school during testing in accordance with testing regulations
  • Worked with testing companies for ordering and returning of exams, payments for exams as well as resolving discrepancies or incidents under direction of Assistant Principal.
  • Trained and developed new testing team members and provided continuous mentoring.

Reimbursement Specialist

Myriad Genetics
08.2021 - 04.2022
  • Worked on aging patient accounts, processed appeals, or corrected claims, researched and reconciled credit balance accounts, and processed adjustments as needed
  • Documented any point of contact changes for providers, updated internal systems with new information
  • Established and maintained strong professional rapport with providers, and internal team members
  • Provided information and set follow-up time to call and discuss questions and concerns providers may have about enrollment with third-party authorization vendors
  • Appropriately resolved or escalated provider concerns or issues to management
  • Interacted with patients, clinicians, insurers, Reimbursement Supervisor and Billing management to ensure timely collection of accounts
  • Participated in Quality Assurance plan
  • Complied with all applicable CLIA and HIPAA regulations.
  • Prevented delays and claim denials by correcting information prior to submission.
  • Created documents in accordance with payer guidelines and submitted to appropriate parties.
  • Compiled department-specific reports to help senior managers identify trends and improve progress.

Library Information Specialist (LIS) Assistant

Park Ridge- Niles School District 64
11.2016 - 07.2021
    • Manage up-to-date circulation and online catalog system consisting of over 20,000 titles
    • Develop and provide various reports for all library materials, including overdue items and available titles
    • Manage inventory and distribution of professional and technological materials
    • User level experience with Business Objects Web Intelligence reporting
    • Independently developed solutions to issues that came about in the functioning of the LRC
    • Partner with the Library Information Service (LIS) Director on special library projects such as reading clubs, contests, holiday activities and support and maintain the projects throughout the school year
    • Maintain resource lists and Destiny Discover Collections database system for various curriculum topics
    • Analysis and Data reporting to develop enhancements for the Learning Resource Center
    • Manage relationship with Public Library Staff to facilitate school loans of books, periodicals, professional books, reference materials, databases; and promote library programs to students
    • Maintain and support a collaborative, flexible and positive working environment in the Innovation and Instructional Technology Department and school district libraries
    • Implement improvements on administrative functions to ensure appropriate and timely communication is distributed to faculty and students.
    • Managed collections of print and electronic data for public and private access via reference and borrowing.
    • Introduced and implemented advanced media systems, collections and tools into traditional library system.
    • Kept up-to-date records of materials, maintained inventory and corrected cataloging errors.
    • Classified and coded different types of materials according to library policies and organizational standards.

House Manager

Rasic Household
02.2005 - 11.2016
  • Managing finance
  • Volunteering
  • Fundraising.

Medical Billing & Reimbursement Manager

NovaMed EyeCare Specialists (Surgery Partners)
02.2003 - 02.2005
  • Supervised operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management
  • Working knowledge of policies, standards, and methodologies pertaining to charge capture and reconciliation, reporting, documentation, and general compliance
  • Provided and/or coordinated the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques
  • Evaluated performance and provided recommendations for personnel actions; motivated employees to achieve peak productivity and performance
  • Mentored employees to achieve peak productivity and performance
  • Developed and directed patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection
  • Prepared and analyzed accounts receivable reports, weekly and monthly financial reports, and insurance contracts in performance with Practice Administrator
  • Safeguarded that the activities of the billing operations are conducted in a manner that is consistent with the department protocol, and follow Federal, State, and payer regulations, guidelines, and requirements
  • Understood and remained updated with current coding and billing regulations and compliance requirements
  • Assessed and interpreted operational data to assess need for procedural revisions, and enhancements
  • Contributed to the design and implementation of specific systems to enhance revenue and operation efficiency
  • Served as the practice expert and go to person for all coding and billing processes.
  • Reviewed billing and collections process and determined improvements to streamline workflows.
  • Observed strict data confidentiality procedures to protect patients' information.
  • Held weekly staff meetings and implemented team building exercises, which promoted positive working environment.
  • Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.

Medical Billing Experience

Northwest Community Hospital
09.2001 - 02.2003

Education

MBA - Healthcare Administration

Indiana Wesleyan University

Bachelor of Science - Healthcare Management

Indiana University

Skills

  • Microsoft Office Suite
  • Customer Service
  • Leadership
  • Google Suite
  • Data Analysis
  • Customer Engagement
  • Salesforce
  • CRM Software
  • Revenue Growth

Timeline

Account Specialist

Joint Commission Resources
07.2023 - Current

Testing Coordinator

Niles West High School
08.2022 - 07.2023

Reimbursement Specialist

Myriad Genetics
08.2021 - 04.2022

Library Information Specialist (LIS) Assistant

Park Ridge- Niles School District 64
11.2016 - 07.2021

House Manager

Rasic Household
02.2005 - 11.2016

Medical Billing & Reimbursement Manager

NovaMed EyeCare Specialists (Surgery Partners)
02.2003 - 02.2005

Medical Billing Experience

Northwest Community Hospital
09.2001 - 02.2003

MBA - Healthcare Administration

Indiana Wesleyan University

Bachelor of Science - Healthcare Management

Indiana University
Anka Rasic