Jessica Pietropinto
Mentor,OH
Summary
Dynamic leader with a proven track record at Retina Center of Ohio, specializing in operations management and revenue cycle management. Achieved a notable increase in practice revenue by $230,000 in 2022 through expert negotiations and process enhancements. Demonstrates proficiency in healthcare information systems while building strong patient relationships and exhibiting exceptional organizational capabilities.
Overview
12
12
years of professional experience
Work History
Practice Administrator
Retina Center of Ohio
04.2020 - Current
- Oversees day-to-day operations, including client relations, staff scheduling, organization workflow and process, performance management, risk compliance (OSHA/HIPPA), and task delegation
- Serves as the primary contact for the practice executive, managing both professional and personal calendars, correspondence, invoicing, expenses, and travel
- Directs process improvement and negotiates contracts with vendors (e.g., recognized and analyzed financial variances and negotiated with insurance companies to increase practice revenue by $230,000 in 2022)
- Stays current on tax, operational, and employment law to collaborate effectively with external vendors on practice tax documentation
- Coordinates monthly financial audits and monitors financial statement preparation
- Implemented new policies and procedures for streamlining workflow processes within the revenue cycle department.
- Monitored daily cash flow activity, ensuring timely filing of claims and proper reimbursement for services rendered.
- Analyzed and reported on billing cycle data to inform management.
- Analyzed financial reports on a regular basis to identify areas of improvement in the revenue cycle process.
- Participated in revenue cycle processes, working to maximize profitability and increase revenue.
- Resolved customer inquiries promptly while maintaining excellent customer service standards.
- Investigated any discrepancies that arise during the billing process and resolved them promptly.
- Collaborated with physicians, clinical staff, payers and other stakeholders to resolve issues related to medical billing.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Performed insurance verification, pre-certification and pre-authorization.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Checked claims coding for accuracy with ICD-10 standards.
- Developed strategies to reduce accounts receivable aging balances.
- Submitted claims to insurance companies.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
- Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
- Vast knowledge of Medicare and Third Party Payer Requirements for coding, billing, and disputes
- Negotiated with drug manufacturers and insurance providers to obtain coverage for off-label or non-formulary medications.
- Surgical Billing
- Ophthalmology Practice Billing
Executive Director
Future Vision Foundation
11.2017 - Current
- Directs and supports the nonprofit's planning, partnerships, donor relations, and operations
- Leads the planning, development, and execution of the Foundation's annual signature events (e.g., successfully completed 12 events ranging from closed-door forums to large-scale galas at the Cleveland Museum of Art and Cleveland Institute of Art)
- Manages and supports Board of Directors meetings, including setting agendas, creating pre-reads and meeting materials, notetaking, and following up on postmeeting actions
- Creates, directs, and/or reviews the Foundation's printed and digital marketing materials and communications
- Writes grants and develops strategic partnerships to grow financial backing (e.g., successfully raised over $2.5M in the past 5 years)
- Manages and maintains nonprofit's bylaws and governance documentation
Patient Coordinator
University Hospital
12.2012 - 04.2015
- Welcomed patients and triaged them to appropriate medical teams
- Maintained enrollment spreadsheets, charge and payment records, collections, and process documentation
- Managed patient eligibility and prior authorizations (e.g., successfully obtained prior authorizations, increasing revenue by $1.5M during tenure)
- Monitored compliance with HIPAA regulations regarding confidentiality of patient information.
- Provided support to patients regarding insurance coverage, payment plans, and other financial matters.
- Demonstrated flexibility during changes to patient care practice.
- Assisted in the development of educational materials for patients about the prior authorization process and insurance benefits.
- Provided customer service to patients and healthcare providers, answering questions related to prior authorization and insurance coverage.
- Facilitated communication between providers, payers and health plans regarding prior authorization processes.
- Participated in multidisciplinary team meetings to discuss complex cases requiring prior authorization.
- Input claim, prior authorization, and other important medical data into system.
- Collaborated with internal staff members to resolve discrepancies or issues related to prior authorizations.
- Negotiated with drug manufacturers and insurance providers to obtain coverage for off-label or non-formulary medications.
Education
Bachelor of Arts -
Ursuline College
Business Management and Accounting Certificate -
Lakeland Community College
Skills
- Microsoft Office
- Excel
- Word
- PowerPoint
- Outlook
- Publisher
- Forms
- QuickBooks
- Adobe Acrobat
- Calendar
- Meets
- Credentialing management
- Healthcare information systems
- Scheduling coordination
- Performance improvement
- Medical billing
- Patient relations
- Operations management
- Human resources management
- HIPAA compliance
- Revenue cycle management
- Medical personnel recruitment
- Policy and procedure development
- Performance metrics
- Policy implementation
- Employee operations
- Workflow management
- Policy development
- Budgeting expertise
- Records management
- Practice management
- Staff management
- New hire training
- Budget oversight
- Payroll administration
- Electronic health records
- Bookkeeping
- Strategic business planning
- Employee performance
- Continuous improvement
- Supplies ordering
- Clinical improvement initiatives
References
References available upon request.
Timeline
Practice Administrator
Retina Center of Ohio
04.2020 - Current
Executive Director
Future Vision Foundation
11.2017 - Current
Patient Coordinator
University Hospital
12.2012 - 04.2015
Bachelor of Arts -
Ursuline College
Business Management and Accounting Certificate -
Lakeland Community College