Results-driven Billing & Operations Management Professional with over 14 years of experience in medical billing, revenue cycle management, and healthcare administration. Adept at leading teams, optimizing workflows, negotiating payer contracts, and ensuring compliance with HIPAA, DPH, BSAS, and OSHA regulations. Proven ability to streamline operations, improve revenue capture, and enhance patient and provider satisfaction. Skilled in managing multi-site medical offices, credentialing, policy development, and team leadership.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Regional Office Manager
New Horizons Medical
Framingham, MA
11.2020 - Current
Monitored office supplies to replenish needed inventory before depletion.
Coordinated and conducted classes to teach procedures to new staff members.
Coordinated regional staff recruitment activities to ensure staffing needs were met.
Manage two medical office locations, overseeing 20 employees, including physicians, nurse practitioners, therapists, and administrative staff.
Ensure smooth clinic operations, including staff scheduling, supply ordering, training, and regulatory compliance.
Develop and implement office policies and procedures to maintain operational excellence.
Conduct performance evaluations, provide staff training, and enforce compliance with federal and state regulations.
Work closely with senior leadership (CEO, CMO, and Medical Directors) on clinical operations, staffing, and financial performance.
Monitor patient flow and efficiency, ensuring that appointment times and wait times are optimised.
Oversee billing operations, ensuring proper claim submission, tracking, and collections.
Maintain compliance with DPH, BSAS, HIPAA, and OSHA standards across all office locations.
Assist with onboarding and credentialing of new providers to ensure seamless integration into the practice.
Billing Operations Manager
New Horizons Medical
Framingham, Massachusetts
03.2018 - Current
Resolved billing issues by applying knowledge and completing in-depth research.
Used strong issue resolution and communication skills to cultivate and strengthen lasting client relationships.
Prepared detailed financial statements related to billing for executive review and decision-making.
Oversee billing operations for six locations, managing a team of four billing specialists.
Ensure compliance with billing and coding regulations, payer policies, and industry standards.
Analyze denials and insurance errors, implement corrective action plans, and negotiate rates with payers.
Manage full revenue cycle management (RCM), including claims processing, appeals, A/R follow-up, and fee schedule updates.
Collaborate with third-party billing services and internal coders to maximize reimbursement and reduce claim rejections.
Oversee provider credentialing processes to ensure accurate provider enrolment with insurance carriers.
Lead Medical Assistant
Mass General Hospital
Danvers, MA
01.2016 - 03.2018
Performed clinical tasks such as patient vitals, rooming, administering medical tests (A1C, allergy panels, UDS, PFTs).Supervised and trained medical assistants, ensuring adherence to hospital protocols.Assisted providers with minor procedures and patient documentation.Managed patient scheduling and medical record updates in compliance with HIPAA standards.
Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
Secured patient information and maintained patient confidence by completing and safeguarding medical records.
Answered phones, scheduled appointments, greeted patients and ordered supplies.
Worked collaboratively with other members of the healthcare team in order to provide optimal care for each patient.
Supervised, trained and coached team of medical assistants.
Responded to patient callbacks and phone-in prescription refill requests.
Measured vital signs and took medical histories to prepare patients for examination.
Explained treatment procedures and physicians' instructions.
Medical Billing Manager
Advanced Vision Center
Swampscott, MA
01.2010 - 02.2016
Managed end-to-end medical billing operations, including claims submission, denials management, and reimbursement tracking.
Oversaw A/R collections, negotiated payment plans, and resolved billing disputes.
Supervised front-office and administrative staff, ensuring smooth day-to-day operations.
Maintained compliance with insurance policies, coding standards, and regulatory requirements.
Trained staff on EHR systems, insurance verification, and billing protocols.
Insurance Portals: Blue Cross Blue Shield (BCBS), Medicare, Medicaid, Tufts, Harvard Pilgrim, Cigna, Aetna
Office Suite: Excel, Word, PowerPoint, Outlook
Workflow Automation & Process Improvement
Languages
Russian
Native/ Bilingual
English
Full Professional
Certification
Professional Billing and Coding
Medical Assistant
CPR
HIPAA Compliance
Affiliations
Beyond my professional expertise in medical billing, operations, and healthcare management, I am deeply involved in equine-assisted therapy and nonprofit work.
As the founder of Fenix Family Fund, I support burn survivors and rescue horses, blending compassion with leadership.