Suzette Jaczynski-Sullivan
Dearborn,MI
Summary
Competent Billing & Payroll Coordinator with 24 years of experience in handling wide variety of medical billing tasks for both home health care and hospice agencies. Coordinates with insurance companies and expedites claims processes. Experienced with Medicare's Fiscal Intermediary Shared System/Direct Data Entry (DDE). Also a focused payroll professional with good administrative, financial and technical understanding. Highly organized, sophisticated and hardworking individual with excellent analytical and multitasking abilities.
Overview
28
28
years of professional experience
Work History
Billing & Payroll Coordinator
Progress at Home LLC Dba Corsocare Home Health
03.2014 - Current
- Enhanced patient satisfaction with clear communication of payment expectations, resolving concerns, and providing flexible payment options.
- Streamlined medical billing procedures for increased efficiency, resulting in faster reimbursement rates for the healthcare facility.
- Contributed to the development of best practices for medical billing operations, ensuring consistency across all departments within the organization.
- Increased revenue collection by diligently following up on outstanding payments and negotiating payment plans with patients when necessary.
- Maintained detailed knowledge of various payer requirements, facilitating smoother interactions between healthcare providers and insurance companies during claims processing efforts.
- Identified areas for process improvement within the billing department, leading to increased productivity among team members.
- Assisted in the implementation of new software systems designed to streamline billing processes, leading to increased accuracy and reduced administrative burden on staff members.
- Collaborated with insurance providers to expedite claims processing and secure timely payments for services rendered.
- Safeguarded sensitive patient data through strict adherence to HIPAA guidelines and implementation of secure record-keeping practices.
- Participated in cross-functional meetings, providing valuable insights into billing operations and ensuring proper coordination among various departments.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Adhered to established standards to safeguard patients' health information.
- Utilized various software programs to process customer payments.
- Generated monthly billing and posting reports for management review.
- Leveraged strong organizational skills to maintain comprehensive patient accounts, enabling quick access to relevant information during billing inquiries.
- Monitored outstanding invoices and performed collections duties.
- Superuser for clinical information system (HomeCare HomeBase)
- Verified timekeeping information for accurate and efficient payroll processing.
- Performed calculations in overtime, vacation, and sick hours to provide accurate data to payroll processing database.
- Completed bi-weekly payroll for 120 employees.
- Reduced payroll errors by diligently auditing employee timecards and promptly addressing discrepancies.
- Streamlined payroll processing by implementing efficient systems and procedures.
- Ensured compliance with federal, state, and local tax regulations by staying current on changes and updates.
- Provided excellent customer service to employees, addressing any payroll-related questions or concerns promptly and professionally.
- Upheld strict confidentiality standards while managing sensitive employee information within the payroll system.
- Conducted regular audits of payroll data to maintain accuracy and prevent discrepancies.
- Resolved payroll discrepancies quickly and successfully.
Office and Billing Manager
Progress at Home, LLC/Compassionate Solutions, Inc.
09.2012 - Current
- Responsibilities include managing the office and billing for the Agency with our Medicare Certified and contract lines of business
- I am also skillful with insurance verification for all patient policies and obtaining prior and subsequent authorizations
- I am also accountable for completing office and medical supply orders and dealing with issues that arise with vendors and/or patients in a thorough and timely way
- I am a problem solver and think outside of the box when it comes to addressing and resolving concerns
- I am responsible for the human resource department, including orientating employees to the functions of the office, organizing and keeping the personnel files complete and accurate in compliance with company policies and I make every attempt to boost employee morale
- I have worked with HIPAA regulations and follow all guidelines to protect patients right to privacy
- I am a super-user of the clinical information system, perform employee computer training and process bi-weekly employee payroll for all staff/contract vendors
- I work closely with contract vendors to maintain complete and accurate processing of required paperwork and continue to monitor the necessary trainings and classes required by the contract
- I am a team player, highly motivated and strive to expand my knowledge every chance I get.
