Epic
Veronica Burget
Springfield,MI
Overview
17
17
years of professional experience
1
1
Certification
Work History
Revenue Cycle Liaison
Institute for Family Health
12.2021 - Current
- Monthly collaboration with Front Desk/Administrative leadership for twenty-one locations
- Present billing guidelines and insurance updates along with errors performed by Registration/Front Desk that directly affect Revenue Cycle. There has been 17% overall decrease in errors over two years in this role.
- Improved interdepartmental collaboration with regular team building activities and open forums for discussion.
- As needed, attends registration team meetings to share errors and answer insurance/financial questions
- Provide support for administrative management and staff regarding insurance questions and revenue cycle workflows
- Created and lead insurance workshops conducted monthly with new medical, dental, and behavioral health employees or refreshers for established employees identified as needing additional training
- Reviewing and updating Billing workflows based on Payor changes or trends found from epic reporting
- Performing charge reviews and claim edits to send out clean claims along with claim follow-up for commercial payers, employee claims, and special contracts
- Reporting KPIs using Epic reporting Slice and Dice for revenue/visits compared to error rates for all locations.
Owner/Medical Biller
Personal Claims Services
10.2020 - Current
- Contracted to perform medical billing for federal state, and commercial insurance for clinics that specialize in physical therapy, occupational therapy, speech therapy, and psychiatric care
- Process 40-60 claims per contract day using Connex, Kareo, EMedNY, and Office Ally
- Responsible for all rebilling, appeals, processing of payment and submitting secondary claims
- Creating all requested quarterly/annual revenue reports requested
- Credentialing services available for providers (optional).
- Established, optimized and enforced business policies to maintain consistency across industry operations.
Practice Manager
County Physical Therapy
09.2013 - 12.2021
- All medical billing and coding for No-Fault, Workers Comp, commercial, state, and federal insurances, along with patient billing. Managed approximately 500-600 insurance claims per month along with 100-150 patient statements
- Insurance and patient payment posting
- Processing Payroll for hourly and exempt employees through Paychex software
- Launching and maintaining marketing presence through company website and social media pages, creating increased visits amongst younger age demographics
- Assured all employees maintained federal and state compliance by creating and presenting annual compliance materials for Medicare Fraud and Abuse, Worker's Comp, and Sexual Harassment Prevention
- Monitoring and creating schedules for both patients and employees, along with monitoring vacation time for all employees and approving PTO
- Monthly, quarterly, and annual A&R reporting, along with generating KPI reports for shareholders.
- Coordinated with physicians to optimize appointment schedules and maximize daily patient flow.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Patient Services Representative
Duke University Medical Center
10.2010 - 06.2013
- Verifying insurance, updating co-pay and deductible amounts, required to complete 75-100 verifications per day.
- Claim edits along with follow up for corrections, resubmissions and appeals. Able to implement online processes to reduce timing and ensure tracking was available
- Requesting referrals and authorizations for radiology, oncology, and cardiac procedures.
- Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
Health Information Analyst
Sentara Healthcare
05.2007 - 06.2010
- Designing and updating Excel spreadsheets for managing audits and billing for coding team and documentation specialists.
- Traced past due accounts for refunds owed to insurance companies for incorrect billing, reviewed and processed 50-100 claim refund requests daily.
- Performed and reported on JCAHO and RAC Audits
- Backing up, checking integrity, and updating all department MS Access Databases
- Maintained employee schedules and requests for time off.
Education
Bachelors of Business Administration Management -
United States Institute For Language And Clerical Studies
Ocala, FL01.2021
Skills
- Data Analysis
- Audit reporting
- Performance reporting
- Policies and procedures implementation
- Proficient in Excel, Word and PowerPoint
- Interpersonal Communication
- Relationship Building
- Denial Management
- Medical coding knowledge
- Medicare and Medicaid process
- Staff Training
- Medical Billing
Certification
TESOL, United States Institute for Language and Clerical Studies, 2021
Work Preference
Work Type
Full TimeWork Location
RemoteHybridSoftware
Navinet
Availity
Connex
Raintree
Kareo
Office Ally
Interests
Reading
Cooking
Board Games
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency, specifically in the Medical Billing field. Uses independent decision-making skills and sound judgment to positively impact company success. Training and consistency are key to success on my teams and I strive to assist others in moving up in their own careers.
Timeline
Revenue Cycle Liaison
Institute for Family Health
12.2021 - Current
Owner/Medical Biller
Personal Claims Services
10.2020 - Current
Practice Manager
County Physical Therapy
09.2013 - 12.2021
Patient Services Representative
Duke University Medical Center
10.2010 - 06.2013
Health Information Analyst
Sentara Healthcare
05.2007 - 06.2010
Bachelors of Business Administration Management -
United States Institute For Language And Clerical Studies
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