Kelly Apitsch
Pittsburgh,Pa
Summary
Dynamic and results-driven professional with a proven track record of leveraging extensive training and expertise to drive organizational success. Adept at applying strategic thinking and innovative solutions to enhance operational efficiency and achieve company objectives. Committed to delivering excellence through a strong work ethic and dedication. Eager to bring enthusiasm and a proactive approach to foster positive outcomes and propel the organization forward.
Overview
25
25
years of professional experience
Work History
Medical Billing Specialist
Optum, UnitedHealth Group
01.2000 - 02.2025
- Responsible for doing various deposits for hospitals, printing claims and mailing them out, sorting all correspondence that comes in, print and mail out collection letters
- Pull medical records for work comp and no fault claims and bill them out
- Prevented unnecessary loss of revenue due to late or incomplete billing by meticulously tracking all accounts and ensuring timely submission of accurate claim forms.
- Facilitated effective communication between healthcare providers, patients, and insurance companies to resolve billing disputes promptly.
- Improved cash flow through timely follow-up on outstanding accounts, negotiating payment plans, and collecting overdue payments.
- Assisted in reconciling deposit and patient collections.
- Supported audits by providing detailed records of all posted payments and adjustments upon request.
- Assisted colleagues with complex or challenging cases, fostering a collaborative work environment focused on problem-solving and continuous improvement.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
- Maintained strict compliance with HIPAA, CMS, and payer-specific guidelines during payment posting activities.
- Expedited month-end close procedures through efficient coordination with billing and finance teams.
- Streamlined revenue cycle operations for increased cash flow and reduced days in accounts receivable.
- Improved payment processing efficiency by implementing automated posting systems.
- Handled account payments and provided information regarding outstanding balances.
Education
High School Diploma -
Bishop Canevin High School
Pittsburgh, PA05.1986
Skills
- Communication
- Adaptability
- Flexibility
- Dependability
- Team building
- Resourcefulness
- Troubleshooting
- Patience
- Claim submission
- Claims review
- Electronic claims
- Teamwork and collaboration
- Multitasking and organization
- HIPAA compliance
- Payment posting
- Insurance verification
- Patient billing
- Bill payment
Timeline
Medical Billing Specialist
Optum, UnitedHealth Group
01.2000 - 02.2025
High School Diploma -
Bishop Canevin High School