JOCELYN SHAPIRO

• Submitted electronic and paper claims to Medicare and Medicaid for medical payments. Analyzed medical records to meet insurance mandates. Reduced claim denials by staying updated on insurance policies and regulations. Managed a team of medical billers, providing guidance and support. Increased revenue by identifying underpayments and errors. Reviewed outgoing bills for eligibility and accuracy. Led patient account reconciliations, ensuring accurate billing and collection. Streamlined workflows and implemented best practices to improve efficiency. Collaborated with physicians and healthcare providers to resolve complex billing issues. Conducted audits to ensure compliance with guidelines. Optimized workflows, reducing errors and delays. Enhanced claim accuracy through thorough reviews and staff training. Complied with HIPAA regulations. Participated in training to stay current on billing procedures and regulations. Maintained current accounts through aged revenue reporting. Organized team meetings to review performance and share best practices. Followed up on legal claims. Maintained high team morale and engagement. Provided top-notch medical billing services.
• Developed strong relationships with insurance representatives to resolve disputes over claims payments. Championed efforts to stay current with medical coding standards and requirements. Confirmed backup and proper storage of sensitive information. Enforced compliance with state and federal laws and Joint Commission standards. Hired additional staff and managed resources during high workloads. Spearheaded departmental communication initiatives for increased collaboration and efficiency. Reviewed services rendered, reconciled codes, and assisted with budget preparation and financial reporting. Oversaw billing for Medicaid PCA, waiver, skilled claims, commercial insurance, and private pay clients. Collected payments, verified insurance eligibility, and resolved denied claims. Prepared billing statements, verified diagnostic coding, and posted payments and collections. Accurately entered patient demographic and billing information. Liaised between patients, insurance companies, and billing offices. Reviewed patient records, medical codes, and created invoices. Delivered timely and accurate charge submissions. Analyzed complex Explanation of Benefits forms for correct billing. Filed and updated patient information and medical records.
• Hired, managed, developed, and trained staff, set goals, reviewed performance, and administered salaries.

Resolved issues through active listening and questioning, escalating major problems to managers.

Coordinated tasks based on skill levels, implemented project management, and delegated to administrative support for efficiency.

Organized meetings, materials, and catering, completed bi-weekly payroll, and managed supervisor schedules.

Built an efficient administrative team through coaching and development, improved office operations with automation, and organized executive meetings.

Trained team members on hotel services, maintained high performance evaluation scores, and developed internal standards to minimize risks.

Conducted financial system reviews, improved customer satisfaction, monitored revenue cycle operations, and implemented process improvements for accurate charge capture and coding compliance.

Streamlined workflows, maximized reimbursement rates, and improved revenue cycle efficiency through process improvements and best practices.

Regularly audited the revenue cycle process for areas of improvement.

Increased cash flow by resolving payer denials and underpayments.

Improved relationships with payers for better communication and dispute resolution.

Optimized billing and collections by reducing accounts receivable days.

Negotiated contracts with vendors for cost savings without compromising quality.

Identified discrepancies between budget and actual revenue and expenses.

Reduced days in accounts receivable through efficient follow-up procedures.

Streamlined billing processes to reduce errors and enhance efficiency.

Maximized reimbursements with insurance companies for financial stability.

Conducted audits to identify and rectify compliance issues.

Collaborated with clinical departments to optimize charge capture and billing.

Reduced denial rates through claims review and enhanced coding.

Optimized claims submission for timely and accurate billing.

Developed strategic financial plans for daily operations.

Complied with internal controls and policies.

Negotiated contracts for favorable financial terms.

Prepared financial reports, including balance sheets and income statements.

Utilized financial software for consolidated financial statements.

• Achieved company growth by implementing strategic plans and streamlining operations.
• Managed partnerships and strategic business relationships by negotiating contract terms and handling conflicts.

• Reduced appeal costs by refining processes based on past cases.
• Improved workplace dynamics through open dialogue and cooperative problem-solving.
• Identified underpayment patterns using data analytics to boost recovery.
• Maintained compliance with regulations by staying informed on updated legislation.

• Resolved billing discrepancies for accurate billing and maintained system accuracy and currency. Collaborated with departments, colleagues, and the collections team to resolve complex billing issues, recover overdue payments, and improve cash flow. Prepared itemized statements, bills, and invoices, and maintained detailed payment history records. Conducted regular audits to reduce errors and ensure compliance with regulations. Contributed to improved financial reporting, enhanced customer satisfaction, and maximized revenue potential. Streamlined the billing process, enhanced interdepartmental communication, and negotiated with insurance companies to resolve disputed claims. Assisted in transitioning to electronic billing, increased revenue retention, and contributed to a positive work environment. Managed monthly billing cycles, collaborated with the healthcare team to optimize reimbursement, and ensured accurate billing codes for healthcare claims.
• Conducted regular audits of billing data to reduce errors and complaints. Responded to customer concerns daily. Accurately documented and input statements using data entry skills. Handled account payments, provided balance information, and resolved disputes. Processed payments efficiently, ensuring accuracy. Audited and corrected billing documents. Maintained accurate records of payments and monitored outstanding invoices. Generated monthly reports for management review. Verified accounts payable payments, reducing errors and check reissues. Reconciled accounts receivable to the general ledger.

