Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kim Russo

Tarrytown,NY

Summary

High-performing, detail-oriented, collaborative communicator focused on building mutually beneficial internal and external relationships. Polished, professional with a strong background in human resources, payroll coordination, administration, medical processes, and customer service. Proven track record of facilitating positive client relations, practicing consistent accuracy and attention to detail, and ensuring compliance with applicable regulations. Solid experience delivering exemplary service. Leverage solid accounting and payroll experience with medical billing and coding skills. Handle payroll-related functions, including processing payroll, and benefits and maintaining employee data, handling payroll questions, and completing other tasks needed for monitoring and overseeing the payroll process. Integrate medical coding and reimbursement to support accurate regulatory reporting requirements. Additional Core Competencies include: Monitoring & Analysis Auditing & Payroll Insurance Billing Confidentiality & HIPPA Medical Coding ICD-9-CM & ICD-10 & CPT Codes Claims Processing HCFA 1500 & CM-1459 (UB-04) Information Release Billing Reconcile Data Entry Medical Administrative Procedures Claims Reporting Record Keeping

Overview

10
10
years of professional experience

Work History

Branch Manager

Ultimate Care of NY
New City, NY
06.2022 - Current
  • Process Applications for new hires
  • Works closely with management on policy guidelines and compliance
  • Provides daily reports to Administer on the new hires for the day
  • Oversaw and managed onboarding processes and programs for successful integration of new employees
  • Communicated with potential hires to provide clarity on expected tasks, compensation and polices
  • Collect and review all compliance requirements for new hires
  • Assist new hires in scheduling their medical requirements
  • Create new profile for new hires in HHA Exchange
  • Schedule and complete new hire orientations
  • Run CHRC for background check for new hires
  • Schedule fingerprints if needed for new hires
  • Collect and review medicals for new hires
  • Assist with coordination, recruiting and marketing.
  • Directed daily operations of the branch, including customer service, human resources, sales and marketing activities.
  • Managed and inspired team members to perform to full potential, driving branch profitability.
  • Provided guidance and support to team members regarding problem resolution and customer service issues.

Nursing Coordinator/Office Manager

PREFERRED HOME CARE OF NY
Spring Valley & White Plains, NY
05.2021 - 05.2022
  • Assist the Registered Nurses (RNs) with obtaining the doctor (MD) and interim and discharge orders
  • Verify RN visits for pay and assist in obtaining authorizations
  • Run reports to ensure RN payroll is correct; follow up with the Nursing staff for missing time sheets and updated paperwork on patient visits
  • Assist RNs with scheduling and confirming all patient visits
  • Initiate introduction calls to patients and family when a new case is assigned to the agency
  • Update all medical diagnostic codes and medications in the HHA Exchange system
  • Track all patients, hospitalizations, falls, and start of care
  • Call patients and/or family members concerning emergency preparedness for impeding storms
  • Assisted with coordination and staffing client with caregivers
  • Assisted OnBoarding and HR to collect and update all compliance for new caregivers
  • Assisted in Orientation for new hires.

Payroll Coordinator

PREFERRED HOME CARE OF NY
Spring Valley & White Plains, NY
01.2019 - 05.2021
  • Reviewed and edited time sheets for accuracy and verified pay in the HHA Exchange
  • Ran reports to ensure payroll was correct
  • Followed up with Aides for missing time sheets and helped with payroll issues
  • Helped the Authorization department, Coordinators with scheduling, and Human Resource (HR) with compliance
  • Monitored PTO (paid time off) days; added Direct Deposits.

Payroll Coordinator

SUNSHINE HOME CARE, INC.
New York, NY
05.2018 - 12.2018
  • Reviewed and edited time sheets for accuracy and ran reports to ensure payroll was correct
  • Monitored deductions and garnishments and followed-up with Aides and Nurses for missing time sheets
  • Assisted the Controller with manual checks and assisted Coordinators with scheduling.

