Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Nargiza Kataev

Cedarhurst,NY

Summary

Motivated operation manager with over 25 years of experience in health operations management billing, prior authorizations and coding. Highly skilled in analyzing and validating patient information, diagnoses and billing data. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals.

Overview

22
22
years of professional experience

Work History

Nursing assistance

Northwell Hospital
Syosset
01.2024 - Current
  • Measure Patient's vital signs, such as blood pressure and temperature
  • Turn, position and transfer between beds and wheelchairs
  • Help patients use the toilet and dress
  • Listen to and record patients' health concerns and report that information to nurses

Surgical Coordinator/Office Manager

Dr. Herschel Kotkes
Rockville Center, NY
09.2020 - 12.2023
  • PROCESS REQUEST FOR PRIOR AUTHORIZATION FOR SURGICAL PROCEDURES
  • SURGERY SCHEDULING AND APPOINTMENT REMINDERS
  • UPDATE PATIENTS RECORDS
  • ENTERING POST SURGICAL DATA FOLLOW UP WITH PATIENT AFTER SURGERY
  • ORDER EQUIPMENT

Office Manager

Dr. Yosef J. Morad
Flushing, NY
01.2015 - 08.2020
  • Maintaining email resources and internal log and working closely with supervisors
  • Contacting insurances (by phone, e-mail and regular mail) for eligibility, benefits, network status and authorization, documenting information
  • Verify eligibility within the database system to members and providers
  • Analyze faxed requests and documentation to determine coverage and approval utilizing criteria; utilize nurses for medical reviews when necessary
  • Process requests for Prior Authorization in all areas of medical field
  • Acts as a liaison between the payer and clinic schedulers/medical support staff
  • Code each diagnosis of service and procedures according to standards

Medical Billing Supervisor

Womens Health LLC
Forest Hills, NY
05.2003 - 12.2014
  • Company Overview: Dr
  • Yehuda Bar-Zvi
  • Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management
  • Examine patients encounter forms to verify diagnosis codes, and reconcile codes against services rendered
  • Accurately input procedure and diagnosis codes into billing software to generate invoices
  • Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances
  • Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements
  • Responsible for obtaining prior and ongoing authorization for services in a timely manner
  • Review billing questions with a Billing Department
  • Dr
  • Yehuda Bar-Zvi

Education

Bachelor’s degree - Nursing

Helenefuld College of Nursing
05.2025

Skills

  • Flexible and adaptable to quick changing environment(s)
  • Strong service orientation
  • Team player
  • Ability to adapt in a dynamic work environment
  • Excellent oral and written communication skills
  • Strong interpersonal skills
  • ICD-9 and ICD-10 Coding
  • HMO'S and Medicare
  • Quality assurance and Auditing
  • CPT and HCPCS coding
  • Medical Billing
  • Patient Confidentiality HIPAA
  • Nursing assistance

Languages

Hebrew
Professional
Russian
Professional

Timeline

Nursing assistance

Northwell Hospital
01.2024 - Current

Surgical Coordinator/Office Manager

Dr. Herschel Kotkes
09.2020 - 12.2023

Office Manager

Dr. Yosef J. Morad
01.2015 - 08.2020

Medical Billing Supervisor

Womens Health LLC
05.2003 - 12.2014

Bachelor’s degree - Nursing

Helenefuld College of Nursing

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Nargiza Kataev