Summary
Overview
Work History
Education
Skills
Timeline
Generic

Irina Gutsu

Summary

I am seeking Hospital Assistant 3 that will utilize my education and training as well as provide room for growth and career advancement.

Excellent Customer Service Excellent computer skills Experience with cost effective material management practices related to product storage, distribution methods, product security, receiving goods, crediting returns, product integrity for patient use and product substitutions. Experience with and use basic mathematical calculations, addition, subtraction, multiplication, and division. Experience in maintaining multiple filing systems, records, and logistical information is required in this position. Experience with computerized and hard-copy information systems. Experience, general understanding, and recognition of medical equipment. Skills for accurate calculations of inventory replenishment, weight, units of measure, and package counts are essential. Strong interpersonal skills to relay instructions and ideas to a diverse audience. Interpersonal skills to interact with a broad spectrum of staff. Basic computer skills. Analytical skills to effectively troubleshoot equipment. Ability to work on several projects simultaneously. Knowledge of hospital /clinical setting Knowledge of healthcare insurance systems Knowledge in Insurance authorization/eligibility Knowledge of Medical terminology Basic understanding of diagnosis (ICD-9 ICD10) Knowledge of all billing systems and requirements A/P, A/R and general bookkeeping skills Registration experience Proficient with Outlook, Excel, Word, PowerPoint, Proficient in Medical systems: DDE, EPIC, FISS and Caremedic Excellent 10 key

Experienced with medical billing and claims processing, ensuring accurate and timely submissions. Utilizes billing software to maintain precise patient records and manage accounts receivable. Knowledge of industry regulations, aiding in efficient and compliant billing practices.

Professional billing expert with proven track record in financial accuracy and efficiency. Skilled in managing invoicing, reconciliations, and payment processing with focus on compliance and timeliness. Strong collaborative abilities and adaptability ensure effective teamwork and optimal results. Known for reliability, adaptability, and results-driven approach.

Billing professional prepared for role requiring meticulous attention to detail and thorough knowledge of medical coding. Proven ability to ensure accurate invoicing and manage complex billing cycles. Focused on team collaboration and adaptability, with reliable competency in claims resolution and patient communication.

Qualified Biller with strong background in medical billing and claims processing. Effectively managed accounts receivable and resolved discrepancies to ensure timely payments. Demonstrated expertise in utilizing billing software and maintaining accurate patient records.

Confident Biller with great [Type] skills and more than [Number] years of experience. Effective team player known for reliability and quick work. Dedicated to accuracy and efficiency.

Focused Billing Clerk with [Number] years of experience. Skilled in building client and vendor rapport and managing accounts to reduce outstanding balances. Hardworking and energetic with passion for accuracy and efficiency.

Detail-oriented [Job Title] with [Number] years of experience. Well-versed in using [Software] and learning new skills with ease and efficiency. Dedicated to exceeding goals and maintaining positive attitude.

Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements, and business correspondence.

Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.

Detail-oriented and methodical [Job Title] offering [Number] years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.

Efficient billing professional with [Number] years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.

Detail-oriented [Job Title] with strong understanding of bookkeeping principles and customer service. Experienced in developing and managing efficient billing and posting processes. Considered focused and organized team player.

Dynamic individual with hands-on experience in [Area of expertise] and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.

Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals.

Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.

Innovative technology professional with several years of diverse experience. Skilled in enhancing systems and aligning technical solutions with business objectives. Proven success in leading projects from start to finish and contributing to organizational growth and success.

Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.

Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.

Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

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.

Experienced with managing appeals and dispute resolution processes effectively. Utilizes analytical skills to assess and resolve complex cases while ensuring compliance with regulatory standards. Track record of collaborating with teams to deliver timely and accurate outcomes, adapting to changing needs and requirements.

As compliance-focused professional, brings valuable experience in navigating intricate appeals and dispute resolution procedures. Known for collaborating effectively with team members to achieve high-quality outcomes and adapt to evolving regulatory requirements. Skilled in analytical problem-solving and efficient case management, ensuring timely and accurate resolutions.

Experienced [Type] Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering [Number] years of experience and willingness to take on any challenge.

Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate [Type] systems. Effective at operating within [Type] regulations and [Type] department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.

Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

Pragmatic Insurance Verification Specialist touting [Number] years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.

Overview

22
22
years of professional experience

Work History

Medicare Patient Biller III/Appeals Specialist

UC Davis Health System
09.2013 - Current
  • Performing outpatient/inpatient billing & following up functions using Epic and Caremedic and DDE.
  • Proficient in perform outpatient billing in Epic, follow up & transfer to the correct WQ use Epic while working on Mail Back RTPs, Therapy claims, CK & LM.
  • Performing adjusting claims, combining overlapping claims, adding or remove HCPC or modifiers from the claims and Appealing claims.
  • RTPs rejections online.
  • Resolve Medicare accounts through editing suspense and RTP status.
  • Have good knowledge to check patient eligibility & updated coverage.
  • Good billing & follow up skills to bill and audit accounts in EPIC.
  • Ability to accommodate changes in policies, procedures, and management in Medicare department.
  • Ability to establish a good rapport and professional working relationship with all departmental personnel and management.
  • Always ready to assist and help my co-workers and management.

Patient Service/operating inventory specialist

California Sleep Solutions
09.2013 - Current
  • Company Overview: sleep study
  • Extensive experience with Sleep study supplies, instrumentation, and equipment and know their applications and suitable substitutions.
  • Experience in maintaining multiple filing systems, records, and logistical information is required in this position.
  • Knowledge of computerized and hard-copy information systems is essential.
  • Experience, general understanding and recognition of medical equipment hospital/clinical setting.
  • Experience in maintaining multiple filing systems, records, and logistical information is required in this position.
  • Proficiency in and experience using Microsoft Word, Excel, and Outlook.
  • Knowledge of cost-effective materiel management functions of warehousing, purchasing, distribution methods, supply techniques, processing functions and product liability is required of this position.
  • Knowledge and use of basic mathematical calculations, addition, subtraction, multiplication, and division.
  • Skills for accurate calculations of inventory replenishment, weight, units of measure, and package counts are essential.
  • Ability to read and write English well enough to comprehend and convey instructions on invoices, shipping documents, control logs, inventory sheets, and other correspondence is a necessity to this position.
  • Possess interpersonal skills to relate complicated systems and ideas to diverse audience.
  • This includes maintaining professional demeanor to work accurately and quickly under pressure while handling multiple tasks simultaneously.
  • Knowledge and understanding of policies and procedures applicable to the receiving and processing of hospital supply-related materials are extremely important to this position.
  • Knowledge of functions related to hospital supply activities.
  • Knowledge of distribution logistics, proper documentation, weights and units of measure, and policies and procedures related to product dispersal.
  • Strong interpersonal skills to relay instructions and ideas to a diverse audience.
  • Professional demeanor while working accurately and quickly; handling multiple tasks simultaneously.
  • Knowledge and understanding of policies and procedures applicable to the receiving and processing of hospital supply-related materials.
  • Knowledge weights and units of measure, and policies and procedures related to product.
  • Sleep study

Patient Biller III-per diem

UC Davis Health System
11.2012 - 09.2013
  • Responsible for EOB posting
  • Adjusting accounts according to contracts and their reimbursement terms
  • Follow up on claims through appropriate denials
  • Auditing and transferring patient payments
  • Knowledge of Commercial, Managed Care, Workers Compensation and Government, medical billing and reimbursement, policies and procedures
  • General knowledge of CPT and ICD-9 coding, communication skills, EMR and transcribing physician orders, utilizing multiline telephone system, medical terminology, record keeping and computer skills.
  • Excellent bookkeeping and math skills to accurately audit and adjust accounts
  • Knowledge of MS Word and Excel programs
  • Excellent bookkeeping and math skills to accurately audit and adjust accounts
  • Ability to handle a heavy workload, pressures of deadlines

