Marissa Grujic
Crystal Lake,IL
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm. Detail-oriented , efficient, and methodical billing professional with seven years of experience in related roles. Exceptional abilities in conducting research, productive and diligent with passion for resolving discrepancies through attention to detail, creative problem-solving, and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance. Passionate about perpetuating company values through impeccable work ethic and drive.. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
10
10
years of professional experience
Work History
Billing Coordinator
Aspire Home Healthcare
03.2024 - Current
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Input details into accounts and tracked payments.
- Completed documentation, reports and spreadsheets of financial information.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Completed appeals of denied claims on patient bills.
- Collaborated with cross-functional teams to ensure accurate and timely billing for all products and services provided.
- Reduced billing errors through consistent review and reconciliation of account discrepancies.
- Maintained strict confidentiality when handling sensitive client information, adhering to HIPAA or other privacy guidelines as required in specific industries.
- Continually sought opportunities for process improvement, leading to increased efficiency and effectiveness within the billing department.
- Established clear communication channels between departments to promote seamless coordination in all aspects of billing procedures..
- Enhanced client relations by promptly addressing inquiries and concerns regarding invoices and account statuses.
- Coordinated with clients to resolve outstanding balances, obtaining higher percentage of on-time payments.
- Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
- Facilitated smooth transitions during organizational changes by effectively training new team members on billing procedures and best practices.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Insurance Coordinator
Aspire Home Healthcare
01.2023 - 03.2024
- Verified insurance and communicated coverage to staff and patients.
- Negotiated with insurance carriers to secure competitive rates for clients, enhancing customer satisfaction.
- Obtained prior authorization and precertification for outpatient procedures.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Facilitated smoother internal communication, organizing regular meetings between different departments.
- Achieved results in ambiguous environment with high level of accuracy and attention to detail.
- Increased team efficiency with development of comprehensive training materials on insurance protocols.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
- Maintained up-to-date knowledge of insurance regulations, ensuring company compliance with current laws.
- Facilitated knowledge-sharing sessions on emerging insurance trends, keeping team informed and proactive.
- Assisted in resolving complex insurance claims, liaising between clients and providers for favorable outcomes.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Enhanced team productivity by introducing time management tools, optimizing workload distribution.
Eligibility Specialist
Coordinated Benefits Company
09.2021 - 01.2023
- Managed conference calls by documenting participant details and preparing audio recordings for future reference.
- Assisted clients with accurate eligibility form, application and document completion.
- Resolved discrepancies with client applications to verify eligibility.
- Communicated with people from various cultures and backgrounds on application process.
- Created and maintained spreadsheets and developed administrative and logistical reports.
- Demonstrated cultural sensitivity when interacting with international customers, adjusting communication style as necessary for optimal understanding.
- Established databases to track, analyze and automate eligibility application processes.
- Increased accessibility for non-English speaking applicants by developing and implementing multilingual support system.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Trained staff on current eligibility requirements and policies.
- Engaged wider departments in accurate, timely paperwork completion.
- Facilitated team training sessions on new policies and regulations, ensuring compliance and up-to-date knowledge across department.
- Developed strong rapport with clients by effectively communicating complex program requirements and processes.
- Provided personalized assistance to applicants, guiding them through application process and improving overall experience.
- Developed strong relationships with insurance carriers, allowing for more efficient claim resolution processes.
- Improved team morale and productivity with regular team-building activities and open communication channels.
- Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
- Coordinated project materials, including managing physical and digital files, monitoring spreadsheets and updating reports.
- Reviewed and suggested improvements for diverse range of documentation, including interoffice correspondence, reports and presentations.
- Wrote email messages, memos and business letters for management and proofread all documentation to provide error-free correspondence.
- Organized conference room space and materials for internal and customer meetings, took notes and distributed meeting minutes to support executive needs.
- Scheduled and coordinated meetings and calendars of high-level decision-makers.
- Facilitated troubleshooting, maintenance and updates for office systems.
- Enhanced compliance by conducting thorough insurance audits and identifying areas of improvement.
- Streamlined audit processes for increased efficiency and accuracy in reporting.
- Increased operational efficiency through regular monitoring of progress towards established audit objectives.
- Collaborated with HR to develop and maintain up-to-date benefits manual.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Coordinated and conducted employee orientations (in English and Spanish) to promote understanding of coverage and options.
Lead Clinical Coordinator
Elara Caring
03.2018 - 10.2020
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives by developing more efficient filing system and customer database protocols.
- Created and managed electronic customer records, encompassing data entry and administrative functions related to billing and accounts receivable.
- Managed clinical staff schedules and workloads, maintaining optimal productivity levels and minimizing burnout.
- Trained and mentored administrative staff members in company policies, daily task execution and industry best practices.
- Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance.
- Assessed staff performance regularly through evaluations and feedback sessions, ensuring continuous development of clinical competencies.
- Administered physical and digital filing systems, keeping records well-organized and easily retrievable by team members.
- Proactively identified and solved complex problems that impact management and business direction
- Oversaw training and daily performance of office staff.
- Handled supply purchases and inventory management for office operations and equipment maintenance.
