Elizabeth Mazzella
Matawan
Summary
Management professional offering over 15 years of experience, specializing in all areas of revenue cycle, reimbursement, and multi-specialty coding. Results-driven billing manager with expertise in overseeing billing processes and optimizing revenue streams. Skilled in managing billing systems, resolving discrepancies, and ensuring compliance with billing regulations. Strong leadership, analytical, and communication skills, with a focus on driving efficiency and accuracy in billing operations.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Billing Manager
Advanced Dermatology, MOHS & Laser Surgery Center
01.2020 - Current
- Oversee daily billing and front desk processes
- Maintain contact with all major commercial carriers to expedite payment and resolve discrepancies; file appeals and provide clinical explanations to justify medical procedures
- Provide coding assistance to physicians as needed
- Post all insurance payments and denials
- Assist office manager as needed
- Review billing to identify trends in coding or billing errors to rectify and improve reimbursement
- Ensure timely submission of claims
- Verify benefits and obtain precertification for all surgeries
- Provide out of pocket costs to patients for medical and cosmetic procedures
- Enter charges with applicable billing guidelines
- Obtain insurance eligibility for each appointment
- Assist with surgical precertifications
Billing Manager
Advanced Dermatology, MOHS & Laser Surgery Center
09.2017 - 03.2020
- Oversee daily processes of medical biller
- Maintain contact with all major commercial carriers to expedite payment and resolve discrepancies; file appeals and provide clinical explanations to justify medical procedures
- Provide coding assistance to physicians as needed
- Post all insurance payments and denials
- Assist office manager as needed
- Review billing to identify trends in coding or billing errors to rectify and improve reimbursement
- Ensure timely submission of claims
- Verify benefits and obtain precertification for all surgeries
- Provide out of pocket costs to patients for medical and cosmetic procedures
- Enter charges with applicable billing guidelines
- Obtain insurance eligibility for each appointment
Director, Financial Services
Monmouth Cardiology Associates, LLC
03.2019 - 01.2020
- Oversee daily processes of staff of 12 billing specialists, collectors, and preauthorization coordinators
- Organize and implement daily billing processes to ensure highest level of compliance and efficiency
- Audit medical records to provide feedback and education to physicians
- Review reports to identify trends in denials to identify root causes and improve reimbursement
- Coordinate schedules for staffing of departments and provide overtime reports to Human Resources Director
- All aspects of staffing issues including hiring, disciplinary action, conflict resolution
- Work directly with CEO on issues and projects as needed
Coding Supervisor-Remote
Aviacode
Salt Lake City
12.2015 - 09.2017
- Company Overview: Remote coding services
- Assign work to a team of 8 coders
- Track production results daily
- Provide coding assistance to coders as well as clients as needed
- Train coders on use of system as well as client needs and standards
- Assist manager as needed
- Quality review audits of coder work
- Remote coding services
Revenue Cycle Manager
Robert Wood Johnson Physician Enterprise
Somerset
03.2014 - 12.2015
- Oversee daily processes of staff of 8 billing specialists and assign work and projects as needed
- Organize and implement daily billing processes to ensure highest level of efficiency
- Compose and implement revenue cycle policies and procedures to optimize reimbursement
- Audit and validate charges for multi-specialty practices including: Internal Medicine, Family Practice, OB/GYN, Cardiology, Pediatrics, and Sports Medicine
- Work directly with billing company on timely resolution of coding and billing issues
- Review billing to identify trends in coding or billing errors to rectify and improve reimbursement
- Work with senior operations and revenue cycle leadership on projects as assigned
Billing Manager and Medical Coder
Cardiology Assoc. of New Brunswick
E. Brunswick
04.2010 - 03.2014
- Review coding issues with practice administrator as well as physicians and make any necessary updates to EMR
- Conduct internal audits for physicians to assure coding is up to standards and charges billed are supported by documentation
- Credentialing for all physicians
- Maintain contact with all major commercial carriers to expedite payment and resolve discrepancies; file appeals and provide clinical explanations to justify medical procedures and coding
- Assisted with training on new EMR system
- Train all new billing staff on policies and procedure
- Provide monthly productivity reports to Practice Administrator and any ad hoc reporting as requested
Medical Coder
Shrewsbury Surgery Center
Shrewsbury
12.2009 - 04.2010
- Code operative reports in a timely fashion for a variety of same day surgeries
- Enter charges to be billed
- Assure accuracy of doctors’ dictation
- Verify all operative reports have been received
- Notify doctors of outstanding dictation
Account Manager
PBC Inc.
Red Bank
01.2002 - 01.2010
- A/R Follow-Up for several physician practices
- Answer patient account inquiries
Per Diem Medical Coder
PBC Inc.
Red Bank
01.2002 - 01.2010
- Experience with Emergency Department coding as well as Radiology
- Assign accurate ICD-9 and CPT codes to claims according to physician documentation
- Knowledge of payer rules to assure highest reimbursement based on correct coding
- Ensure quick turnaround time of all charts to comply with timely filing rules
Patient Accounts Representative
Mid Atlantic Orthopedics
East Brunswick
09.2003 - 11.2009
- Code Medicare charges from physician dictation and provide feedback
- Assist physicians with coding surgeries
- Appeal denials based on incorrect bundling of CPT codes
- Responsible for the day-to-day management of billing operations
- Communicate extensively with physicians to coordinate all aspects of account management
- Work all denials and appeal unpaid or incorrectly paid claims
- Electronic claims submission with full review of all reports for accuracy
- Contact insurance companies regarding outstanding claims
- Interpret physician documentation for assigning ICD-9 and CPT codes to Medicare claims
- Motor vehicle claim pre-certifications
- Answer patient account inquiries
- Charge and payment postings
- Credentialing physicians for Medicare enrollment
- Obtain out of network benefits for patients
- Appeal out of network payments with insurances to obtain higher payments
Education
B.S. - Business Administration, Concentration in Management
Monmouth University
West Long Branch, N.J.Skills
- Microsoft Office
- Ingenious Med
- RCX Rules
- EncoderPro
- Allscripts PM
- Allscripts Touchworks
- Greenway
- E-Clinical
- Mysis
- Paychex Payroll System
- Nextgen
- Lytec
- Modernizing Medicine
Certification
- Certified Profession Coder (CPC)
Timeline
Billing Manager
Advanced Dermatology, MOHS & Laser Surgery Center
01.2020 - Current
Director, Financial Services
Monmouth Cardiology Associates, LLC
03.2019 - 01.2020
Billing Manager
Advanced Dermatology, MOHS & Laser Surgery Center
09.2017 - 03.2020
Coding Supervisor-Remote
Aviacode
12.2015 - 09.2017
Revenue Cycle Manager
Robert Wood Johnson Physician Enterprise
03.2014 - 12.2015
Billing Manager and Medical Coder
Cardiology Assoc. of New Brunswick
04.2010 - 03.2014
Medical Coder
Shrewsbury Surgery Center
12.2009 - 04.2010
Patient Accounts Representative
Mid Atlantic Orthopedics
09.2003 - 11.2009
Account Manager
PBC Inc.
01.2002 - 01.2010
Per Diem Medical Coder
PBC Inc.
01.2002 - 01.2010
- Certified Profession Coder (CPC)
B.S. - Business Administration, Concentration in Management
Monmouth University
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