Open To Work
Elizabeth Weigel
Professional Physical Therapy
Deer Park,USA
Work Preference
Desired Job Title
Revenue Cycle OperationsMedical BillerClerical Support Associate – Outpatient Dialysis
Work Type
Full Time
Location Preference
HybridRemote
Location:
Deer Park, USA
Open to relocation:
No
Important To Me
Career advancementWork-life balanceCompany CulturePersonal development programsHealthcare benefitsWork from home optionPaid time off401k matchPaid sick leaveTeam Building / Company Retreats
2
Certification
10
Years of experience
Team-oriented professional prepared to take on leadership responsibilities with focus on driving results and fostering collaboration. Proven success in managing teams, overseeing project execution, and adapting to dynamic work environments. Known for reliability, flexibility, and strong organizational skills, ensuring seamless team operations and achievement of goals.
Work History
Revenue Cycle Operations
8 Years 5 Months- Team Lead Workers Compensation Accounts Receivable 10/1/23-present
- Directed daily team operations, optimizing workload distribution and facilitating timely account escalations for 6 employees.
- Analyzed payer trends and denial patterns to uncover root causes, enhancing resolution processes.
- Analyzed top 10 aging payers bi-weekly or monthly, informing strategic decisions and enhancing accounts receivable management.
- Analyzed team performance through monthly audits to maintain operational standards and optimize account handling.
- Spearheaded creation and ongoing maintenance of departmental standard operating procedures.
- Facilitated discussions during monthly team meetings to address challenges and strategize solutions.
- Facilitated weekly follow-up reviews of dashboard status codes.
- Workers Compensation Account Specialist 8/25/20-9/30/23
- Secured required workers' compensation authorizations through insurance portals or phone outreach.
- Facilitated communication of authorization status, including approvals and denials, to providers and clinic staff.
- Engaged with insurance carriers and adjusters to verify case details and resolve authorization or payment discrepancies.
- Performed accounts receivable follow-up to ensure timely claim resolution and reimbursement.
- Monitored work queues to maintain productivity standards for authorizations and A/R follow-up.
- Identified denial patterns, underpayments, or other claim issues and escalated when necessary.
- Assisted in resolving unpaid or unresolved claims with insurance payers.
- Special Projects Specialist 7/2/19-8/24/20
- Executed daily assignments to enhance operational efficiency.
- Facilitated accurate verification of fault and workers' compensation accounts.
- Payment Integrity Specialist 3/5/18-7/1/19
- Ensured precise documentation of monetary entries in patient records to maintain financial integrity.
- Completed batch logs with reconciliation of batches posted.
Medical Biller
1 Year 4 Months- Analyzed EOBs to guide in posting payments from insurance companies to the proper accounts and investigate denials/partially paid claims for in- and out-of-network insurance companies, resubmitting, correcting or preparing appeals as needed.
- Converted ICD-9 to ICD-10 codes when appropriate.
- Obtained prior-authorizations for DME across all commercial payers.
- Insurance verification.
- Utilized the Aging Report to follow up with insurance companies on all outstanding claims.
- Responded to patient inquiries regarding billing issues as necessary.
- Contacted and worked with commercial and private insurances as well as Medicaid and Medicare for processing and verifying claims.
- Reviewed clients' past due balances and sent to collections the ones that needed to go.
- Provided medical records and reports for attorney requests.
Clerical Support Associate – Outpatient Dialysis
2 Years 8 Months- Coordinated patient appointments and follow up on scheduling changes to maximize clinic efficiency.
- Prepared, maintained, and organized medical records and documentation in compliance with HIPAA regulations.
- Provided clerical support to clinical staff by copying, faxing, and filing documents.
Education
Medical Billing and Coding
Skills
Microsoft Office
Insurance portal navigation
TRIZETTO
JOPARI
Clarity
Denial trend analysis
Accounts receivable follow-up
Payer escalation management
Standard operating procedures
Team leadership
Certification
- Certified Electronic Health Record Specialist (CEHRS), National Health Career Association (NHA), November 2016
- Certified Billing and Coding Specialist (CBCS), National Health Career Association (NHA), August 2016
Training
LI Urgent Care, West Babylon, New York, August 2016 – October 2016
Medical Biller
- Applied ICD-10 coding
- Investigated claim denials
- Handled customer concerns/questions
Timeline
Revenue Cycle Operations
Professional Physical Therapy
03.2018 - 08.2026Read More
Medical Biller
Prothotic Laboratories Inc.
10.2016 - 02.2018Read More
Clerical Support Associate – Outpatient Dialysis
Winthrop University Hospital
11.2011 - 07.2014Read More
Branford Hall
Medical Billing and Coding
Read More