Elaine LaVelle
Colorado Springs,CO
Summary
Proven leader in healthcare administration at Springs Behavioral Health, adept in HIPAA regulations and healthcare compliance. Skilled in fostering effective communication, demonstrating a strong work ethic and multitasking abilities. Achieved significant reductions in billing errors through meticulous attention to medical terminology and coding practices.
Overview
22
22
years of professional experience
Work History
Medical Office Manager
Springs Behavioral Health
01.2023 - Current
- Managed daily administrative tasks to ensure smooth operations within the medical office environment.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Maintained up-to-date knowledge of healthcare regulations and policies, ensuring the practice remained in compliance at all times.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Ensured a safe, comfortable environment for patients by promptly addressing any concerns or issues that arose during their visits.
Medical Coding and Billing Specialist
Springs Behavioral Health
01.2023 - Current
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Established positive relationships with insurance companies, facilitating open communication lines for efficient claim processing.
Elementary School Teacher
Coprona-Norco Unified School District
08.2002 - 09.2013
- Created lesson plans to correlate with state curriculum standards and devised educational programs to meet educational objectives.
- Evaluated and assessed student progress regularly, providing constructive feedback and adapting teaching methods accordingly.
- Established open communication and positive relationships with students, parents, peers, and administrative staff.
- Established a positive classroom environment through effective classroom management strategies, fostering respect and cooperation among students.
Education
CBCS Certification - Billing And Coding Specialist Certification
University of Phoneix
08.2023
Master of Science - Administration
National University
San Bernardino, CA06.2004
Bachelor of Arts - Liberal Studies
Cal State San Bernardino
San Bernardino, CA06.2002
Skills
- Strong Work Ethic
- HIPAA Regulations Understanding
- Effective Multitasking
- Professional telephone etiquette
- Medical terminology knowledge
- Healthcare Compliance Knowledge
Timeline
Medical Office Manager
Springs Behavioral Health
01.2023 - Current
Medical Coding and Billing Specialist
Springs Behavioral Health
01.2023 - Current
Elementary School Teacher
Coprona-Norco Unified School District
08.2002 - 09.2013
CBCS Certification - Billing And Coding Specialist Certification
University of Phoneix
Master of Science - Administration
National University
Bachelor of Arts - Liberal Studies
Cal State San Bernardino
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