• Monitored and guided revenue cycle operations, implementing process improvements for accurate charge capture and coding compliance. Trained staff on best practices, boosting department productivity. Provided financial reporting and analysis for billing revenue cycle. Managed cross-functional teams for improved operations.
• Implemented process improvements, ensuring accurate charge capture and coding compliance.

• Responded daily to customer concerns and questions. Accurately documented and input statements using data entry skills. Handled account payments, provided outstanding balance information, and audited billing and posting documents for accuracy.

• Submitted electronic and paper claims to Medicare and Medicaid for medical payments. Analyzed medical records to meet insurance mandates. Reduced claim denials by staying updated on insurance policies and regulations. Managed a team of medical billers, providing guidance and support. Increased revenue by identifying underpayments and errors. Reviewed outgoing bills for eligibility and accuracy. Led patient account reconciliations, ensuring accurate billing and collection. Streamlined workflows and implemented best practices to improve efficiency. Collaborated with physicians and healthcare providers to resolve complex billing issues. Conducted audits to ensure compliance with guidelines. Optimized workflows, reducing errors and delays. Enhanced claim accuracy through thorough reviews and staff training. Complied with HIPAA regulations. Participated in training to stay current on billing procedures and regulations. Maintained current accounts through aged revenue reporting. Organized team meetings to review performance and share best practices. Followed up on legal claims. Maintained high team morale and engagement. Provided top-notch medical billing services.
• Developed strong relationships with insurance representatives to resolve disputes over claims payments. Championed efforts to stay current with medical coding standards and requirements. Confirmed backup and proper storage of sensitive information. Enforced compliance with state and federal laws and Joint Commission standards. Hired additional staff and managed resources during high workloads. Spearheaded departmental communication initiatives for increased collaboration and efficiency. Reviewed services rendered, reconciled codes, and assisted with budget preparation and financial reporting. Oversaw billing for Medicaid PCA, waiver, skilled claims, commercial insurance, and private pay clients. Collected payments, verified insurance eligibility, and resolved denied claims. Prepared billing statements, verified diagnostic coding, and posted payments and collections. Accurately entered patient demographic and billing information. Liaised between patients, insurance companies, and billing offices. Reviewed patient records, medical codes, and created invoices. Delivered timely and accurate charge submissions. Analyzed complex Explanation of Benefits forms for correct billing. Filed and updated patient information and medical records.
• Hired, managed, developed, and trained staff, set goals, reviewed performance, and administered salaries.

Resolved issues through active listening and questioning, escalating major problems to managers.

Coordinated tasks based on skill levels, implemented project management, and delegated to administrative support for efficiency.

Organized meetings, materials, and catering, completed bi-weekly payroll, and managed supervisor schedules.

Built an efficient administrative team through coaching and development, improved office operations with automation, and organized executive meetings.

Trained team members on hotel services, maintained high performance evaluation scores, and developed internal standards to minimize risks.

Conducted financial system reviews, improved customer satisfaction, monitored revenue cycle operations, and implemented process improvements for accurate charge capture and coding compliance.

Streamlined workflows, maximized reimbursement rates, and improved revenue cycle efficiency through process improvements and best practices.

Regularly audited the revenue cycle process for areas of improvement.

Increased cash flow by resolving payer denials and underpayments.

Improved relationships with payers for better communication and dispute resolution.

Optimized billing and collections by reducing accounts receivable days.

Negotiated contracts with vendors for cost savings without compromising quality.

Identified discrepancies between budget and actual revenue and expenses.

Reduced days in accounts receivable through efficient follow-up procedures.

Streamlined billing processes to reduce errors and enhance efficiency.

Maximized reimbursements with insurance companies for financial stability.

Conducted audits to identify and rectify compliance issues.

Collaborated with clinical departments to optimize charge capture and billing.

Reduced denial rates through claims review and enhanced coding.

Optimized claims submission for timely and accurate billing.

Developed strategic financial plans for daily operations.

Complied with internal controls and policies.

Negotiated contracts for favorable financial terms.

Prepared financial reports, including balance sheets and income statements.

Utilized financial software for consolidated financial statements.