Summary
Overview
Work History
Education
Skills
Timeline
AdministrativeAssistant

Samantha Serlen

Orlando

Summary

Developed skills in fast-paced healthcare environment, focusing on data analysis and process optimization. Expertise in identifying and resolving discrepancies, ensuring accurate financial reporting, and improving workflow efficiency. Seeking to leverage these transferrable skills in new, challenging field.

Overview

11
11
years of professional experience

Work History

Revenue Cycle Analyst

Spectrum Medical Partners
Lake Mary, FL
05.2024 - Current
  • Optimized charge capture procedures, contributing to more accurate billing statements and higher collection rates.
  • Conducted root cause analysis on denied claims, implementing corrective measures to prevent future denials and protect revenues.
  • Communicated revenue cycle information to non-technical audiences in easily-understood terms.
  • Wrote and distributed quarterly evaluations of revenue cycle processes and recommendations to senior management.
  • Maintained up-to-date knowledge of payer requirements, ensuring accurate billing practices across all departments.
  • Participated in regular audits, proactively addressing any issues identified to minimize financial risks to the organization.
  • Tracked and reported variances between revenue plans and actuals.
  • Created and maintained precise and accurate models, charts and reports.
  • Increased revenue by identifying and resolving billing errors in a timely manner.
  • Ensured accurate billing with thorough audits of patient accounts and insurance claims.

Administrator

Counseling for You Long Island
Remote
07.2023 - Current
  • Served as a liaison between departments, fostering open communication channels that improved overall organizational function.
  • Maintained personnel records and updated internal databases to support document management.
  • Evaluated staff performance and provided coaching to address inefficiencies.
  • Answered phone calls addressing any patient concerns.
  • Scheduling and intakes.
  • Knowledge of all insurance plans.

Managed Care Coordinator

PM Pediatrics
04.2021 - 03.2024
  • Researched complex medical issues related to denials or appeal request
  • Maintained detailed records of all interactions with healthcare providers
  • Assessed potential risks associated with new business opportunities related to managed care contracts
  • Conducted audits of claims data to ensure accuracy and completeness of information submitted by providers
  • Trained new staff on managed care operations and processes
  • As well as medical billing procedures
  • Generated reports detailing performance metrics related to quality assurance initiatives
  • Assisted in the development of provider contracts, including fee schedules and network participation agreements
  • Prepared presentations and materials for internal and external meetings focused on operational updates or training sessions.
  • Analytical data reporting
  • Developed a comprehensive understanding of managed care industry regulations
  • Acted as a liaison and maintained relationships with provider reps from insurance companies
  • Knowledge of EcW EMR system

Accounts Receivable Specialist

ProHEALTH Care Associates
Lake Success, NEW YORK
03.2018 - 04.2021
  • Assisted with collections of past due invoices from customers
  • Provided timely follow-up on outstanding balances owed by insurance
  • Utilized problem solving skills to resolve any disputes between insurance company and billing department
  • Maintained accurate records of customer payments and account status
  • Provider support during month-end closing processes related to A and R activities
  • Daily quota of80 accounts per day
  • Knowledgeable of in/out of network claims
  • Worked with all major commercial, Medicaid and Medicare insurance plans
  • Proficient in GE Centricity, EPIC and Allscripts EMR systems
  • Followed up on claims for ENT, Colon and Rectal, Physical Therapy, Orthopedics and OBGYN departments

Accounts Receivable Clerk

Northwell Health
Lake Success, NEW YORK
10.2013 - 02.2018
  • Assisted with collections of past due invoices from customers
  • Provided timely follow-up on outstanding balances owed by insurance
  • Utilized problem solving skills to resolve any disputes between insurance company and billing department
  • Maintained accurate records of customer payments and account status
  • Provider support during month-end closing processes related to A and R activities
  • Daily quota of60 accounts per day
  • Knowledgeable of in/out of network claims
  • Worked with all major commercial, Medicaid and Medicare insurance plans
  • Proficient in GE Centricity, Soarian and Allscripts EMR systems
  • Followed up on claims for all departments throughout hospital system

Education

CERTIFICATION - Medical Billing and Coding

Sanford Brown Institute
Garden City, New York
08.2013

Skills

  • Computer proficiency
  • Project management
  • Customer service
  • Epic Systems
  • Healthcare Knowledge
  • Strong organization
  • Financial reporting coordination
  • Insurance expertise
  • Excellent communication
  • Cross-functional collaboration
  • Problem solving abilities
  • Attention to detail
  • Medical terminology
  • HIPAA compliance
  • Healthcare reimbursement
  • Claims processing

Timeline

Revenue Cycle Analyst

Spectrum Medical Partners
05.2024 - Current

Administrator

Counseling for You Long Island
07.2023 - Current

Managed Care Coordinator

PM Pediatrics
04.2021 - 03.2024

Accounts Receivable Specialist

ProHEALTH Care Associates
03.2018 - 04.2021

Accounts Receivable Clerk

Northwell Health
10.2013 - 02.2018

CERTIFICATION - Medical Billing and Coding

Sanford Brown Institute
Samantha Serlen