Summary
Overview
Work History
Education
Skills
Accomplishments
I love everything that has to do with outdoors, from hiking to gardening
Languages
Work Availability
Timeline

LEDJA TAKU

Charlotte,NC

Summary

Reliable business professional with experience in project management, process improvement and financial analysis. Proven track record of successfully streamlining business operations and reducing costs. Adept at analyzing data to identify trends and developing strategies to improve efficiency. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

12
12
years of professional experience

Work History

Administrator

Midwest Healthcare, Inc
12.2013 - Current
  • Managed 5 different departments withing 30 hours per week by improving quality and efficiency of services provided.
  • Able to manage cash flow, overseeing accounts payable, administering payroll, reviewing/approving departmental budgets and supervising audits
  • Maintained compliance program for federal and state laws and regulations
  • Up-to-date knowledge of health insurance regulations and able to comply with accreditation and licensure requirements (CHAP)
  • Maintained personnel records and updated internal databases to support document management
  • Entered and maintained departmental records in company database
  • Coordinated with human resources department to handle payroll and personnel databases

Medical Biller

BETTER WAY BILLING
03.2020 - Current
  • Prepare, review and transmit claims using billing software (EPIC, GREENWAY, ECLINICAL, ETHOMAS, iSALUS)
  • Organize patient medical costs and sending invoices to collect payment from patients and their insurers
  • Discuss payments and develop reasonable payment plans with patients by entering patient data into administrative systems and record information about outstanding claims
  • Perform posting charges, process claims within 48 hours, Resolve denial instances, Achieve maximum reimbursement for services provided.
  • Communicated with insurance providers to resolve denied claims and resubmitted
  • Collected payments and applied to patient accounts

Administrator

THERAMEDIC REHAB
01.2016 - 01.2017
  • Monitored budget and prepared reports, maintained medical and staff records
  • Ensured compliance with current healthcare regulations
  • Administered payroll and oversee accounts payable.

Administrative Assistant/Intake Coordinator

BEST CARE HOME HEALTH SERVICES, INC
01.2012 - 01.2013
  • Maintained general office files, billing department and manage accounts payable and receivable
  • Created and updated patients’ health records, identified and verified insurance coverage for appropriate insurance payer
  • Maintain supply inventory as well as daily distribution of supplies to field staff
  • Maintain logs and reports essential for appropriate billing and reorder process
  • Oasis data entry through healthcare software (Synergy) -Provided quality customer service to patients.

Education

Bachelor’s Degree - Specialist of Geography

TIRANA UNIVERSITY, Schoolcraft College, Tirana, Livonia, MI
06.2004

Associate Degree - Marketing and Applied Management

SCHOOLCRAFT COLLEGE, Livonia, MI
2012

Business Honor Student

Skills

  • Audit Procedures
  • Medical Billing and Collections
  • Coding Proficiency
  • Billing Dispute Resolution
  • Accounts Receivable Expertise
  • Claim Processing
  • Fiscal Reporting
  • Billing Systems and Software
  • Google Drive
  • Petty Cash Disbursement
  • Customer Engagement
  • Billing Best Practices
  • Microsoft Office
  • Monthly Reconciliations
  • Monthly Billing Management
  • Collection Practices
  • 10-Key Data Entry
  • Manual Processing
  • Digital Postal Meters
  • Statement Itemization
  • Validation of Discrepancies

Accomplishments


  • Achieved excellent federal accreditation by completing all business compliance with accuracy and efficiency.
  • Improved revenue for most providers over 30% with same patient load. .

I love everything that has to do with outdoors, from hiking to gardening

I go hiking in the mountains, love fresh air and sun. I like eating healthy and enjoy having a little garden, it is stress relief at the end of a work day. 

Languages

Albanian
Full Professional
English
Full Professional
Italian
Limited Working

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Medical Biller - BETTER WAY BILLING
03.2020 - Current
Administrator - THERAMEDIC REHAB
01.2016 - 01.2017
Administrator - Midwest Healthcare, Inc
12.2013 - Current
Administrative Assistant/Intake Coordinator - BEST CARE HOME HEALTH SERVICES, INC
01.2012 - 01.2013
TIRANA UNIVERSITY, Schoolcraft College - Bachelor’s Degree, Specialist of Geography
SCHOOLCRAFT COLLEGE - Associate Degree, Marketing and Applied Management

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LEDJA TAKU