Elisabetta Hartz
Schenectady,New York
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
21
21
years of professional experience
Work History
Insurance Reimbursement Specialist Sr.
US Oncology
06.2004 - 06.2025
- Essential Duties and Responsibilities:
- Under minimal supervision, responsible for payer and patient account balances being paid timely and remaining current.
- Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine to complex account inquiries.
- Monitoring delinquent accounts and performs collection duties.
- Reviews reports, identifies denied claims, research, and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer.
- Reviews payment postings for accuracy and to ensure account balances are current.
- Works with co-workers to resolve payment and billing errors.
- Monitors and updates delinquent accounts status
- Recommends accounts for collection or write-off.
- Verifies existing patients have necessary referral and/or authorization documentation prior to examination date.
- Contacts and follows up with patient’s physician for any missing or incomplete documentation.
- Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.
- Answers patient payment, billing, and insurance questions and resolves complaints.
- May refer patients to Patient Benefits Representative to set up payment plans.
- Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement.
- Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations.
- Adheres to confidentiality, state, federal, and HIPPA laws and guidelines regarding patient records.
- Proactively identifies processes and procedures and develops tools to improve efficiencies.
- Performs other duties as requested or assigned.
- Opening and sorting, reviewing incoming mail and distribution to appropriate staff members.
- Photocopying, printing, faxing and filing.
Education
High School Diploma - undefined
Draper High School
Skills
- Microsoft Excel
- Microsoft Office
- Customer Service
- Athena IDX
- IKM G2
- NUXEO
- Medical Manager
- Nucleus
- Onco Med
- Payer Portal
- Communication
- Organization
- Collaboration
- Adaptability
- Time Management
- Team Player
- Problem Solving
- Office Experience
LANGUAGES
Italian
Timeline
Insurance Reimbursement Specialist Sr.
US Oncology
06.2004 - 06.2025
High School Diploma - undefined
Draper High School