Yelena Shf
Aurora,Colorado
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
14
14
years of professional experience
Work History
Billing-specialist
South Denver Physicians, LLC
Centennial, CO
12.2013 - Current
- Experienced billing for Internal Medicine,Neurology, and hospital claims
- Filed and updated patient information and medical records.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Ensure electronic claims are entered and submitted withing 24 hours of of receipt
- Send secondary claims upon processing of primary insurance
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Identified and resolved patient billing and payment issues.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
- Resubmit insurance claims as necessary. Knowledgeable in timely filling restrictions
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Prepared accounts with past due balances and transferred those cases to collection agency.
Office Biller
Medstuff Pharmacy And Medical Supplies Company
Denver, CO
03.2009 - 12.2013
- Acquired insurance authorizations for durable medical equipment that was ordered by physician
- Accurately entered patient information, H codes, and diagnostic codes
- Executed billing tasks and recorded information in company databases.
- Handled account payments and provided information regarding outstanding balances.
- Submitted claims to Medicare and Colorado Medicaid
- Generated financial statements and reports detailing accounts receivable status
Office Clerk
Astra Home Health Care
Denver, CO
01.2009 - 01.2010
- Provided quality clerical support through data entry, document management, email correspondence and overseeing operation of office equipment.
- Checked documentation for accuracy and validity on updated systems.
- Verified insurances coverage
- Sorted and distributed department mail paperwork
- Maintained and updated patient files
- Organized patient records and database to facilitate information storage and retrieval
- Submitted claims to Medicare
Education
Master of Arts -
Belarus Government University
BelarusNo Degree - Medical Billing And Coding
Carroll Community College
Westminster, MDSkills
- ICD-10, CPT codes and Medical Terminology
- Critical thinking experience
- Medical Insurances
- Data collection and management
- Various Practice Management Software
- Electronic Claim Submission
- Claim Entry and Payment Posting
- Bilingual in English and russian
- Claim Processing
- Collection Practices
- Billing Systems and Software
Additional Information
Technology Summary
Practice Fusion-Electronic Medical record Software
AdvancedMD-Billing Software
Excel, Word
Languages
Russian
Native or Bilingual
Timeline
Billing-specialist
South Denver Physicians, LLC
12.2013 - Current
Office Biller
Medstuff Pharmacy And Medical Supplies Company
03.2009 - 12.2013
Office Clerk
Astra Home Health Care
01.2009 - 01.2010
Master of Arts -
Belarus Government University
No Degree - Medical Billing And Coding
Carroll Community College
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