- Maintained office supplies inventory by checking stock and ordering new supplies as needed.
- Oversaw all day-to-day office operations, such as receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Distributed company correspondence, including memos and updates to reinforce and apprise departments and divisions of corporate objectives and developments.
- Advocated for patients'' needs with insurance companies, securing coverage approvals for necessary treatments or services when appropriate.
- Ensured compliance with all relevant regulatory guidelines and standards, maintaining up-to-date knowledge of industry requirements and implementing necessary changes to maintain accreditation status.
- Led team meetings to review caseloads, discuss challenges or successes, share best practices for problem-solving strategies among staff members effectively addressing issues before they escalated into larger problems.
- Developed comprehensive training programs for new hires, ensuring a high level of competence in clinical coordination.
- Updated employee paperwork and records.
- Served as the primary point of contact between patients, physicians, insurance companies, and other healthcare providers, facilitating effective communication at all times.
- Coordinated, monitored, assigned, and documented patient and clinical care activities.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Reduced hospital readmission rates by providing thorough discharge planning and follow-up care coordination.
- Coordinated appropriate referrals for additional services based on individual patient needs or emerging concerns.
- Supported smooth transitions between acute care settings and the home environment by establishing strong working relationships with facility staff members.
- Collaborated with team members to develop contingency plans for unexpected staff absences or schedule changes.
- Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.
- Reduced scheduling conflicts and ensured timely execution of tasks through proactive rescheduling and resource allocation adjustments.
Patient Service Representative
Illinois Bone and Joint Institute
01.2017 - 03.2018
- Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
- Reduced no-show rates through consistent appointment reminder calls, leading to improved clinic productivity.
- Actively participated in team meetings focused on improving workflows and enhancing overall practice performance.
- Took copayments and compiled daily financial records.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Built and maintained positive working relationships with patients and staff.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Assisted patients in filling out check-in and payment paperwork.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Enhanced office efficiency by managing multi-line phone systems and promptly directing calls to appropriate personnel.
- Collaborated with clinical staff to coordinate care plans, resulting in improved patient outcomes.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Managed waiting room operations effectively, addressing any issues or concerns that arose during peak hours.
- Streamlined appointment scheduling for increased patient convenience and reduced wait times.
- Balanced deposits and credit card payments each day.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Handled customer service inquiries in person, via telephone and through email.
- Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
Assistant Office Coordinator
Athletico
08.2014 - 01.2017
- Conducted research as needed for projects or initiatives, synthesizing information into actionable insights for decision-making purposes.
- Provided administrative support to various departments, contributing to overall company efficiency.
- Prepared comprehensive meeting agendas that facilitated productive discussions among team members.
- Maintained accurate records by regularly updating databases and tracking important documents.
- Supported staff members by managing their calendars and scheduling appointments.
- Monitored inventory levels of office supplies and equipment; placed orders promptly to avoid shortages or delays in day-to-day operations.
- Implemented new software tools that increased task efficiency within the office environment.
- Trained new employees on office procedures and best practices, setting them up for success in their roles.
- Communicated effectively with clients, providing prompt assistance and addressing inquiries professionally.
- Ensured a professional office environment by maintaining cleanliness standards and stocking necessary supplies regularly.
- Assisted in the preparation of budget reports for better financial management.
- Streamlined office processes by implementing efficient filing and documentation systems.
- Managed incoming correspondence, ensuring prompt responses to emails and phone calls.
- Organized events such as meetings, conferences, and workshops for improved communication among team members.
- Managed supervisor itinerary and appointments and streamlined scheduling procedures.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Collaborated with colleagues on projects to ensure successful completion and timely delivery.
- Enhanced team productivity with the organization and coordination of daily schedules.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Generated reports to track insurance verifications and claim progress.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Posted payments to accounts and maintained records.
- Updated patient records with accurate, current insurance policy information.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
- Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
Education
High School Diploma -
Lane Tech College Prep High School
Chicago, United StatesAssociate of Arts -
Oakton Community College
Des Plaines, ILBBA - Business/Accounting
Northeastern Illinois University
Chicago, ILSkills
- Insurance verification, claims processing, submission, and adjustments
- Denial resolution Techniques
- Data entry proficiency and payment posting
- HIPAA Compliance and patient confidentiality
- CPT Coding Familiarity
- ICD-10 Knowledge
- Healthcare Industry Knowledge
- Teamwork and Collaboration
- Deadline-oriented and detail-oriented
- Strategic thinking skills
- Document analysis and review
- Fluent in Spanish
- Audit understanding and support
Timeline
Billing Coordinator
Aspire Home Healthcare
03.2024 - Current
Insurance Coordinator
Aspire Home Healthcare
01.2023 - 03.2024
Eligibility Specialist
Coordinated Benefits Company
09.2021 - 01.2023
Lead Clinical Coordinator
Elara Caring
03.2018 - 10.2020
Patient Service Representative
Illinois Bone and Joint Institute
01.2017 - 03.2018
Assistant Office Coordinator
Athletico
08.2014 - 01.2017
High School Diploma -
Lane Tech College Prep High School
Associate of Arts -
Oakton Community College
BBA - Business/Accounting
Northeastern Illinois University
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