Lyubov Bachinskaya

Implement and support healthcare compliance and quality assurance initiatives aligned with federal, state, and contractual regulatory requirements

Conduct routine and complex audits to identify compliance risks, operational gaps, and regulatory exceptions

Develop audit methodologies, analyze large datasets, and document findings to support compliance investigations and risks assessments

Prepare audits reports, dashboards, and compliance metrics for leadership

Partner with enrollment, operations, and leadership teams to integrate compliance standards into daily workflows

Track, monitor, and follow up on corrective action plans to ensure timely and effective remediation

Maintain working knowledge of Medicaid, Medicare, CMS, and state healthcare regulations

Respond to internal and external compliance inquiries in a timely and professional manner

Coordinated patient access services in compliance with payer, Medicare, and Medicaid requirements

Obtained and verified insurance authorizations to support regulatory and billing compliance

Maintained accurate documentation supporting audits, billing reviews, and regulatory inquiries

Collaborated with physicians, nurses, and clinical teams to ensure compliant scheduling and patient flow

Ensured adherence to HIPPA and patient privacy standards

Maintained accurate electronic health records (EHR) to support clinical, billing, and audit requirements

Verified insurance coverage, eligibility, and patient financial responsibility

Supported compliant documentation practices and patient care workflows

Assisted with billing processes, co-payments, and deductibles