Support Services Manager
New Age Home Care, Inc./Sunrise Home Health Services, Inc.
11.2007 - 08.2012
- Responsibilities include managing the support services processes of the agency
- I am also skillful with insurance verification for all patient policies and obtaining prior and subsequent authorizations
- I have billed for patient claims under the Medicare certified, private duty and contract services of the business
- I am also accountable for completing office and medical supply orders and dealing with issues that arise with vendors and/or patients in a thorough and timely way
- I am a problem solver and think outside of the box when it comes to addressing and resolving concerns
- I am also in charge of the human resource department, including interviewing prospective staff, orienting employees to the functions of the office, organizing and keeping the personnel files complete and accurate in compliance with company policies and I make every attempt to boost employee morale
- I am a super-user of the clinical information system, perform employee computer training and process bi-weekly employee payroll for all staff
- I work closely with contract supervisor to maintain complete and accurate processing of required paperwork and continue to monitor the necessary trainings and classes required by the contract
- I am a team player and am strive to expand my knowledge every chance I get.
Billing Manager
Arbor Hospice, Inc., d.b.a. Arbor Hospice and Home Care
03.1999 - 08.2007
- Primary responsibilities included managing the billing department, supervising monthly billings to various insurance companies, as well as Medicare and Medicaid for hospice, home care and private duty clients
- In addition, I took on the task of processing monthly room and board billing for the 30-bed inpatient hospice residence
- I monitored all agency aged receivables, completed financial account entry and maintained the billing procedures for compliance with CMS/NGS regulations
- I am markedly familiar with verifying patient insurances and have been exceptional in professionally communicating with provider representatives
- All patient concerns were addressed within the guidelines of HIPAA regulations and in a respectable and professional manner
- I streamlined methods of organization within my department to make it more effective, including record maintenance for all patient financial records
- I was instrumental in the process of selecting and implementing the new clinical information system for the hospice and home care lines of Arbor Hospice
- I possess exceptional computer knowledge of Microsoft Office, as well as a multitude of clinical information systems
- I enjoyed my involvement in the Employee Events Committee and love the challenge of learning something new.
Financial Manager
Comprehensive Health Services Consulting
08.1996 - 03.1999
- Responsibilities included billing invoices to clients/vendors, accounts payable, accounts receivable and processing bi-weekly employee payroll and tax preparation for multiple companies
- I also implemented specific methods of organization and maintenance of both office records and all financial records, worked with Microsoft Office (Word, Excel, etc.) and Quick Books and have aided with the entry of database information for the clinical information system
- My billing knowledge was also subcontracted to home care clients to provide billing and account research services on multiple clinical information systems
- I was successful in bringing agency outstanding invoices and aged receivables down from $425,000.00 to $86,000.00 in 7 months
- I also created statistical reports for the clients, was proficient in entering daily activity logs for multiple home care companies, and would handle all patient concerns in a respectable and professional manner.
Education
Bachelor of Science -
Eastern Michigan University
01.2004
Skills
- Accounts receivable management
- HIPAA knowledge
- Collections experience
- Claims Processing and cash posting
- Problem-Solving
- Insurance Verification
- Attention to Detail
- Multitasking Abilities
City
Dearborn
State
MI
Zip
48124
Street
2052 Venice St.
Timeline
Billing & Payroll Coordinator
Progress at Home LLC Dba Corsocare Home Health
03.2014 - Current
Office and Billing Manager
Progress at Home, LLC/Compassionate Solutions, Inc.
09.2012 - Current
Support Services Manager
New Age Home Care, Inc./Sunrise Home Health Services, Inc.
11.2007 - 08.2012
Billing Manager
Arbor Hospice, Inc., d.b.a. Arbor Hospice and Home Care
03.1999 - 08.2007
Financial Manager
Comprehensive Health Services Consulting
08.1996 - 03.1999
Bachelor of Science -
Eastern Michigan University
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