Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline
Generic

Olga Skaya

Lawrenceville,GA

Summary

Experienced with revenue optimization, financial strategy, and team leadership. Utilizes data-driven insights to identify growth opportunities and implement effective revenue strategies. Track record of driving financial performance through innovative solutions and strong leadership skills.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Director of Revenue Management and Operation

Internal Medicine
01.2015 - Current
  • Work closely with the physicians of the practice to develop business strategies, formulate budgets, and deal with daily operations. Preparation of annual budget and make sure to stay within and potentially under yearly budget.
  • Collaborate with our software vendor leadership team on optimizing current use of system features to improve work flows.
  • Provide marketing suggestions for increased business with our practice and practices within the community attend community outreach programs to provide marketing for the office.
  • Increase billing operation effectiveness on the claims and cash posting teams, achieve a 80% staffing reduction by interacting IT solutions to streamline works flows
  • Developed payer denials trending analysis with root cause mapping for company-wide improvements leading to changes in training process improvements and system updates.
  • Assure that staff is trained and operates in compliance with all regulatory agencies and provisions, and ensure training is provided if needed.
  • Verify all licenses for physicians and staff are an update to date and received in a timely fashion.
  • Identifies, recommends, and implements practice needs: staffing, services, equipment, and facilities.
  • Organize meetings for physicians, establishes agenda in consultation with physicians; prepares data for a meeting; contributes to decision-making.
  • Interprets management reports / explains non-normal reports to physicians; including the explanation of revenue received and bonus structures.

Revenue Cycle Manager

Perimeter Orthopedics
07.2001 - 07.2015
  • Provide leadership and assistance with identifying and implementing process efficiencies to support the company with meeting all financial goals including developing systems to evaluate collections efforts.
  • Coding and billing inpatient and outpatient surgical procedures for multiple specialties.
  • Directly responsible for overseeing accurate and timely claim submissions and correction of any errors, following up on unpaid claims, and for overseeing refund process for both patient and insurance.
  • Involvement in new payer set-up including UB-92, CMS-1500, and fee schedules, insurance verification, surgery pre-certifications, cost calculations, financial agreements, and patient financial counseling.
  • Direct accountability for fee schedules and contract management (EPM), fee ticket (super-bill) management including yearly updates, payer contract negotiations, and for performing detailed fee schedule analysis.
  • Follow-up on outstanding accounts receivable for commercial payers and self pay and resolution of denials.
  • Implement strategies for denial prevention and management, appeals, and loss mitigation and recovery.
  • Obtain all required information from both internal and external sources to process claims and to establish whether claims are complete and valid. Ensure compliance with contracts as well as company procedures.
  • Manage correspondence related to insurance and patient accounts as well as contact insurance carriers, patients, and other facilities as needed to maximize payment and to identify and resolve any issues.
  • Accountable for month/year-end accounts receivable, payments and adjustment analysis and reporting, denial prevention and management, payer contract management, and customer issue resolution.

No-fault Billing and Collection Specialist

New Ability Medical P.C.
01.1999 - 01.2001
  • Handled coding and billing of various medical procedures, negotiation and settlement of claim payments
  • Provided collection of outstanding balances: communicated with claims examiners and patients; calculated debt and various interest, services and penalty charges.
  • Managed approximately 50 incoming calls, emails and faxes per day from customers.
  • Monitored accounts receivable aging reports, identifying delinquent accounts requiring immediate attention to minimize losses.
  • Participated in training programs aimed at increasing billing and collection specialist proficiency, resulting in improved team performance.

Office Assistant

Law Office
01.1999 - 01.2001
  • Handled various front desk duties.

Education

Professional Certificate - Professional Certificate in Business Adm.

MBS Business School
Brooklyn, NY
05.2001

Bachelor’s Degree - Economics and Business

Minsk Technology Institute
Minsk, Belarus
06.1996

Skills

  • Computer Skills: AthenaOne, E-Clinic, NextGen (EPM /HER and File Maintenance), Navicure, Mysis, Encoder Pro, QuickBooks Pro, Outlook and Microsoft Office Suite (Word/ Excel/PowerPoint)
  • Skills
  • Staff Supervision/Management
  • Insurance Billing, Coding & Collections
  • Fee Schedules/Negotiations
  • Computer Systems/Technology
  • EFT/ERA/EDI Enrollment
  • Credentialing /Consulting
  • Contract negotiations
  • Healthcare Management
  • Financial analysis and reporting
  • Attention to detail
  • Multitasking Abilities
  • Excellent communication
  • Proactive and focused
  • Goal setting

Accomplishments

    Successfully implemented strategies that led to a measurable increase in net revenue.

    Developed and implemented denial prevention and appeal processes, resulting in a significant decrease in denials.

    Negotiated favorable contracts with payers, resulting in higher reimbursement rate.

    Analyzed key performance indicators (KPIs) to identify areas for improvement and implement corrective actions.

    Provided training and coaching to staff, resulting in increased productivity and accuracy.

Certification

Professional Certificate in Business Administration.

  • CBCS - Certified Billing and Coding Specialist
  • NCICS - Insurance and Coding Specialist
  • COC - Certified Outpatient Coder
  • CPC - Certified Professional Coder

Languages

English
Russian
Native or Bilingual

Timeline

Director of Revenue Management and Operation

Internal Medicine
01.2015 - Current

Revenue Cycle Manager

Perimeter Orthopedics
07.2001 - 07.2015

No-fault Billing and Collection Specialist

New Ability Medical P.C.
01.1999 - 01.2001

Office Assistant

Law Office
01.1999 - 01.2001

Professional Certificate - Professional Certificate in Business Adm.

MBS Business School

Bachelor’s Degree - Economics and Business

Minsk Technology Institute

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Olga Skaya