Irina Zherebnenkov
Alamo,CA
Summary
Efficient Insurance Billing Specialist with over 15 years of experience, known for high productivity and quick task completion. Expert in medical billing, coding accuracy, and claims processing. Strong in communication, problem-solving, and time management, excelling in fast-paced, high-pressure environments.
Overview
19
19
years of professional experience
Work History
Insurance Billing Specialist
Reproductive Science Center
San Ramon, CA
09.2012 - 05.2020
- Charge entry of daily office visits, and IVF lab charges.
- Handled a high volume of over 50 patient and insurance calls daily.
- Prepare the daily bank deposit.
- Handled monthly collections reporting.
- Verified insurance information and ensured that required pre-authorizations/pre-certifications had been obtained.
- Produced and mailed monthly statements to customers, and assisted with related questions.
- Submitted claims to insurance companies.
- Reviewed insurance claims for accuracy and completeness, ensuring that all required information was present.
- Entered procedure codes, diagnosis codes, and patient information into billing software to facilitate invoicing and account management.
- Interpreted explanations for benefits documents from various insurers.
- Generated detailed financial reports for management review.
- Negotiated payment arrangements with patients and/or their families, as needed.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Responded promptly to patient inquiries related to billing matters.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
ED Admin Representative
San Ramon Regional Medical Center
San Ramon, CA
06.2008 - 10.2012
- Greeted patients upon arrival to the ER and provided them with the necessary forms to complete.
- Verified insurance coverage, collected co-pays, and completed paperwork associated with patient admissions.
- Confirmed demographic information of each admitted patient to ensure accuracy in billing.
- Request and collect cash from patients according to policy and procedures, by informing them of their payment options.
- Proved successful working within tight deadlines and a fast-paced environment.
- Addressed patient inquiries and concerns regarding the admissions process, insurance information, and billing procedures with empathy and professionalism.
- Managed patient admissions to the Emergency Department, as well as outpatient and direct admissions, by accurately collecting and entering patient information into electronic health records.
- Communicated effectively with other departments within the hospital to ensure a smooth transition of care from the ER to other units and departments.
- Performed clerical tasks such as scanning documents, photocopying, and faxing reports.
- Answered telephones and directed calls to the appropriate medical or administrative staff.
Front/Back Office
Dr. Wayman Tang DDS
Castro Valley, CA
07.2001 - 05.2006
- Managed front office operations, including answering phone calls, welcoming and directing patients, and scheduling appointments.
- Calculated patient cost responsibilities.
- Handled back office tasks such as data entry, filing, and maintaining records organizationally and efficiently.
- Assisted with billing, insurance claims processing, and other administrative duties to support overall office operations.
- Assisted Dr. Tang in examinations and procedures.
- Disinfect and organize patient areas in preparation for treatments.
Education
Diploma in Medical Administrave Assistant -
Everest College
Hayward, CA08.2004
Diploma -
Dublin High School
Dublin, CA06.2003
Skills
- Types 50 words per minute
- EMR
- ICD-10
- CPT Coding Expertise
- 10-key data entry
- MS Excel, MS Word, MS Outlook, PowerPoint
- Nexgen, Artwork
- Claim submission
- Authorization Requests
- Insurance/Benefit Verification
- Denial management
- Statement Distribution
- Electronic Document Management System
- Month-End Closing Procedures
- Charge slips
- Services Rendered Documentation
- Collections processing
- Payment posting
- Scheduling appointments
- HIPAA compliance
Languages
Russian
Personal Information
Title: Medical Billing Specialist
Timeline
Insurance Billing Specialist
Reproductive Science Center
09.2012 - 05.2020
ED Admin Representative
San Ramon Regional Medical Center
06.2008 - 10.2012
Front/Back Office
Dr. Wayman Tang DDS
07.2001 - 05.2006
Diploma in Medical Administrave Assistant -
Everest College
Diploma -
Dublin High School
Similar Profiles
Michelle VaplonMichelle Vaplon
Team Lead Administrative Medical Assistant III at Reproductive Science CenterTeam Lead Administrative Medical Assistant III at Reproductive Science Center
Nicole DresslerNicole Dressler
Patient Service Representative at Reproductive Science Center Of New JerseyPatient Service Representative at Reproductive Science Center Of New Jersey
Ebony BrooksEbony Brooks
Patient Financial Coordinator at Reproductive Science CenterPatient Financial Coordinator at Reproductive Science Center