Medicaid Biller

CORAM Health Care
12.2008 - 10.2012
  • Responsible for billing assigned medical and commercial insurances.
  • Knowledge of current medical billing requirements and procedures.
  • Knowledge of HMO, GMC and Workers Compensation and government payers.
  • Maintaining and monitoring and confirming that action takes place per Coram/Apria rules and regulations.
  • Maintaining and releasing all ship claims from bill review within three days.
  • Holding claims pending authorization and/or necessary documentation.
  • Analyzing and verifying all dates of service and billed amounts.
  • Sending out all claims with corresponding documentation.
  • Gaining a detailed knowledge of all job functions, reimbursement policies and procedures.
  • Verifying all patient/client data for completeness and accuracy prior to billing cycle.
  • Maintaining the billing hold report.
  • Completing account contractual adjustment at the time of billing.
  • Performing all other adjustments in a timely manner to reconcile accounts.
  • Completes the unbilled reconciliation weekly.
  • Assuming responsibility for assigned test claims.
  • Additional billing responsibilities as workloads dictate to meet departmental goals.
  • Performing other related duties as directed by supervisor.

General Clerk

EDS-Northern Pharmacy
05.2003 - 11.2008
  • Responsible for batching and filing paperwork.
  • Ensure all DHL and UPS packages are mailed and received.
  • Handled inbound calls, and performed outbound follow up calls.
  • Maintained and order office supplies.
  • Extensive data entry and medical claim processing.

Front Desk

Hampton Inn
07.2003 - 09.2004
  • Account Payables and Account Receivables.
  • Posted journal entries and maintained spreadsheets.
  • Handled customer payments and posted to ledgers.
  • Prepared petty cash and bank reconciliations.
  • Provided excellent customer service.
  • Answered multi line phone.
  • Ordering inventory, maintaining and auditing supplies.

Education

Bachelor’s Degree - Accounting and Business

Sierra College
12.2006

Skills

  • Excellent Customer Service
  • Excellent computer skills
  • Cost effective material management
  • Basic mathematical calculations
  • Maintaining filing systems
  • Computerized information systems
  • Recognition of medical equipment
  • Accurate calculations of inventory replenishment
  • Strong interpersonal skills
  • Analytical skills
  • Ability to work on several projects simultaneously
  • Knowledge of hospital/clinical setting
  • Knowledge of healthcare insurance systems
  • Knowledge in Insurance authorization/eligibility
  • Knowledge of Medical terminology
  • Basic understanding of diagnosis (ICD-9 ICD10)
  • Knowledge of billing systems and requirements
  • A/P, A/R and general bookkeeping skills
  • Registration experience
  • Proficient with Outlook
  • Proficient with Excel
  • Proficient with Word
  • Proficient with PowerPoint
  • Proficient in Medical systems: DDE, EPIC, FISS and Caremedic
  • Excellent 10 key
  • Billing
  • Data entry proficiency
  • Regulatory compliance
  • Invoice processing
  • Variance analysis
  • Cost control
  • File management
  • Payment tracking
  • Invoice coding
  • Numeric accuracy
  • Posting charges
  • Insurance billing procedures
  • Deadline driven
  • Financial software expertise
  • Coding data
  • Reimbursement processing
  • Accurate invoicing
  • Payment posting
  • Research and due diligence
  • Customer service
  • Audit procedures
  • Problem-solving
  • Attention to detail
  • Multitasking and organization
  • Team collaboration
  • HIPAA compliance
  • Verbal and written communication
  • Billing systems and software
  • Decision-making
  • Relationship building
  • Insurance verification
  • Patient account management
  • Financial reporting
  • Collections management
  • Data research
  • Medical coding
  • Report generation
  • Medical billing and collections
  • Coding proficiency
  • Work coordination
  • General accounting
  • Credit term computing
  • Multitasking Abilities
  • Multitasking
  • Problem-solving abilities
  • Excellent communication
  • Reliability

Inventory organization

Inventory control

Order picking and processing

Inventory accounts reconciliation

Timeline

Medicare Patient Biller III/Appeals Specialist

UC Davis Health System
09.2013 - Current

Patient Service/operating inventory specialist

California Sleep Solutions
09.2013 - Current

Patient Biller III-per diem

UC Davis Health System
11.2012 - 09.2013

Medicaid Biller

CORAM Health Care
12.2008 - 10.2012

Front Desk

Hampton Inn
07.2003 - 09.2004

General Clerk

EDS-Northern Pharmacy
05.2003 - 11.2008

Bachelor’s Degree - Accounting and Business

Sierra College
Irina Gutsu