Klarita Sinani
Maywood,NJ
Summary
Experienced professional seeking Revenue Cycle Management role. Skilled in organization, attention to detail, and interpersonal communication. Proficient in complex problem-solving, decision-making, and multitasking. Passionate about driving results and operational efficiency in a fast-paced setting. Excited to contribute expertise to a team focused on financial success.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Manager
Sovereign Medical Services LLC
01.2018 - 06.2025
- Managing the revenue cycle department in various duties, such as account management, communications with insurance providers, provider reps, verifications, coding, collections, cash posting, contract analysis, and all aspects of billing.
- Reviewed and analyzed the denial monthly report and presented it to upper management via an excel spreadsheet.
- Created and developed training documents to assist the associates in their daily activities.
- Efficiently managing patient complaints in respect of billing and collections.
- Manage team of 40+ employees.
- Evaluated the staff productivity reports on a weekly basis to determine whether additional training, shadowing, and coaching as required.
- Negotiate favorable contracts to control costs and increase revenue.
- Managing staff performance by providing regular feedback & performance reviews.
- Reviewing financial hardship applications.
- Overseeing the hiring and training of staff.
- Planning and structuring the department workflow and staffing.
Collection Supervisor
Sovereign Medical Services LLC
09.2014 - 12.2017
- Reviewed and analyzed the outpatient's AR, for any trends in the payor’s denial, unpaid claims, coding issues, patients’ eligibility, and systems issues.
- Escalate inquiries to the correct departments for resolution.
- INS follow up & claim submissions (INN/ OON)
- Handled ASC WC & NF – NY/ NJ
- Appeals / Arbitration paperwork
- Negotiations with OON INS carriers or Attorneys.
- Month End Closing Review.
- Sparc Submission for NY center
- Working and training team as needed.
Medical Representative
Merkem
12.2012 - 05.2014
- Claims Submission
- Prepare and review patient statements.
- Process payments from insurance companies.
- Prepare & Run A.R reports.
- Investigated rejected claim & denials.
- Assist Manager on special projects.
Education
Medical Billing and Coding Certification - undefined
HoHoKus Hackensack School of Business and Medical Science
Hackensack, NJ01.2011
Skills
- Proficient in: Medical Insurance Billing, Medical Terminology, Medical Coding and Medical Transcription and HIPAA Compliant
- Languages: Bilingual - English and Albanian, Some Spanish
- Medical software knowledge: MD Vision, Medisoft, MyWay, Vision, Athena, Medical Manager, CPT-4 Coding, ICD-9CM & ICD-10, CMS1500 forms, UB-04 and 2010 Microsoft Office, Microsoft Outlook, Excel & PowerPoint
- Websites: Navinet, Availity,Omni, Medisys & Zirmed, Rectangle, Athena,ECW
Timeline
Revenue Cycle Manager
Sovereign Medical Services LLC
01.2018 - 06.2025
Collection Supervisor
Sovereign Medical Services LLC
09.2014 - 12.2017
Medical Representative
Merkem
12.2012 - 05.2014
Medical Billing and Coding Certification - undefined
HoHoKus Hackensack School of Business and Medical Science
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