Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Natasha Erdei

White Water,CA

Summary

Results-oriented professional with over 15 years of extensive experience in strategic revenue cycle healthcare guidance. Skilled in revenue cycle management, including claims, appeals, denial trends, bulk claim readjudication, payor mix trends, Medicare, Medicaid, preauthorizations, multiple specialties, and EDI. Demonstrated success in improving billing department productivity through methodical practice implementation. Consistently surpasses revenue targets with meticulous attention to detail. Proven track record of aligning KPIs with national standards, optimizing budget utilization, reducing payroll costs, and fostering client relationships with exceptional communication skills. Thrives in fast-paced environments by prioritizing tasks effectively, multitasking with ease, resolving issues promptly, meeting deadlines consistently, and inspiring team members in alignment with organizational goals.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Revenue Cycle Manager

Allscripts Healthcare/ Veradigm
01.2021 - Current
  • Streamlined revenue cycle processes, enhancing operational efficiency and reducing claim denials.
  • Led cross-functional teams to implement best practices in billing and collections management.
  • Analyzed financial reports to identify trends and recommend strategic improvements for revenue growth.
  • Mentored staff on compliance standards and regulatory requirements, ensuring adherence across departments.
  • Implemented key performance indicators, driving accountability and enhancing overall departmental productivity.
  • Provided staff training on revenue cycle management best practices, increasing productivity across the department.

Regional Solutions Consultant

Kareo Medical Billing Services
03.2017 - 04.2019


  • Collaborated with various providers to market healthcare IT software, medical billing, and credentialing services.
  • Implemented strategies to evaluate and optimize medical billing service investments.
  • Consistently exceeded quotas through exceptional organizational skills and commitment.
  • Analyzed client needs to develop tailored billing solutions, enhancing overall customer satisfaction.
  • Collaborated with cross-functional teams to streamline processes, improving operational efficiency.
  • Developed comprehensive documentation for client onboarding processes, ensuring consistency and knowledge transfer.

Director of Operations & Implementation of Client Services – Revenue Cycle Management

Medical Practice Management Resources
11.2007 - 03.2017
  • Demonstrated extensive expertise in specialties, ASC billing, OON collections, and follow-ups for revenue cycle management.
  • Developed a pioneering physician credentialing department and new practice implementation services.
  • Led credentialing and contracting department to ensure productivity.
  • Conducted comprehensive analysis of $45M+ charges and $25M+ receivables, ensuring GCR maintained above 55% per client.
  • Streamlined follow up on claim process to keep the days in AR below 30 days, and AR over 120 less than 10%.
  • Coordinated client training and prepared go-live data for seamless billing transmission.
  • Identified denial patterns across specialties and developed SOPs to address front-end denial issues.
  • Analyzed data to pinpoint potential collection challenges. Prepare month end report

Revenue Cycle Manager

ASC Durango
12.2005 - 12.2007
  • Demonstrated in-depth knowledge of the ICD-9 and CPT coding and coordinated billing activities while handling the follow-ups, collections, payer contracting, and monthly reporting of accounts receivable, charity care approvals, and bad debt and surgeons.

Surgical Coordinator

Mercy Regional Medical Center
12.2004 - 01.2005
  • Played an integral role in scheduling surgeries, auditing the operating room charts, and facilitating charges while accomplishing a multitudinous number of OR desk duties to streamline the institutional and departmental performance daily.

Education

Associate - Accounting & Computer Science

Pueblo Community College
Cortez, CO
01.2008

Skills

  • Healthcare management expertise
  • Health information systems expertise
  • Healthcare terminology proficiency
  • Medical Billing
  • Practice & Budget Management
  • Process Improvement
  • Policy & Regulations
  • Quality Assurance (QA)
  • Quantitative data assessment
  • Healthcare Consult & Research
  • CPT Coding, ICD-9 & ICD-10
  • Understanding HCPCS regulations
  • EDI Management
  • Medicare & Medicaid
  • Medical Coding
  • Marketing & Customer Service
  • Account Reconciliation & Claims Filing
  • Cash Flow Management
  • Deposits & Claims
  • Claims Submission
  • End of Month Checklists
  • Team Supervision
  • Phone Calls & Inquiries
  • Interpersonal Skills
  • Public Speaking & Oral/Written Communications
  • Tactical Time Management
  • Strong Organizational Skills
  • Revenue performance
  • Denial resolution
  • Billing cycle expertise
  • Account monitoring

Certification

  • Health Insurance Portability & Accountability Act (HIPAA) Training MPMR | 2017-01
  • Customer Billing Assessment Indeed – Online | 2020-07
  • Medical Billing Assessment Indeed – Online | 2020-05
  • Sales Skills: Influence & Negotiation Assessment Indeed – Online | 2019-07

Languages

English

Timeline

Revenue Cycle Manager

Allscripts Healthcare/ Veradigm
01.2021 - Current

Regional Solutions Consultant

Kareo Medical Billing Services
03.2017 - 04.2019

Director of Operations & Implementation of Client Services – Revenue Cycle Management

Medical Practice Management Resources
11.2007 - 03.2017

Revenue Cycle Manager

ASC Durango
12.2005 - 12.2007

Surgical Coordinator

Mercy Regional Medical Center
12.2004 - 01.2005

Associate - Accounting & Computer Science

Pueblo Community College

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Natasha Erdei