Claims Analyst

MONTEFIORE CMO
Yonkers, NY
02.2018 - 04.2018
  • Served as a Claims Representative, Expediter, and Billing Representative
  • Followed up with the Collections department on underpaid or rejected claims
  • Oversaw Denial Management, Appeal Filing, EOB (Explanation of Benefits) Processing, Payment Posting, and Initial Claims Submission, reviewed and processed correspondence from patients and insurance carriers.

Billing and Collections Analyst

SOUTHWEST BEHAVIORAL HEALTH
Phoenix, AZ
10.2017 - 11.2017
  • Handled behavioral health and opiate billing for Mercy Maricopa Integrated
  • Managed collections for contracts, including Medicaid for Arizona
  • Evaluated requests for specialized billing; determined the most efficient means of execution and related resources needed to accommodate these requests
  • Analyzed billing issues and communicated problems to management and impacted clinical departments
  • Prepared and submitted insurance claim appeal letters
  • Assisted in charge entry and payment posting.

Medical Biller and Collections Manager

PRIME MEDICAL, INC.
Elmsford, NY
01.2017 - 09.2017
  • Handled Nursing Home, Internal Medicine, and Physical Therapy billing for all insurances and private patients
  • Managed collections for commercial insurance
  • Evaluated requests received for specialized billing and determined the most efficient means of execution and related resources needed to accommodate requests
  • Maintained knowledge of coding procedures and diagnostic codes, including ICD-9-CM, ICD-10 and CPT codes
  • Analyzed billing issues and communicated problems to management and clinical departments
  • Assisted in charge entry and posting payments
  • Prepared and submitted insurance claim appeal letters.

Billing and Collection Analyst

UNLIMITED CARE, INC.
White Plains, NY
09.2015 - 12.2016
  • Handled Home Health Aide billing for all insurers and private patients
  • Assisted in charge entry and posting payments
  • Managed collections for private patients and contracts for Medicaid NJ and NY
  • Evaluated requests received for specialized billing, determined the most efficient means of execution, and determined the related resources needed to accommodate the requests
  • Analyzed billing issues and communicated problems to management and clinical departments
  • Prepared and submitted insurance claim appeal letters.

Medical Biller and Collections

MEDICAL MANAGEMENT SOLUTIONS
Tarrytown, NY
01.2014 - 08.2015
  • Entered data electronically including posting daily charges, payments to process charges, denials, and adjustments
  • Reviewed and appealed unpaid and denied claims, verified patient insurance coverage, answered patient billing questions, and handled collections for unpaid accounts
  • Used coded data to produce and submit claims and work directly with insurers, healthcare providers, and patients to ensure claims were processed and paid
  • Answered telephones, updated patient records, and provided outstanding customer service.

Education

Associate in Science - Medical Billing and Coding

Ultimate Medical Academy

Diploma - Medical Billing and Coding

Ultimate Medical Academy

Skills

  • Interviewing and Hiring
  • Shift Scheduling
  • Proficient in HHA Exchange
  • QuickBooks Experience
  • Training and Development
  • Proficient in MS Office
  • Staff Supervision
  • Staff Recruitment
  • Customer Service

Timeline

Branch Manager

Ultimate Care of NY
06.2022 - Current

Nursing Coordinator/Office Manager

PREFERRED HOME CARE OF NY
05.2021 - 05.2022

Payroll Coordinator

PREFERRED HOME CARE OF NY
01.2019 - 05.2021

Payroll Coordinator

SUNSHINE HOME CARE, INC.
05.2018 - 12.2018

Claims Analyst

MONTEFIORE CMO
02.2018 - 04.2018

Billing and Collections Analyst

SOUTHWEST BEHAVIORAL HEALTH
10.2017 - 11.2017

Medical Biller and Collections Manager

PRIME MEDICAL, INC.
01.2017 - 09.2017

Billing and Collection Analyst

UNLIMITED CARE, INC.
09.2015 - 12.2016

Medical Biller and Collections

MEDICAL MANAGEMENT SOLUTIONS
01.2014 - 08.2015

Associate in Science - Medical Billing and Coding

Ultimate Medical Academy

Diploma - Medical Billing and Coding

Ultimate Medical Academy
Kim Russo