Natali Bitsche

• Led a dedicated team of six employees responsible for meticulously reconciling the center's Digital Deposit Logs, ensuring accuracy between payment packets and bank statements.
• Improved payment processing efficiency by implementing customized workflows for individual team members, thereby enhancing productivity and accuracy. Strategically allocated 15 centers to each team member to ensure equitable workloads and optimize operational effectiveness.
• Minimized Cash Log discrepancies by diligently overseeing the team's review process for payment packet records. Identified and resolved discrepancies in Cash Log, fostering timely solutions and mitigating delays in posting.
• Assisted the Posting Team during month-end procedures to verify the currency and accuracy of payment packets from all centers. Conducted thorough reviews and ensured timely addition of records to the deposit log for seamless month end process.
• Enhanced customer satisfaction by promptly addressing client inquiries and resolving payment-related issues through proactive communication as the liaison between centers and the payment posting team.
• Ensured the team maintained proactive, cordial, and professional communication with clients, fostering positive relationships and reinforcing trust in our services.
• Proficient in navigating health insurance and government programs, adept at analyzing and interpreting Explanation of Benefits (EOBs) at an advanced level. Skilled in assisting clients by acquiring access to diverse payor portals for efficient payment retrieval and posting
• Collaborated with cross-functional teams, particularly with the Posting Team, to maintain precise cash log reconciliation reporting. Leveraged tools like the Detail Client Issue (DCI) report and Missing Deposits report to enhance accuracy.
• Promoted open communication and collaboration across departments to facilitate comprehensive review and comparison of payment packets with the cash log.
• Developed training materials and and facilitated interactive weekly sessions to equip team members with essential skills and insights crucial for navigating the intricacies of payment processing. These initiatives aimed to empower personnel and enhance their proficiency in revenue cycle management.
• Played a key role in implementing the new Digital Deposit Log by collaborating closely with center staff, resulting in a notable reduction in cash log discrepancies.
• Provided assistance to multiple centers during the onboarding of new office managers, offering guidance in the creation of payment packets, cash log entries, and reconciliation processes.
• Supported new office managers by filling out cash logs and retrieving bank statements when necessary, ensuring smooth operations during transitional phases.

• Managed Monthly Operating Accounts and retrieved Electronic Funds Transfer (EFT) payments as assigned.
• Conducted thorough reviews of Cash Log reports across all centers under the CBO's scope.
• Proficiently retrieved deposit logs from scans/shared drive for facility records.
• Utilized insurance websites such as Waystar to retrieve corresponding Explanation of Benefits (EOBs).
• Tracked payments lacking EOBs meticulously through spreadsheet management.
• Demonstrated proficiency in ASC Payment Application, effectively applying knowledge to streamline payment processes.
• Proficiently navigated and interpreted information stored within various systems and databases.
• Skilled in using Scan Chart and Avantix software, adept at navigating its different modules and functionalities.
• Proficient in utilizing payor portal such as Waystar, Availity and Optum for efficient retrieval of EOBs, ensuring smooth operations.
• Competent in navigating diverse insurance websites with ease.
• Leveraged understanding of ASC Payment Application to procure missing spreadsheets crucial for audit processes.
• Maintained proactive communication with center administrators and office managers, promptly notifying them of any discrepancies or missing information to uphold the accuracy of monthly cash flow and logs.
• Reported major issues regarding the center's monthly operating account log to the appropriate chain of command for swift resolution.

• Managed the processing of payments and correspondence from patients and insurance carriers across assigned centers.
• Analyzed insurance carrier Explanation of Benefits (EOBs) for both in-network and out-of-network services, ensuring accurate payment allocation and identifying reasons for denials.
• Executed the posting of adjustments, transfers, and refunds in accordance with contractual agreements.
• Processed zero-payment remittances, offset remittances, and retractions efficiently.
• Conducted thorough reviews of unidentifiable items, promptly resolving issues by liaising with payers and posting to appropriate accounts.
• Balanced to Deposit Log and Software Application, promptly addressing any variances.
• Identified and reported payer trend issues to the manager for further analysis and resolution.
• Provided coverage for team members as needed, ensuring seamless operations.
• Compiled preoperative notes sourced from designated transcription services.
• Extracted pertinent data from medical records, operative notes, invoices, progress notes, and discharge documents to ensure accuracy and completeness of charge entries.
• Identified and documented implants, high-cost supplies, high-cost drugs, post-op pain blocks, and observation times for accurate charge submissions.
• Reviewed invoice details for accuracy, including customer billing instructions, pricing, discounts prior to charge submission.
• Executed recurring billing procedures, generating claims on a daily basis.
• Expedited resolution of internal and external billing inquiries, addressing concerns related to operative notes, POPM forms, invoices, and implant pricing promptly.
• Conducted revenue and billing reconciliation during period-end closing processes.
• Maintained a consistent record of accurate charge entry for all assigned cases, ensuring timely uploading to designated electronic claims clearinghouses.
• Proactively resolved claim rejections daily, ensuring the transmission and receipt of clean claims by relevant payers.
• Stayed current of developments, laws, rules, and regulations in healthcare billing to ensure compliance and proficiency in job responsibilities.
• Undertook additional duties as assigned to support the operational needs of the department.

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• Spearheaded the formulation of office strategies to ensure compliance with HIPAA regulations regarding document charting, ensuring adherence to strict confidentiality and privacy standards.
• Oversaw the private insurance enrollment process for twelve offices and sixteen doctors, ensuring seamless integration and compliance with insurance requirements.
• Facilitated improved communication channels within the office environment, fostering a culture of knowledge sharing and collaboration across departments
• Demonstrated fluency in orthodontics coding and proficiently handled Medicaid HMO and private PPO billing procedures.
• Efficiently posted explanations of benefits for assigned offices to Practice Management Software, ensuring accurate financial records.
• Managed claim statuses and effectively addressed private patients' delinquent accounts, while meticulously reviewing, researching, and appealing claims denied by insurance companies to optimize reimbursement.
• Provided leadership by tracking attendance, conducting training sessions, and supervising a team of eleven employees, fostering a high-performance work environment focused on excellence and accountability.

• Managed phone operations and delivered exceptional customer service promptly and courteously.
• Informed clients about their current account balances and facilitated payment transactions efficiently.
• Updated customer policies, including additions or removals of vehicles, and provided accurate estimates for new policies.