Matthew Klemowitz

Managed the enrollment process for electronic data interchange (EDI) with health insurance payers, providers, and clearinghouses, ensuring timely and accurate setup of EDI transactions.

• Submitted and tracked EDI enrollment forms, maintaining detailed records of enrollment statuses and following up as necessary to ensure timely completion.

• Oversaw the setup of electronic transactions, including claims, remittance advice, eligibility, and claim status inquiries, ensuring smooth transaction flow and compliance with industry standards.

• Collaborated with IT and operations teams to configure and test EDI setups, providing technical support and troubleshooting assistance to resolve issues quickly.

• Maintained documentation of EDI processes, procedures, and troubleshooting steps, ensuring compliance with HIPAA regulations and other relevant industry standards.

• Communicated effectively with providers, payers, and internal stakeholders to facilitate the EDI enrollment process, providing training and guidance on best practices.

• Led efforts to improve the efficiency of EDI processes, identifying opportunities for process improvement and implementing solutions to enhance operational performance.

· Lead project teams and implement department-wide changes to improve patient outcomes, optimize processes, and reduce wait times.

· Lead operations in a demanding healthcare environment to ensure adherence to protocols and compliance.

· Implement safety procedures and conduct regular drills, fostering a secure operating environment.

· Demonstrate strong organizational and analytical skills in auditing charts and records to streamline workflows.

· Cross-trained as backup departmental Specialty Supply Chain Coordinator to ensure specialty products are ordered for specific areas.

· Member of Trauma Core, Unit Council, Department Education Committees; collaborate with cross-functional teams to address issues within the unit and drive improvements.

· Managed critical care resources, optimized utilization for improved patient services.

· Demonstrated strong organizational skills in maintaining charts and records to streamline workflows.

· Member of Unit Council and collaborated with cross- functional teams to address departmental issues and drive improvements.

· Supervised staff members, ensuring efficient daily operations and adherence to safety protocols.

· Implemented safety procedures and conducted safety drills, ensuring a secure operating environment.

· Managed schedules, maintained patient and department records, handled billing procedures.

· Conducted patient education, fostering community engagement and healthcare awareness.

· Collected and analyzed data for reporting, audited charts.