Roland Ivanoff
Anchorage,Alaska
Summary
Friendly and empathetic with excellent communication skills, dedicated to providing outstanding service and support. Possesses solid understanding of customer needs and conflict resolution, coupled with strong problem-solving abilities. Aiming to build positive customer relationships and contribute to customer satisfaction and loyalty.
Overview
9
9
years of professional experience
Work History
Medical Billing Specialist 2
Alaska Native Tribal Health Consortium
01.2023 - Current
- Medical billing responsibilities involve accurately coding diagnoses and procedures
- Submitting claims to insurance companies or government programs
- Following up on unpaid claims and ensuring compliance with billing regulations and policies
- It also includes verifying patients' insurance coverage
- Collecting payments and maintaining patient billing records
- Misc
- Tasks as Assigned
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Identified and resolved patient billing and payment issues.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Verified insurance of patients to determine eligibility.
Billing Specialist 1
Cook Inlet Tribal Council
01.2021 - 12.2022
- Submit claims and invoices for payment or reimbursement from third-party payers
- Maintain confidentiality according to regulations, policies, and procedures
- Ensure proper charge capture, billing, and adjudication of claims per federal, state, and private billing guidelines
- Identify, analyze, and reconcile billing errors or omissions
- Act as liaison between CITC and clients regarding billing
- Assist in sending past due accounts to collectors
- Conduct billing audits
- Monitor unbilled accounts to determine actions required to minimize the volume and value of held accounts
- Identify and implement internal billing and collection processes, procedures, and guideline efficiencies
- Researched and resolved billing discrepancies to enable accurate billing.
- Obtain, process, and post all in-coming payments
- Responded to customer concerns and questions on daily basis.
- Provide accurate coding for billing activity
- Resolve client and staff questions concerning billing statements or account information
- Worked with staff and clients to ensure financial cost agreements are completed
- Provide support to data collection efforts when needed
Payment Posting Tech 1
Southcenteral Foundation
01.2019 - 12.2021
- Responsible for managing a variety of higher-level tasks with Revenue Cycle
- Accurately post payments to the overall profitability of the hospital
- Proficient in payment posting, coordination of benefits, and order of payers
- Accept payments and process billing statements
- Track of payment deposits from patients and insurance companies
- Prepare payment batches
- Assess explanation of benefits from insurance companies
- Posting payments and verifying insurance and eligibility
- Working with other departments and able to meet deadlines
- Work in CerNer, N’Thrive, and all other insurance portals
- Ability to read remittances from insurances
- The ability to add insurance to encounters once verified
Insurance Verification Group
Southcenteral Foundation
01.2019 - 12.2021
- Initial start of first team for SCF
- Verify Insurance and apply to Encounters
- Update Notes, and Chart In EHR
- Train New Employees in the Team
General Maintenance Tech
CCI Industrial/Bristol Bay Industries
01.2016 - 12.2017
- Removed asbestos materials and reinstalled segments on the Alaska Pipeline
- Built and broke-down scaffolds and other preparation pads
- Followed strict rules and regulations to maintain work permits associated with hazardous material
- Followed standard operating procedures to ensure projects were completed safely and to code
- Worked in extreme weather conditions where planning ahead was crucial to the safety of our team
- Position ended
Skills
- Communication
- Problem-solving
- Time Management
- Interpersonal Skills
Timeline
Medical Billing Specialist 2
Alaska Native Tribal Health Consortium
01.2023 - Current
Billing Specialist 1
Cook Inlet Tribal Council
01.2021 - 12.2022
Payment Posting Tech 1
Southcenteral Foundation
01.2019 - 12.2021
Insurance Verification Group
Southcenteral Foundation
01.2019 - 12.2021
General Maintenance Tech
CCI Industrial/Bristol Bay Industries
01.2016 - 12.2017
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