Nana Datashvili
Freehold
Summary
Results-driven Healthcare Operations Leader specializing in revenue cycle management and operational efficiency within cardiology practices. Expertise in optimizing workflows, enhancing collections, and ensuring compliance while training staff and managing patient relations. Skilled in strategic scheduling and billing oversight to drive financial stability and high patient satisfaction.
Overview
22
22
years of professional experience
Work History
Practice Administrator Revenue Cycle Manager
Complete Cardiovascular Care
01.2009 - Current
- Oversaw daily operations of high-volume cardiology practice, ensuring smooth workflow and patient care
- Oversee full revenue cycle management including billing, collections, claims submission, and denial management
- Collaborated with providers and external vendors to enhance financial performance and boost patient satisfaction metrics
- Manage insurance contracting and participation maintenance for commercial and government insurance plans
- Resolve insurance claim denials and payment discrepancies
- Coordinate patient scheduling strategies to improve productivity and increase financial collections
- Supervise and train office staff including front desk, scheduling, and billing personnel
- Manage office budgets, operational expenses, and vendor relationships
- Generated daily, monthly, and annual reports to track performance and identify areas for operational improvement
- Maintain and monitor provider compliance with licensing and credentialing requirements, hospital affiliations
- Ensure HIPAA compliance and adherence to healthcare regulations
Medical Billing/Collections
Alexander Alperovich PC
01.2004 - 01.2008
- Manage daily billing and collections of a high-volume neurology practice
- Monitor accounts receivable and reimbursement to maximize collections
- Resolved insurance claim denials and payment discrepancies to enhance revenue cycle efficiency
- Managed referrals and insurance authorizations to ensure timely patient access to care
- Manage insurance contracting and credentialing for commercial and government insurance plans
- Processed billing for No Fault and Workers Compensation claims to facilitate accurate reimbursements
Education
Medical Billing and Coding program -
Queens College
NY01-2003
Bachelor of Art - Elementary Education
Kursk Pedagogical Univercity
Russia01-1999
Skills
- Revenue cycle management
- Denial resolution
- Insurance contracting
- EMR systems management
- Credentialing management
- Regulatory compliance
- Budget management
- Operational efficiency
- Workflow optimization
- Workflow efficiency
- HIPAA compliance
- Patient relations
Languages
- Russian
- Georgian
- English
- Russian
- Georgian
Timeline
Practice Administrator Revenue Cycle Manager
Complete Cardiovascular Care
01.2009 - Current
Medical Billing/Collections
Alexander Alperovich PC
01.2004 - 01.2008
Medical Billing and Coding program -
Queens College
Bachelor of Art - Elementary Education
Kursk Pedagogical Univercity