Gretchen A. Sypniewski

***** *****

Overland Park, KS 66223

913-***-****

ad12ca@r.postjobfree.com

Introduction

Highly experienced in all phases of medical billing – Medicare, Medicaid, HMOs, PPOs and private insurance carriers. I have an extensive background in reimbursement rules and regulations as they pertain to Medicare PPS. I successfully implemented national benchmarks to guarantee timely billing and collections. I identified best practices within the billing department to approach billing from a proactive position. I am consistently driven in my pursuit to continually set new benchmarks for success through the identification of best practices.

Compliance Driven

A Passion for Research and Analysis

Employee Supervision

Detail Oriented

Excellent Communication Skills

Professions Experience

Evergreen Community of Johnson County November 2011 – June 2023

Billing Specialist – I have worked on everything from the Reception Desk to responsibility for all aspects as they relate to Resident Accounts to include Trust Fund through Billing. I had an active role in opening Evergreen Hospice Care from the ground up to include a new Software System, establishing provider connectivity with Kansas Medicaid, and Medicare with minimal guidance. I am currently involved in all aspects of billing for both Evergreen Community of Johnson County and Evergreen Hospice Care.

Blessed Trinity Home Health July 2010 – September 2011

Billing Coordinator – Coordinated all aspects of home health billing through posting of payment. Identified benchmarks and created best practices in order to achieve those benchmarks. In January 2011 successfully created and implemented all billing processes for new computer software without benefit of on sight support. Education provided to fellow employees on the new software.

Blessed Trinity Home Health April 2009 – July 2010

Billing Specialist – Worked within the Admissions Department accepting incoming home health referrals, completed verification of benefits, obtained authorizations both initial and ongoing as well as billing and posting of payments. Ongoing education to the clinical staff regarding changes in the rules and regulations related to reimbursement.

Anew Home Health July 2004 – April 2009

Benefit Specialist – Completed all benefit verification and obtained necessary authorizations in order to qualify revenue. Entered all gathered information into the computer system. Obtained all ongoing authorization updates. Completed all billing and worked on collection action to resolution. Created daily bank deposits, posted cash to accounts and reported daily balanced financials to the owner. Closed and balanced each month, worked up month end reports and reported financials to the owner. Ongoing education to the clinical staff regarding changes within the rules and regulations related to reimbursement.

Saint Luke’s Shawnee Mission Home Health and Hospice May 2000 – April 2004

Billing Specialist

Completed benefit verification for all new patients and obtained necessary ongoing authorization. The entry of patient’s financial information into the electronic billing system. Support to Home Infusion for benefit verification and qualifications for reimbursement. Completion of billing and collection activity.

Apria Healthcare July 1998 – April 2000

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