Natalie Yakubovskiy
Medical Billing Specialist
Roseville,CA
Summary
Certified Medical Billing Specialist with 4 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Certified Medical Billing Specialist with [Number] years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Certified Medical Biller with [Number] years of experience in hospital and nursing facilities. Accurate and detail-oriented with knowledge of benefits, eligibility and appeals practices. Expert in [Type] coding and reliable in handling high volumes of practice billing.
Overview
8
8
years of professional experience
Work History
Medical Billing Specialist
Pacific West Pharmacy
Rocklin, CA
10.2018 - Current
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
- Communicated directly with doctors offices via telephone, fax, and email.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Assisted in preparation, distribution, and storage of pharmaceuticals.
- Counted, measured, and compounded medications following standard procedures.
- Stocked, labeled and inventoried medication to keep accurate records.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Precisely evaluated and verified benefits and eligibility.
- Trained new employees on multiple medical billing programs and data entry software.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Determined prior authorizations for medication and outpatient procedures.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Prepared billing correspondence and maintained database to organize billing information.
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Liaised between patients, insurance companies and billing office.
- Adhered to established standards to safeguard patients' health information.
- Managed billing calendar and scheduled claims for payments.
- Set up and maintained new electronic billing system.
Business Owner
European Markets
Rocklin, CA
05.2013 - 05.2016
- Consulted with customers to assess needs and propose optimal solutions.
- Trained and motivated employees to perform daily business functions.
- Put together realistic budgets based upon costs and fees for successfully operating business.
- Oversaw business budget planning and administration, accounting functions, purchasing and bi-weekly payroll to handle financial needs.
- Devised and deployed sales and marketing tactics to drive strategic growth and support achievement of revenue goals.
- Capitalized on social media platforms to increase market awareness and recruit sales agents.
Certified Pharmacy Technician
Omnicare
Lodi, CA
06.2012 - 06.2013
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
- Communicated directly with doctors offices via telephone, fax, and email.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Assisted in preparation, distribution, and storage of pharmaceuticals.
- Counted, measured, and compounded medications following standard procedures.
- Stocked, labeled and inventoried medication to keep accurate records.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Coordinated verification and filling of more than [Number] daily prescriptions in high-volume [Type] pharmacy environment.
- Restocked automated medication dispensing equipment.
Education
No Degree - General Studies
Sierra College
Rocklin, CACertified Pharmacy Technician - Pharmacy Technology
Twin Rivers Adult School
North Highlands, CA02.2011
High School Diploma -
High School #130
Krivoy Rog, Ukraine05.1995
Skills
- Multitasking and Organization
- Categorizing and Classification
- Information Updates
- Cost Tracking
- Billing and Collections Procedures
- Itemized Statement Preparation
- Client Inquiries
- Verbal and Written Communication
- Invoice Documentation Management
- Customer Contact
- Speaking Clearly
- Work Prioritization
Languages
Russian
Full Professional
Ukrainian
Full Professional
Timeline
Medical Billing Specialist
Pacific West Pharmacy
10.2018 - Current
Business Owner
European Markets
05.2013 - 05.2016
Certified Pharmacy Technician
Omnicare
06.2012 - 06.2013
No Degree - General Studies
Sierra College
Certified Pharmacy Technician - Pharmacy Technology
Twin Rivers Adult School
High School Diploma -
High School #130
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