JULIE PRELLWITZ
Kearney
Summary
Achieved significant process improvements and revenue cycle optimization at Schrock Medical Clinic, PC, showcasing expertise in medical coding and a strong decision-making ability. Spearheaded strategic initiatives that enhanced efficiency and customer service, demonstrating a proactive approach to maximizing reimbursement and streamlining billing processes.
Overview
17
17
years of professional experience
Work History
Director of Revenue Cycle / Clinic Director
Schrock Medical Clinic, PC
12.2021 - Current
- Decreased denials by conducting thorough audits of charge capture procedures and providing feedback to clinical teams on documentation requirements.
- Optimized software usage through regular system updates, customization of modules, and staff training sessions.
- Collaborated with cross-functional teams to identify areas for operational improvement within the revenue cycle process.
- Established strong relationships with insurance carriers to expedite claims processing and maximize reimbursement rates.
- Enhanced cash flow by promptly identifying and resolving discrepancies in payment postings and adjustments.
- Maintained a high degree of accuracy in data reporting with regular reconciliation between general ledger accounts related to revenue cycle transactions.
- Ensured timely claim submission by effectively managing coding workflows within the department.
- Coordinate weekly meetings with departmental staff members providing feedback on performance metrics and issues impacting cash flow
- Collaborate with IT personnel to develop, implement, and maintain automated solutions for streamlining billing processes
- Participate in developing strategies for improving reimbursement from government programs such as Medicare and Medicaid
- Evaluate existing systems and processes in order to recommend improvements that increase efficiency or reduce costs
- Analyze financial data to identify trends in reimbursement patterns from payers
- Provide training to staff on best practices for managing accounts receivable balances
- Monitor daily operations of the charge capture process to ensure accurate coding and timely submission of claims
- Complete all credentialing duties for all chiropractic, medical and physical therapy staff to ensure maximum allowable reimbursement from contracted payers
- Liaised between internal departments such as IT or finance when needed for successful execution of projects
- Facilitated strategic planning sessions between senior leaders at the clinic level as well as other stakeholders such as payers or government entities
Practice Manager
ENT Physicians of Kearney, PC
01.2017 - 12.2021
- Managed day-to-day operations of the office, such as ordering supplies, maintaining equipment and managing calendars
- Resolved customer inquiries and complaints with timeliness and professionalism
- Created and maintained filing systems to ensure accurate record keeping
- Trained and onboarded new office staff members
- Processed payrolls on a biweekly basis using accounting software
- Supervised administrative staff, driving front office operations and continuous workflow
- Served as appeals, insurance, collections and patient reimbursement specialist and intervened on difficult claims and handled escalated patient inquiries and complaints to maximize reimbursement and protect patient relationships
- Completed all credentialing duties for all chiropractic, medical and physical therapy staff to ensure maximum allowable reimbursement from contracted payers
Office Manager
Schrock Medical Clinic, PC
10.2014 - 01.2017
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.
- Developed and enforced office policies that aligned with company values and regulatory requirements, maintaining compliance.
Medical Coder and Biller
CHI Orthopaedic Surgery and Sports Medicine
03.2012 - 10.2014
- Utilized coding software to verify accuracy of diagnosis and procedure codes assigned to patient accounts.
- Reviewed medical records to assign codes according to classification systems.
- Analyzed medical documents to ensure accuracy of codes, modifiers, and units.
- Prepared and submitted claims to insurance companies and governmental agencies.
- Worked in high-volume medical coding and collections environment to maintain exceptional standards of excellence.
- Demonstrated expertise in resolving coding issues and responding to inquiries from healthcare providers.
Lead Medical Biller
New West Orthopaedic & Sports Medicine
06.2008 - 03.2012
- Utilized coding software to verify accuracy of diagnosis and procedure codes assigned to patient accounts
- Reviewed medical records to assign codes according to classification systems
- Analyzed medical documents to ensure accuracy of codes, modifiers, and units
- Prepared and submitted claims to insurance companies and governmental agencies
- Worked in high-volume medical coding and collections environment to maintain exceptional standards of excellence
- Demonstrated expertise in resolving coding issues and responding to inquiries from healthcare providers
- Developed effective strategies to reduce denials and improve reimbursement rates
- Identified areas of improvement in current policies and procedures related to medical billing operations
- Trained new staff members on proper medical billing procedures
- Expertly managed insurance claims for over 500 patients, ensuring accuracy and timely filing
- Maintained up-to-date knowledge of changes in healthcare laws related to payment processing
- Resolved customer complaints regarding billing errors or delays swiftly
- Resolved patient billing issues and communicated with insurance carriers
Education
Bachelor of Science (B.S.) - Business Management/Human Resource Management
University of Nebraska at Kearney
Kearney, NE12.1994
Skills
- Customer Service
- Denial resolution
- Medical coding
- Claims management
- Quality Assurance
- Medical Coding
- Revenue Cycle Optimization
- Process Improvement
- Decision Making
Timeline
Director of Revenue Cycle / Clinic Director
Schrock Medical Clinic, PC
12.2021 - Current
Practice Manager
ENT Physicians of Kearney, PC
01.2017 - 12.2021
Office Manager
Schrock Medical Clinic, PC
10.2014 - 01.2017
Medical Coder and Biller
CHI Orthopaedic Surgery and Sports Medicine
03.2012 - 10.2014
Lead Medical Biller
New West Orthopaedic & Sports Medicine
06.2008 - 03.2012
Bachelor of Science (B.S.) - Business Management/Human Resource Management
University of Nebraska at Kearney
Similar Profiles
Darla DuboyDarla Duboy
Referral Coordinator at Southern Colorado Clinic, PCReferral Coordinator at Southern Colorado Clinic, PC
Jerilyn RamseyJerilyn Ramsey
Telephone Triage Registered Nurse at McFarland Clinic, PCTelephone Triage Registered Nurse at McFarland Clinic, PC
Sonya R. ButlerSonya R. Butler
Front Desk Receptionist at Internal Medicine & Pediatric Clinic (IM&PC)Front Desk Receptionist at Internal Medicine & Pediatric Clinic (IM&PC)