Eleanor Bojarski
Elite Physicaltherapy
Greensburg,PA
19
years of professional experience
Possesses versatile skills in project management, problem-solving, and collaboration. Brings fresh perspective and strong commitment to quality and success. Recognized for adaptability and proactive approach in delivering effective solutions.
Work History
Medical Billing Specialistand Credentialing
2 Years 6 Months- Processed and submitted medical claims using electronic billing systems.
- Reviewed patient accounts for accuracy and completeness before submission.
- Resolved billing discrepancies through effective communication with healthcare providers.
- Maintained up-to-date knowledge of insurance policies and coding regulations.
- Collaborated with team members to streamline billing workflows and enhance efficiency.
- Trained new staff on billing procedures and software applications.
- Prepared detailed reports on claims status and revenue cycle metrics for management review.
- Implemented process improvements that reduced claim rejections and increased collections rate.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
- Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
Medical Biller and Insurance Specialist. Credentia
15 Years 10 Months- Processed and submitted medical claims using electronic billing systems.
- Reviewed patient accounts for accuracy and completeness before submission.
- Resolved billing discrepancies through effective communication with healthcare providers.
- Maintained up-to-date knowledge of insurance policies and coding regulations.
- Collaborated with team members to streamline billing workflows and enhance efficiency.
- Trained new staff on billing procedures and software applications.
- Prepared detailed reports on claims status and revenue cycle metrics for management review.
- Implemented process improvements that reduced claim rejections and increased collections rate.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
- Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
Education
Keypunch - Computer Keypunch
Skills
Excellent work
Timeline
Medical Billing Specialistand Credentialing
Elite Physicaltherapy
11.2023 - 05.2026Read More
Medical Biller and Insurance Specialist. Credentia
Ospta
11.2007 - 09.2023Read More
Business Career Institute
Keypunch from Computer Keypunch
Read More