Summary
Overview
Work History
Education
Skills
Hobbies
Timeline
Generic

Renee Kallai

Spring Hill

Summary

Adaptable Office Administrator with 23 years of background in Medical Office Operations and Billing Management. Willing to take on new tasks with enthusiasm and considered valuable and gifted team player.


Precise Office Administrator with 23 years of experience. Expert in Medics II ADS and 10 years experience in Cerner Software.


Efficient in HomeCare Homebase Software.

Overview

26
26
years of professional experience

Work History

Commercial Billing Specialist

VNA Health Group
02.2022 - 08.2024
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Worked with multiple departments to check proper billing information.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
  • Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.

Business Office Manager

North Atlantic Medical Associates, P.C.
01.2007 - 04.2021
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Established and developed strong administrative team by delivering ongoing coaching and motivation and fostering career advancement.
  • Attended meetings, seminars and workshops to enhance knowledge of bookkeeping functions and other job duties.
  • Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
  • Assessed processes and procedures, complying with OSHA and HIPAA regulations.
  • Oversaw accounting, budgeting, and financial reporting.
  • Built relationships with physicians to create steady referral pipeline.
  • Developed policies and procedures for effective practice management.
  • Developed and maintained electronic record management systems to analyze and process data.
  • Addressed and remedied all patient or team member issues.
  • Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
  • Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
  • Consulted with healthcare professionals on business decisions.
  • Recruited, hired and educated staff on state and federal statutes on sleep service and independent diagnostic testing facility(IDTF) guidelines.
  • Managed 5 employees with various personalities and from different cultures for large 2-physician practice.
  • Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies and procedures.
  • Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies and procedures.
  • Developed close working relationships with front office and back office staff.
  • Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
  • Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
  • Assisted with regulatory issues such as compliance.
  • Recommended ways to reduce overhead and cut costs.
  • Created and implemented organizational policies and procedures.

Billing Company Owner/ Private Operations Manager

Shore Billing Services, LLC.
08.2003 - 03.2021
  • Worked in matrix management environment with oversight of division level managers, operations, sales, finance, human resources, safety and compliance.
  • Devised processes to boost long-term business success and increase profit levels.
  • Claims submission and posting
  • Partnership and communication with insurance companies and healthcare providers on billing
  • Accurate data entry and 10-key typing
  • Electronic medical records systems
  • Healthcare information billing systems
  • Patient records, confidentiality, and data protection laws
  • Payment and reimbursement tracking
  • Appeal of denied claims annual budget with controls to prevent overages, minimize burn rate and support sustainability objectives.

Medical Assistant/Billing Clerk

Amador Hormilla, MD
05.1998 - 08.2003
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens
  • Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed
  • Obtained client medical history, medication information, symptoms and allergies
  • Documented vital signs and health history for patients in clinic and hospital environments

Education

No Degree - Accounting And Business Management

Ocean County College
Toms River, NJ

Certifaction - Patient Care Technician

Star Career Academy - Brick
Brick, NJ
06.1995

Skills

  • Team Building
  • Recruitment and Hiring
  • Performance Management
  • Decision Making
  • Schedule Coordination
  • Database Maintenance
  • Multitasking and Prioritization
  • Attention to Detail
  • Documentation and Recordkeeping
  • Computer Skills

Hobbies

Avid Reader

Real Estate

Animals

Timeline

Commercial Billing Specialist

VNA Health Group
02.2022 - 08.2024

Business Office Manager

North Atlantic Medical Associates, P.C.
01.2007 - 04.2021

Billing Company Owner/ Private Operations Manager

Shore Billing Services, LLC.
08.2003 - 03.2021

Medical Assistant/Billing Clerk

Amador Hormilla, MD
05.1998 - 08.2003

No Degree - Accounting And Business Management

Ocean County College

Certifaction - Patient Care Technician

Star Career Academy - Brick
Renee Kallai