Denise Galluccio
Summary
Efficient billing professional with thirty eight years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive. experienced in developing and managing efficient billing and posting processes. Considered focused and organized team player. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
15
15
years of professional experience
Work History
Senior Biller
Optum Services, Inc.
09.2022 - Current
- Responsibilities include: Ensuring invoice accuracy and working through billing discrepancies
- Appealing all denied claims, following up on the outcomes, and filing second appeals if needed
- Attaching medical records at the request of various carriers and following up on the outcomes
- Sending claims to coding for any coded-related denials
- Proactively identifying trends and advising leadership of issues
- Utilizing all available resources to consistently maintain AR of less than 30 days- well below department standards
- Providing input to policies, systems, methods and procedures for the effective management and control of the billing function
- Planning, prioritizing, organizing, and completing work to meet all established objectives
- Assisting in department training, team building, and motivational exercises.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
Billing Supervisor
Westmed Medical Group/Optum 360
05.2009 - 09.2022
- Responsibilities included: Maintained working knowledge and demonstrating full understanding of resolving critical problems in a timely manner while conducting analyses to identify gaps
- Created detailed reports for management reflecting key financial indicators such as receivables aging analysis, uncollected revenues breakdowns, write-offs statistics, among others contributing valuable insights into the department''s strengths and weaknesses.
- Facilitated monthly meetings with team members to discuss performance metrics, share best practices, and address any concerns or challenges faced during the billing cycle.
- Reduced discrepancies in billing reports with thorough review processes and diligent follow-ups on outstanding accounts.
- Enhanced team productivity by providing ongoing training, guidance, and support to billing staff members.
- Proactively identified potential bottlenecks in the billing process, implementing solutions that increased overall operational efficiency.
- Coordinated with other internal departments and customers to keep operations running smoothly and solve both routine and complex problems.
- Identified coding issues, resubmitted corrected claims, and filed appeals
- Kept management and providers informed through open communication in identifying carrier trends.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Supervised a team of medical billers, providing guidance and support for their professional development.
- Routinely conducted internal audits of financial records to detect discrepancies or potential fraud risks, enabling timely intervention and issue resolution.
- Ensured proper documentation of all transactions by meticulously maintaining accurate records within the company''s database system.
- Conducted thorough audits of past-due accounts, identifying errors and taking corrective actions to prevent future occurrences.
- Reduced outstanding accounts receivable balances by consistently monitoring payment status and actively following up on overdue invoices.
- Collaborated with other departments to resolve billing discrepancies, promoting interdepartmental cooperation.
Education
Westchester Community College
Valhalla, NYSkills
- EPIC
- Athena
- Centricity Business
- Excel
- Microsoft Office Suite Products
- Effective Time Management
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Supervised team of twelve staff members.
- By request of top management, I collaborated with teams of new onboarding providers by learning their software system and reduced their Accounts Receivable before transitioning to join the group.
- By request of top management, I relocated to North Carolina for three months to help train new billers that would work in our new offices.
Personal Information
Title: Medical Claims Professional
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Senior Biller
Optum Services, Inc.
09.2022 - Current
Billing Supervisor
Westmed Medical Group/Optum 360
05.2009 - 09.2022
Westchester Community College