Summary
Overview
Work History
Education
Skills
Websites
Certification
LANGUAGES
Timeline
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SARANDA ALIU

Bronxville,NY

Summary

Certified Revenue Cycle Specialist with comprehensive knowledge in medical billing, coding, collections, and reimbursement. Holds Certified Specialist Business Intelligence (CSBI) and Certified Specialist Payment & Reimbursement (CSPR) credentials. Proven leadership as Supervisor at NewYork-Presbyterian Hospital, with a track record of improving operational efficiency, reducing denials, and enhancing cash flow. Skilled in Epic, Cerner, and data analysis for process optimization.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Revenue Cycle Specialist

Memorial Sloan Kettering
Manhattan, NY
11.2024 - Current
  • - Conduct inpatient DRG validation and coding audits to ensure compliance.
  • - Review accounts for denials, underpayments, and overpayments, routing to correct WQs.
  • - Collaborate with finance and clinical teams to resolve complex insurance issues.

Supervisor / Senior Patient Registrar

NewYork-Presbyterian Hudson Valley Hospital
Cortlandt Manor, NY
02.2021 - 11.2024
  • - Supervised and trained patient registrars in admissions, insurance verification, and trauma workflows.
  • - Managed inpatient transfers and ensured accuracy for DRG coding and reimbursement.
  • - Developed process improvements that reduced claim rejections and improved billing turnaround.

Education

Bachelor - Healthcare Administration

The College of Westchester
White Plains, NY
12.2022

Master of Science - Healthcare Administration

Capella University
Minneapolis, MN
06.2022

Skills

  • CPT, ICD-10-CM/PCS Coding
  • DRG Validation & Compliance Auditing
  • Revenue Cycle Management
  • Claims Review & Denials Management
  • Strategic Planning & Quantitative Analysis
  • Epic, Cerner, Salesforce

Certification

  • - Certified Revenue Cycle Representative (CRCR)
  • - Certified Specialist Business Intelligence (CSBI)
  • - Certified Specialist Payment & Reimbursement (CSPR)

LANGUAGES

Albanian: Native/Bilingual
Spanish: Professional
English: Native/Bilingual

Timeline

Revenue Cycle Specialist

Memorial Sloan Kettering
11.2024 - Current

Supervisor / Senior Patient Registrar

NewYork-Presbyterian Hudson Valley Hospital
02.2021 - 11.2024

Bachelor - Healthcare Administration

The College of Westchester

Master of Science - Healthcare Administration

Capella University
SARANDA ALIU