Elena Berger
Medical Billing And Credentialing
Vernon Hills,IL
Summary
Highly experienced Billing Manager focused on job efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
21
21
years of professional experience
Work History
Billing Manager
Grand Oaks Behavioral Health
Libertyville, IL
04.2019 - 04.2021
- Reviewed billing problems, researched issues and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Worked cross-functionally with customer service, inventory, and finance teams for conflict resolution.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Performed billing, collection and reporting functions for office generating over $1,500,000 annually.
- Created new standard operating procedures improving billing accuracy and cash flow.
- Prepared internal and regulatory financial reports, balance sheets and income statements.
- Improved overall financial reporting by streamlining control processes and reporting structures.
- Performed banking, business administration and financial tasks to guarantee five-star service for clients.
- Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates throughout each quarter.
- Oversaw high-volume accounting operations with 18-person team focused on efficient budget administration, AP/AR and other financial management needs.
- Established and checked coding procedures, monitored reports and updated internal files.
Provider Credentialing Consultant
Grand Oaks Behavioral Health
Libertyville, IL
04.2019 - 04.2021
- Received and evaluated applications to look for missing and inaccurate information.
- Conducted primary source verifications such as background checks and board certifications.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Enrolled providers and Medicaid, Medicare and private insurance plans.
- Completed human resource operational requirements by scheduling and assigning employees.
- Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
- Advocated for staff members, helping to identify and resolve conflicts.
Medical Office Administrative Assistant
Health In Harmony Chiro
Glenview, IL
06.2017 - 03.2019
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Organized patient files and streamlined operations to improve efficiency.
- Maintained current and accurate medical records for patients.
- Researched medical and legal issues to support ongoing cases regarding personal injury and workman's compensation.
- Located, checked in and pulled medical records for patient appointments and incomplete charts.
- Called patients to confirm scheduled appointments day in advance.
- Verified insurance coverage to prepare for upcoming patient appointments.
- Prepared and maintained accurate digital health records for patients.
- Supported providers in outpatient medical office through coordinating administrative operations.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Advocated for patients through conversations with insurance representatives.
- Coordinated customer service, patient scheduling and billing.
- Conducted insurance verification and pre authorizations and managed patient charts.
- Organized paperwork such as charts and reports for office and patient needs.
- Completed billing and coding duties to handle submitted claims.
- Established relationships with Medicare, Medicaid and private insurance providers to resolve billing issues effectively.
- Contacted patients regarding unpaid and underpaid accounts to resolve issues.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Improved timely payment of bills by developing flexible payment plans for patients.
- Communicated with patients regarding payments on outstanding accounts.
- Developed and managed accurate and confidential patient records.
Medical Office Assistant
Sleep And Behavior Medicine Institute
Northbrook, IL
09.2016 - 05.2017
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Received, recorded and filed medical payments by check, cash and credit card.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Obtained payments from patients and scanned identification and insurance cards.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Managed office bookkeeping with insurance billing and patient payments.
- Organized patient files and streamlined operations to improve efficiency.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Received and routed laboratory results to correct clinical staff members.
Medical Practice Manager
Lake Zurich Medical Associates
Lake Zurich, IL
11.1997 - 12.2011
- Developed policies and procedures for effective practice management.
- Oversaw accounting, budgeting, and financial reporting.
- Trained interns and newly hired team members on office procedures and computer system.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Handled job duties for staff members which were unavailable or out of office.
- Communicated closely with patients, ensuring medical information was kept private.
- Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
- Developed and maintained electronic record management systems to analyze and process data.
- Developed close working relationships with front office and back office staff.
- Ordered all office supplies and kept check on inventory levels.
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
Education
Associate of Arts - Business And Managerial Economics
Vilnius Gediminas Technical University
Vilnius, Lithuania06.1992
Skills
- Strategy Development
- Business Relationship Management
- Proactive and Focused
- Risk Assessment
- Decision Making
- Problem Anticipation and Resolution
- Creative and Innovative
- Critical Thinking
- Prioritizing and Planning
- Adaptable to Changing Conditions
- Time Management
- Customer Service
- Willing to Learn
- Collections Actions
- Attention to Detail
Languages
Russian
Native or Bilingual
Lithuanian
Native or Bilingual
Polish
Elementary
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The truth does not change according to our ability to stomach it.
Flannery O’Connor
Timeline
Billing Manager
Grand Oaks Behavioral Health
04.2019 - 04.2021
Provider Credentialing Consultant
Grand Oaks Behavioral Health
04.2019 - 04.2021
Medical Office Administrative Assistant
Health In Harmony Chiro
06.2017 - 03.2019
Medical Office Assistant
Sleep And Behavior Medicine Institute
09.2016 - 05.2017
Medical Practice Manager
Lake Zurich Medical Associates
11.1997 - 12.2011
Associate of Arts - Business And Managerial Economics
Vilnius Gediminas Technical University
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