Charles Russo
Stoneham
Summary
Detail oriented Financial Specialist in Federal Budgeting and Billing, Analysis, Compliance and Operational Policy Directives. Proven ability to enhance efficiency and accuracy in financial reviews and budget management.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Financial Services Specialist
United States Coast Gaurd
Boston, MA
08.2021 - 12.2025
- Conducted financial analysis to support budget planning and resource allocation.
- Assisted in developing financial policies to enhance operational efficiency.
- Created specialized graphs, spreadsheets and tables to aid in budget analysis and financial management.
- Maintained a current knowledge of procedures, policies, directives, etc; and obtained needed information from the CG Finance Center to better utilize the FSMS (Financial Solutions Management System), while assisting and training other and new employees.
- Reviewed financial activities to determine adherence to current policies and procedures. Conducted periodic account reviews to identify real or potential situations of deficient undelivered order validation, and similar tasks.
- Renders technical assistance as needed.
Facility Revenue Technician
James Haley VA Medical Center
Tampa, FL
04.2016 - 05.2021
- Responsible for providing face to face or/ and telephone customer service to Veterans and there family members for the VAMC to aid in resolution of billing issues.
- Responsible for gathering and preparing spreadsheets and reports used for bill preparation from the facility level workload.
- Responsible for sending documentation through the Health Information System (HIMS) Coding department, the CPAC RUR, and Billing sections for further actions concerning the revenue process.
- Spreadsheets and reports include but are not limited to: Outpatient, Inpatient, Non-VA Medical Care Claims, Legal, non Federal W/C and Tort Feasor claims, when required by the Third Party Payer-Repetitive Services, and Prosthetics encounters.
- Assists CPAC RUR Nurses in reviewing Mental Health encounters to determine if pre-authorization and/or review is needed by the UR Nurse.
- FRT must also review specialty bill types to ensure appropriate and accurate documentation is submitted to the CPAC Billing Office, according to the CPAC SOP's, to include: Prosthetics Bill Report, Workers Comp and Tort Bill Report preparation, Held Charges Report and Ambulance Billing Report preparation.
Medical Coder
VA Healthcare of the Ozarks
Fayetteville, AR
11.2014 - 04.2016
- Reviewed and assigned accurate medical codes for diagnoses and procedures using ICD-10 and CPT guidelines.
- Ensured compliance with federal regulations and coding standards in patient record documentation.
- Collaborated with healthcare professionals to clarify ambiguous documentation for optimal coding accuracy.
- Trained new coders on coding systems, policies, and best practices to enhance team performance.
- Assisted VA Transcription department in using Dragon Software to transcribe medical specialty clinics provider and specialists dictation to create VAMC CPRS (Computerized Personnel Records System) pertaining to Veteran specific healthcare appointments.
Non-VA Care Voucher Examiner
Boston VA Healthcare System
Boston, MA
01.2014 - 04.2016
- Reviewed and processed vouchers for accuracy and compliance with VA regulations
- Obtains documentation from a variety of services requesting Fee Based assistance
- Insures that fees are not paid in excess of those approved by Medicare
- Initiates authorizations of both obligated and unobligated balances
- Coordinates with clinical personnel to determine hospitalization expenses
- Reviews all claims for completeness, accuracy and quality.
- Prepares and maintains organizational documentation for authorized and unauthorized claims.
- Prepares correspondence for the signature of supervisory personnel;
- Examines all vouchers, invoices, claims and other requests or payments for goods and/or services provided to the Government
- Informs claimant(s) of appeal rights process
- Has knowledge of medical terminology and medical services available at an outpatient clinic or medical center
- Applies fiscal and accounting procedures and regulations in order to ensure appropriate maintenance of multiple accounts
Medical Reimbursement Technician
West - Consolidated Patient Account Center, Department of VA
Las Vegas, NV
08.2012 - 10.2013
- Processed medical claims with precision, ensuring compliance with VA regulations and guidelines.
- Reviewed and reconciled patient accounts to resolve discrepancies and enhance accuracy in billing.
- Utilized Quadra Med/Huron Health care tools in researching returned/ denied/ or unprocessed claims to correct deficiencies so that bills maybe corrected or cancelled and rebilled in those cases allowed.
- Utilizes Quic software to communicate to other departments such as Accounts Management, UR Admin, Coding, Insurance Verification, and other Specialized Billing to help correct flaws and inaccuracies in bills so they may be corrected to finish the billing process.
- Access CSA to correct inadequacies of commercial bills that were returned for review and actions needed to correct errors.
- Access MRW's to correct inadequacies of Medicare bills that were returned for review and actions needed to correct errors.
- Utilizes knowledge and tools such as Episodes of Care, Claims Tracking, Third Party Joint Inquiry within Vista to assist in researching duplicate bills, sensitive information claims, unbillable claims, etc;
- Basic knowledge and understanding of billing to Medicare/ Commercial third party payers.
- Basic knowledge of CPT/ ICD-10 procedures for billing purposes.
- Utilizes / reviews and modifies VA Bill me workload report to generate claims for billing.
- Billing Liaison to Novitas intermediary for questions and answers regarding sensitive, unknown or returned claims for more accurate information.
- Billing POC for Coders, Fac FRT's, FRM's, UR, and Insurance Personnel regarding any and all billing queries.
Education
Bachelor of Science - Health Administration
University of Phoenix
Kearney Mesa, CA02-2003
High School Diploma -
West Roxbury High School
West Roxbury, MA05-1977
Associate of Science - Business Management
Newbury Junior College
Wakefield, MA06-1988
Skills
- Cash flow management
Certification
- Certified MS Professional Office Suite, Las Vegas, NV, 2011-2016
Languages
English
Full Professional
Timeline
Financial Services Specialist
United States Coast Gaurd
08.2021 - 12.2025
Facility Revenue Technician
James Haley VA Medical Center
04.2016 - 05.2021
Medical Coder
VA Healthcare of the Ozarks
11.2014 - 04.2016
Non-VA Care Voucher Examiner
Boston VA Healthcare System
01.2014 - 04.2016
Medical Reimbursement Technician
West - Consolidated Patient Account Center, Department of VA
08.2012 - 10.2013
Bachelor of Science - Health Administration
University of Phoenix
High School Diploma -
West Roxbury High School
Associate of Science - Business Management
Newbury Junior College