Pawel Czuba
Willow Springs,IL
Summary
I am a proactive professional who eagerly embraces new challenges and tasks. In this dynamic, high-growth environment, I am confident in my readiness to advance toward a career path that aligns with my long-term goals. I thrive in collaborative settings, value the responsibility entrusted to me, and am a fast learner who effectively retains and applies new information.
Overview
12
12
years of professional experience
Work History
Patient Account Analyst - Transplant
BJC HEALTHCARE
08.2022 - Current
- Analyze and audit high-value transplant contracts for multi-million dollar claims.
- Proactively contact payers and utilize all resources to follow up on unresolved accounts, ensuring prompt payment processing.
- Analyze insurance denials (EOB/ERA) and initiate corrective actions to resolve claim balances.
- Categorizing delinquent accounts by dollar value for targeted follow-up
- Drive timely, efficient, and compliant claim resolution
- Review electronic billing claim error edits
- High-Complexity Transplant and CAR-T Therapy Claims Billing.
Provisioning and Attestation
R1RCM
03.2019 - 03.2022
- Provisioning over 1k users monthly.
- Creating Standard Operating Procedures
- Submitting application access requests for user workflows.
- Conduct quarterly user access certifications to validate the necessity of application permissions
Managed MCR Follow-Up Rep II
Presence Health – Central Business Office
07.2017 - 03.2019
- Proactively engaging payers using all available resources to resolve outstanding accounts and expedite payment.
- Evaluate denied claims from correspondence and EOBs, taking necessary corrective actions to secure payment.
- Managing collections across high, medium, and low-value accounts.
- Complete all claim follow-ups in a timely manner, adhering to productivity standards.
- Cerner and SSI billing for Medicare and Managed Medicare accounts as a special project for Amita Health since 05/21/2018 to current.
Commercial Billing and Follow-Up Rep II / MCR Outpatient Billing Rep II
Presence Health – Central Business Office
03.2015 - 07.2017
- Submit accurate claims daily to meet targets and maximize the clean claim rate.
- Review payment denials, correspondence, and remittances to initiate necessary corrections for reprocessing.
- Prioritizing collections based on dollar amount: high, medium, and low.
- Process all claim follow-ups promptly, adhering to productivity standards.
- Accelerated cash posting and optimized revenue cycle timelines for XTEND Healthcare by training new staff on departmental processes and directly managing payment posting.
- Proficient in daily navigation and data management within TRAC, Epic, MediTech, and Florida Share (DDE) systems.
Cash Application Representative II
Presence Health – Central Business Office
06.2014 - 03.2015
- Accurately process electronic remittances (ERAs) and EFT payments from diverse insurance carriers and payers.
- Updating patient insurance coverage.
- Processing adjustments and revolving credit balances on accounts.
- Executing end-to-end batch processing, including setup, posting, reversal, and balancing.
- Manual entry of transactions into patient ledgers.
- Automated Clearing House payments
Education
High School Diploma -
Stratford Career Institute
New York, NY01-2007
Skills
- Team collaboration
- HIPAA compliance
- Patient care
- Verbal and written communication
- Collections experience
- Attention to detail
Languages
Polish
Native or Bilingual
Timeline
Patient Account Analyst - Transplant
BJC HEALTHCARE
08.2022 - Current
Provisioning and Attestation
R1RCM
03.2019 - 03.2022
Managed MCR Follow-Up Rep II
Presence Health – Central Business Office
07.2017 - 03.2019
Commercial Billing and Follow-Up Rep II / MCR Outpatient Billing Rep II
Presence Health – Central Business Office
03.2015 - 07.2017
Cash Application Representative II
Presence Health – Central Business Office
06.2014 - 03.2015
High School Diploma -
Stratford Career Institute