I love to work on my home I also like to go to concert and other fun events in the area I really enjoy spending time with my family and friends while enjoying everything the community has to offer
Carol Petrunak
Palm Harbor,FL
Summary
Results-driven Billing Specialist with over 30 years of experience in medical billing and collections. I am a dedicated professional with a strong background in billing systems and customer service, ensuring compliance with industry regulations. Detail-oriented with expertise in medical billing and regulatory compliance, successfully implementing automated systems to enhance efficiency and accuracy in billing and auditing processes. Known for resolving billing discrepancies and training staff on best practices, contributing to streamlined workflows and improved team performance. Proven ability to enhance client relationships and maintain accurate billing records. Currently working in the Compliance Department assisting with various regulatory projects including Medicare auditing, Medicare criteria, Emergency management, site inspections, and process improvement initiatives.
Overview
19
19
years of professional experience
Work History
Billing Specialist
Baycare Home Care
10.2006 - Current
- Processed and reconciled billing statements to ensure accuracy and compliance with regulatory standards.
- Managed patient accounts, addressing inquiries and resolving discrepancies promptly.
- Collaborated with healthcare providers to verify service details for accurate billing submissions.
- Implemented automated billing systems, improving efficiency in invoicing processes.
- Trained new staff on billing procedures and software usage to enhance team performance.
- Conducted audits of billing records to identify errors and implement corrective actions.
- Developed training materials for ongoing education regarding changes in healthcare regulations affecting billing practices.
- Led initiatives to streamline workflows, resulting in reduced processing times for claims submissions.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing write-offs.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
- Maximized revenue potential by identifying and resolving under-billed accounts.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Implemented cost-saving measures by identifying and eliminating inefficiencies in billing process.
- Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
- Developed user-friendly billing guide for patients, improving their understanding and satisfaction with billing process.
- Reduced billing errors, leading to decrease in customer complaints, by conducting regular audits of billing data.
- Enhanced interdepartmental communication to ensure accuracy and completeness of billing information.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Enhanced accuracy in patient billing through meticulous record-keeping and verification of insurance details.
- Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
- Streamlined billing process efficiency by implementing updated billing system.
- Proactively addressed potential billing discrepancies by conducting pre-billing audits.
- Increased revenue retention by setting up follow-up system for outstanding payments.
- Contributed to positive work environment by offering support and guidance to junior billing staff.
- Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues.
- Identified opportunities for process improvement, leading to more streamlined billing operation.
- Played key role in annual audit process by providing comprehensive billing records and explanations for variances.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.
- Collaborated with customers to resolve disputes.
- Audited and corrected billing and posting documents for accuracy.
- Maintained accurate records of customer payments.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Verified accuracy of accounts payable payments, resulting in 60% reduction in payment errors and check reissues.
- Created improved filing system to maintain secure client data.
- Kept vendor files accurate and up-to-date to expedite payment processing.
- Processed vendor and supplier payments on weekly basis.
Education
High School Diploma -
Vineland High School
Vineland, NJSkills
- Billing systems and software
- Insurance verification
- Invoice processing
- Customer service
- Data entry proficiency
- Claims processing
- Decision-making
- HIPAA compliance
- Account reconciliation
- Invoice generation
- Claim submission
- Denial management
- Customer engagement
- Month-end closing procedures
- Medical billing expertise
- Patient account management
- Relationship building
- Record preparation
- Invoicing proficiency
- Team collaboration
- Research and due diligence
- Regulatory compliance
- Procedure development
- Records organization and review
- Audit procedures
- Financial reporting
- Problem-solving
- Attention to detail
- Multitasking and organization
- Verbal and written communication
- Client relationship management
- Analytical thinking
- Conflict resolution
- Dispute resolution
- Revenue cycle management
- Data research
- Medical coding
- Report generation
- Insurance claim processing
- Insurance confirmation
- Medical billing and collections
- Billing software proficiency
- Deductible management
- Cash posting
- Billing dispute resolution
- Time management
- Monthly billing management
- Business operations support
- Accounts receivable expertise
- Coding proficiency
- Billing best practices
- Microsoft office
- Customer service support
- Account updating
- Payment processing
- Paperwork and documentation
- Customer account management
- Administrative support
- Deadline adherence
- Billing data verification
- Payment transactions
- Customer contact
- Discrepancy resolution
- Dispute negotiation
- Billing document creation
- A/P and A/R expertise
- Data analysis
- Discrepancy reconciliation
- Financial transactions
- Inquiry handling
- Customer relations
- Work Planning and Prioritization
- Records research
- Quality control
- Word processing
- Financial management
- Auditing proficiency
- Database updates
- Bank statement reconciliation
Interests
Timeline
Billing Specialist
Baycare Home Care
10.2006 - Current
High School Diploma -
Vineland High School