Stephanie Russell
West Palm Beach,FL
Summary
Dynamic Senior Q/A C/S Analyst with extensive A/R knowledge at NYU Langone, adept at enhancing operational efficiency and accuracy in medical coding. Proven track record in reducing billing discrepancies and fostering collaboration across teams. Certified Medical Biller & Coder with strong communication skills, driving improvements in workflows and compliance.
Overview
12
12
years of professional experience
Work History
Senior C/S Q/A Analyst
NYU Langone
Boynton Beach, FL
05.2025 - Current
- Assessed call evaluations to ensure adherence to workflow processes and identify areas for improvement to ensure compliance with company policies.
- Organized coaching sessions with new employees to enhance customer service skills and best practices.
- Executed data analysis using Tableau and Excel to uncover opportunities for optimizing employee strengths, identifying areas for improvement and performance trends.
- Facilitated email inquiries regarding conflicting or misleading pathways to enhance maintenance and problem resolution within workflows.
- Actively participate in team meetings, workflow development, and QA calibration sessions.
- Facilitated training sessions in Bogota, focusing on updated call evaluation metrics.
- Oversaw project completion within deadlines to facilitate support for team members.
Senior Operations Analyst
NYU Langone
West Palm Beach, FL
01.2023 - 04.2025
- Collaborated with management and employees to assess business practices and workflows are consistent globally with our Offshore team
- Coding experience utilized upon denial.
- Collaborated with physicians and nurses to clarify documentation discrepancies for accurate coding purposes.
- Reduced code redundancies by implementing efficient design patterns and coding practices.
- Reduced billing discrepancies by diligently reviewing medical coding and ensuring accuracy in data entry.
- Developed and updated tracking spreadsheets using SHAREPOINT.
- Designed plans to improve operations and suggested changes to systems for overall organization.
- Worked with engineers and technical staff to recommend hardware and software adjustments and resolve design flaws.
- Prepared maintenance and compliance reports presentations on a daily & weekly basis.
- Worked with IT staff to recommend hardware and software adjustments and resolve design flaws.
- Communication with Credentialing team /Managed Care team & Payment Team on a Weekly basis to resolve Provider specialty & Payment issues
- Designed plans to improve operations and suggested changes to systems for overall organization through usage of Pathways creations.
- Analyzed and resolved alerts, conducted queries and culled records to assist with maintenance and problem resolution.
- Created meetings to assist with Appeal creation such as Appeal Verbiage, applying correct Medical Records & Coding advisement where needed.
Operations Analyst
NYU Langone Florida
West Palm Beach, Florida
09.2021 - 01.2023
- Prepared maintenance and compliance reports presentations on a daily & weekly basis.
- Worked with IT staff to recommend hardware and software adjustments and resolve design flaws.
- Communication with Credentialing team /Managed Care team & Payment Team on a Weekly basis to resolve Provider specialty & Payment issues.
- Developed and updated tracking spreadsheets using Sharepoint.
- Designed plans to improve operations and suggested changes to systems for overall organization through usage of Pathways creations.
- Analyzed and resolved alerts, conducted queries and culled records to assist with maintenance and problem resolution.
- Created meetings to assist with Appeal creation such as Appeal Verbiage, applying correct Medical Records & Coding advisement where needed.
- Attends Lutheran Coding Weekly calls as well as an Anesthesia Coding Call to strengthen my coding knowledge as well as provide any guidance I may have.
- In charge of Weekly Meetings to review Offshore Productivity & address any Insurance Trends/ Issues that need resolution.
FGP-BILLING REP III
NYU LANGONE
Boynton Beach, FL
03.2021 - 09.2021
- Prepared a variety of different written communications, reports and documents to managers to give tips and assistance to Offshore.
- Generated reports of findings to help management with making key decisions i.e Trends in provider and insurance denials.
- Reviewed and resolved CRM reports to maintain client records, including customer activity and personal data. In addition to resolving any insurance COB’s and contested copay/co-insurance/deductible by the patient.
- Evaluated Offshore’s Appeal letters and Medical Records before they submit to the insurance.
FGP BILLING REP I
NYU LANGONE
Boynton Beach, FL
11.2019 - 03.2021
- Used EPIC SOFTWARE to input information into computerized patient record system.
- Verified proper ICD-10 coding on claims.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Transferred balances to correct payers.
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Identify payer, provider credentialing, and/or coding issues and address them with management
- Knowledge on NYU LANGONE billing workflows
- Reviewed services rendered and completed to reconcile codes.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
- Delivered timely and accurate charge submissions utilizing EPIC SOFTWARE.
- Maintained current accounts through aged revenue reporting.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Performed daily tasks in assigned work queues and according to manager assignments
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Precisely evaluated and verified benefits and eligibility.
- Determined prior authorizations for medication and outpatient procedures.
- Researched and followed up on denied insurance claims.
Medical Biller
Spectrum Vision Partners- OCLI
12.2016 - 11.2019
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Assisted patients by determining financial assistance available and setting up payment plans.
- Completed client requests and advised supervisors of special needs.
- Maintained current accounts through aged revenue reporting.
- Translated and interpreted medical billing codes with strong accuracy to ensure swift payment from insurance agencies.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
- Ran eligibility for over 15+ offices in both NY and CT
- Conducted training seminars on the usage of the Clearwave eligibility program
- Personal one on one training with new hires on Clearwave as well as routine office policies
- Analyzed complex Explanation of Benefits forms to ensure insurance carriers were charged correctly.
- Collected payments and applied to patient accounts.
- Efficiently collected payments and communicated with clients.
Medical Receptionist
Long Island Vitreoretinal Consultants
Rockville Centre, NY
07.2014 - 12.2016
- Sorted and distributed mail correspondence between departments and personnel, including parcel packaging, preparation and efficient shipping.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Organized paperwork such as charts and reports for office and patient needs.
- Completed skilled administrative work to support all office staff and operational requirements.
- Obtained payments from patients and scanned identification and insurance cards.
- Responded to correspondence from insurance companies to verify patient's coverage.
- Adhered to strict HIPAA guidelines at all times to protect patient privacy.
- Checked patient data including insurance, demographic and health history to ensure all information was current.
- Scheduled, rescheduled and handled cancelled appointments for patients.
- Organized patient files and streamlined operations to improve efficiency.
- Successfully scheduled patient appointments and placed reminder calls to ensure exceptional customer experience.
- Coordinated front office duties, including customer service, patient scheduling and billing.
- Located, checked in and pulled medical records for patient appointments and incomplete charts.
- Maintained office supplies inventory by checking stock and ordering new supplies as needed.
Education
Certified Professional Coder - Medical Coding
AAPC: CPC Certified
Boynton Beach, FL09.2022
Skills
- A/R knowledge
- Certified Medical biller & Coder
- C/S knowledge
Timeline
Senior C/S Q/A Analyst
NYU Langone
05.2025 - Current
Senior Operations Analyst
NYU Langone
01.2023 - 04.2025
Operations Analyst
NYU Langone Florida
09.2021 - 01.2023
FGP-BILLING REP III
NYU LANGONE
03.2021 - 09.2021
FGP BILLING REP I
NYU LANGONE
11.2019 - 03.2021
Medical Biller
Spectrum Vision Partners- OCLI
12.2016 - 11.2019
Medical Receptionist
Long Island Vitreoretinal Consultants
07.2014 - 12.2016
Certified Professional Coder - Medical Coding
AAPC: CPC Certified