MARIYA GODZHIK

• Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
• Maintained current accounts through aged revenue reporting.
• Researched and followed up on denied insurance claims.
• Posted charges(over 100 patients daily), payments($200.000+/month) for Primary Care Physicians, Acupuncture Providers, diagnostic studies
• Scheduled patients in Medical Manager System.
• Verified proper ICD-10 coding and CPT on claims.
• Oversaw billing for professional office claims, hospital claims, skilled claims, commercial insurance and private pay clients.
• Confirmed backup and proper storage of sensitive information in event of data breach or outage.
• Analyzed medical records to satisfy insurance company mandates.
• Enforced operational compliance with state and federal laws and Joint Commission standards.
• Submitted electronic and paper claims to insurance companies, Medicare and work comp for payment processing.
• Reviewed outgoing bills for eligibility and accurateness.
• Verified insurance of patients to determine eligibility.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
• Prevented financial delinquencies by working closely thoroughly to resolve billing issues before becoming unmanageable.
• Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
• Enrolled providers in Medicare and private insurance plans.
• Obtained NPI numbers for providers and facilities and updated existing profiles.
• Overseen all aspects of licensing of credentialing, and re-credentialing.
• Developed and implemented onboarding and orientation programs for new employees.
• Verified and submitted timekeeping information for accurate and efficient payroll processing.
• Calculated correct order totals, updated accounts, and maintained detailed records for inventory management.
• Managed monthly invoicing and payment processing operations for WeCare Medical Facility
• Liaised with different departments to coordinate information and data gathering for contract development
• Prepared product proposals, contract terms and conditions and document modifications

• Maintained current accounts through aged revenue reporting.
• Researched and followed up on denied insurance claims.
• Posted charges, payments and write-ups for cardiovascular procedures for over 100+ patients daily.
• Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
• Preserved and prepared reports and treatment records.
• Logged charges and payments within Topaz Software.
• Processed vendor and supplier payments on weekly basis.
• Corrected, completed and processed claims for multiple payer codes.
• Maintained professional, organized, and safe environment for employees and patrons.
• Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
• Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
• Managed work week independently from accounts receivable to accounts payable by using very strong organizational skills
• Devised new methods to improve billing workflows.
• Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

• Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
• Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
• Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
• Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
• Oversaw accounting, budgeting, and financial reporting.
• Developed policies and procedures for effective practice management.
• Consulted with healthcare professionals on business decisions.
• Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
• Created reports, presentations and other materials for executive staff.

• Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
• Maintained current accounts through aged revenue reporting.
• Researched and followed up on denied insurance claims.
• Posted charges, payments and write-ups for cardiovascular procedures.
• Assisted patients by determining financial assistance available and setting up payment plans.
• Verified proper ICD-9 coding on claims.
• Confirmed backup and proper storage of sensitive information in event of data breach or outage.
• Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
• Verified insurance of patients to determine eligibility.
• Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
• Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
• Enrolled providers and Medicaid, Medicare and private insurance plans.
• Obtained NPI numbers for providers and facilities and updated existing profiles.
• Complied with HIPAA privacy and security regulations to protect patients' medical records and information
• Transcribed Workers Comp Reports
• Analyzed medical records to satisfy insurance company mandates.

Processed billing calls and answered questions from patients and third-party carriers.

• Generated monthly billing and posting reports for management review.
• Corrected, completed and processed claims for multiple payer codes.
• Processed online and paper appeal submissions and refund requests.
• Audited and corrected billing and posting documents for accuracy.
• Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
• Used data entry skills to accurately document and input statements.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Collaborated with customers to resolve disputes.
• Verified accuracy of accounts payable payments, resulting in 100% reduction in payment errors and check reissues.