Sallyann Capozzola
Pediatric and Adolescent Medicine
36
years of professional experience
Dedicated medical billing specialist with over 35 years of experience in insurance claims and patient collections. Skilled in training junior staff and implementing process improvements that drive efficiency and accuracy, resulting in reduced claim denials and increased patient revenue.
Work History
Remote Pediatric Medical Biller
3 Years 4 Months- Oversaw billing processes to ensure timely and accurate claims submissions.
- Collaborated with healthcare providers to resolve billing discrepancies efficiently.
- Implemented process improvements that enhanced accuracy of patient account reconciliations.
- Verified insurance of patients to determine eligibility.
- Trained and mentored junior staff on billing procedures and compliance standards.
- Managed or Resolved self-pay accounts and delinquent balance
- Recovered or Collected outstanding patient revenue.
- Reviewed accounts receivable (A/R) reports to identify overdue patient balances and coordinated external agency transfers for bad debt write-offs
- Managed the patient collections workflow within Epic, seamlessly documenting payment arrangements
- Educated and assisted patients with Epic MyChart enrollment, driving a 25% increase in active portal utilization across the clinic
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Medical Biller
14 Years 1 Month- Processed insurance claims, ensuring accuracy and compliance with healthcare regulations.
- Reviewed patient accounts for billing discrepancies, facilitating timely resolutions.
- Collaborated with healthcare providers to resolve claim denials and enhance reimbursement rates.
- Maintained electronic health record systems, optimizing data entry and retrieval processes.
- Trained new staff on billing procedures and software applications to ensure operational efficiency.
- Analyzed billing workflows, identifying areas for process improvement and increased revenue capture.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Posted payments and collections on a regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Managed patient collections efforts with professionalism and tact, successfully recovering overdue payments while preserving positive relationships between the practice and its clientele.
- Improved patient satisfaction by addressing concerns, answering questions, and providing timely assistance.
- Developed strong therapeutic alliances, ensuring patient comfort and trust throughout the treatment process.
- Contributed to a positive workplace culture through active engagement with colleagues and consistently demonstrating professionalism and respect in interactions with patients and medical staff.
Medical Biller
19 Years 9 Months- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Led initiatives to streamline claim submissions, reducing processing time by implementing best practices.
- Mentored junior billers in regulatory updates and coding changes to enhance team performance.
- Delivered timely and accurate charge submissions.
- Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Improved patient satisfaction by providing clear explanations of billing procedures and addressing billing inquiries promptly.
- Handled account payments and provided information regarding outstanding balances.
- Maintained accurate records of customer payments.
- Verified insurance of patients to determine eligibility.
Office Manager
11 Years 8 Months- Managed scheduling for medical staff, optimizing patient appointment systems.
- Oversaw daily office operations, ensuring efficient workflow and adherence to protocols.
- Developed and implemented administrative policies to enhance operational efficiency.
- Trained and mentored junior staff on office procedures and best practices.
- Coordinated communication between departments to streamline patient care processes.
- Evaluated office supply needs, negotiating with vendors for cost-effective solutions.
- Led initiatives to improve patient satisfaction through enhanced service delivery protocols.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Oversaw office inventory activities by ordering and requisitioning and stocking and shipment receiving.
- Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Facilitated smooth communication between departments, addressing concerns promptly to maintain harmonious work relationships.
- Resolved office disputes swiftly and equitably, maintaining harmonious workplace.
- Improved team morale and cohesion with regular team-building activities and open communication channels.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Provided backup to front desk to step in to assist with various tasks whenever the employee was absent or at lunch.
- Kept a a high average of performance evaluations.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Collaborated with healthcare providers to resolve discrepancies in patient billing records, ensuring accuracy.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Coordinated medical referrals efficiently, expediting access to needed specialized care for patients.
- Coordinated medical referrals for patients, ensuring seamless transitions between providers and continuity of care.
- Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
Front Desk Receptionist
36 Years 1 Month- Scheduled patient appointments, optimizing daily clinic operations and reducing wait times.
- Provided exceptional customer service by addressing patient inquiries and resolving issues promptly.
- Maintained accurate medical records and ensured compliance with HIPAA regulations.
- Coordinated with healthcare providers to ensure timely communication of patient needs and follow-ups.
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Scheduled, coordinated and confirmed appointments
- Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
- Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
- Handled sensitive customer information with confidentiality, adhering to company privacy guidelines.
- Completed data entry and filing to keep records updated for easy retrieval.
- Increased guest retention by maintaining a welcoming and organized reception area.
- Resolved billing discrepancies promptly with thorough attention to detail, fostering trust between clients and the organization.
- Greeted visitors warmly, creating positive a positive first impression of organization.
- Increased customer satisfaction by promptly addressing and resolving inquiries and concerns.
- Assisted with administrative tasks such as filing, data entry, and document preparation, supporting overall office productivity.
- Confirmed appointments, communicated with clients, and updated client records.
- Collected copayments and balance due payments, processed transactions and updated relevant records.
- Coordinated medical referrals to ensure timely access to specialists and accurate transfer of patient information.
Education
High School Diploma
Skills
Claims processing
Medical billing
Insurance billing
Electronic claims
Insurance verification
Denial management
Billing procedures
Patient communication
Payment posting
Claims processing
Data entry
Commercial and private insurance
HIPAA compliance
Workflow optimization
Collections management
Patient outreach
Team collaboration
Commercial and private insurance
Timeline
Remote Pediatric Medical Biller
Optum Healthcare
04.2023 - CurrentRead More
Medical Biller
Prohealthcare, a Division of Peditric and Adolescent Medicine
07.2012 - CurrentRead More
Medical Biller
Pediatric and Adolescent Medicine
11.2006 - CurrentRead More
Office Manager
Pediatric and Adolescent Medicine
01.1996 - 09.2007Read More
Front Desk Receptionist
Pediatric and Adolescent Medicine
07.1990 - CurrentRead More
Connetquot High School
High School Diploma
Read More