Elina Katz

ad2v64@r.postjobfree.com 718-***-****

PROFILE SUMMARY

Results-driven financial professional with over 20 years of expertise in medical billing practices, reimbursement analysis, and revenue cycle management. Adept at overseeing all operational facets of insurance billing and accounts receivable, with a proven track record of optimizing financial performance. Well-versed in navigating the complexities of healthcare environments, demonstrating the ability to adapt and excel in dynamic settings. Collaborative team player with effective communication skills, capable of working seamlessly across matrix organizations. Possesses in-depth knowledge of medical terminology, Managed Care contracting, reimbursement models, healthcare laws, and third-party reimbursement regulations. Seeking opportunities in roles such as Financial Analyst, Senior Financial Analyst, Account Administrator, or Billing/Collection Specialist to leverage extensive experience and contribute to organizational success.

CORE COMPETENCIES

Proficient in conducting variance analysis and providing insightful recommendations for improvement.

Proven track record of optimizing revenue cycles and ensuring timely collections.

Ability to manage and reconcile complex financial transactions.

Skillful in navigating insurance regulations and ensuring compliance with billing guidelines.

Familiarity with healthcare laws and third-party reimbursement regulations.

Analytical mindset with the ability to identify and resolve financial discrepancies.

Ensures accuracy and completeness in financial records.

Familiarity with accounting systems and technologies relevant to the financial domain.

PROFESSIONAL SKILLS

Accounts Receivable Reconciliation

Medical Billing, Coding, Collection

Third-Party Reimbursement Regulations

Revenue Cycle Management

Reimbursement And Variance Analyses

Supervising And Staff Training

Managed Care Contracting

Customer Service

HIPAA Compliance

ICD-10, CPT and Medical Terminology

Hospital And Physicians Billing (UB-04, HCFA)

Project Management

PROFESSIONAL WORK EXPERIENCE

MOUNT SINAI HOSPITAL – New York, NY 12/2022 - Present

Senior Financial Analyst - International Patient Services

Collaborate with stakeholders for accurate billing of international patients.

Send charge summaries and payment terms to account Guarantors.

Ensure timely payment from international patients, coordinating with hospital finance.

Update billing formats and submit claims promptly to payers.

Review accounts for outstanding balances and take necessary steps for resolution.

Validate payer payments, process adjustments, and prepare final billing summaries.

Process payments via cash, check, or credit card, ensuring proper fund deposit.

Maintain communication with Patient Accounting for Bad Debt referrals and payer issues.

Analyze daily reports for International Patient Services to ensure accurate reflection.

Interface with international third-party payers, exercising discretion in accepting or rejecting payment guarantees.

Collaborate with leadership to improve patient access and satisfaction through workflow enhancements.

Assist in hiring, training, and evaluating staff.

NEW YORK-PRESBYTERIAN HOSPITAL – New York, NY 11/2020 – 12/2022

Financial Representative - Patient Case Management

Generated and analyzed ongoing financial reconciliation reports to find denied and underpaid claims.

Monitored denials and underpayments in financial reconciliation reports for timely resolution.

Conducted root cause analysis and collaborated with other departments to resolve issues.

Addressed complex claims issues for multiple Managed Care Organizations (MCOs).

Collaborated with clinical teams to obtain referrals and authorizations for claims appeals.

Produced monthly and annual financial performance reports for management.

Recommended write-offs for uncollectible accounts to management.

Tracked payments for overturned denials.

Assisted in implementing system updates and configurations.

Collaborated with leadership to enhance workflows for improved patient access and satisfaction.

NEW YORK-PRESBYTERIAN HOSPITAL – New York, NY 06/2009 – 11/2020

Financial Representative - Global Services

Prepared treatment cost estimates and provided account summaries after care completion.

Boosted revenue by accurately submitting hospital and physician bills to various payment guarantors.

Examined and tracked statistical data related to accounts receivable.

Resolved complex issues by communicating with patients and insurance companies.

Billed insurance companies, ensuring correct coding and timely collection.

Trained new employees on organizational processes and policies.

Clarified hospital financial policies with patients and addressed financial concerns promptly.

Submitted files to international collection agency, ensuring effective communication and collection.

Trained providers on billing, authorization requirements, regulations, and financial planning for treatment plans.

WEILL CORNELL MEDICAL COLLEGE – New York, NY 05/2005- 06/2009

Account Administrator

Processed and tracked claims for PPO, HMO, Medicare, and Medicaid, both primary and secondary.

Entered physician services data into the IDX system and performed analysis.

Checked encounter forms for completeness, making charge corrections as needed.

Engaged in communication with insurance companies, offering extended customer service to physicians.

Addressed denials from insurance companies and aging reports.

Managed and analyzed refund requests and take-backs from Medicare, Medicaid, and commercial carriers.

RENAL RESEARCH INSTITUTE, LLC – New York, NY 03/2001 – 05/2005

Senior Account Receivable Specialist

Provided supervision for a team of employees during project work.

Transferred facility charges from the Proton system to Medical Manager.

Generated monthly reports, including treatment count, Payer mix Reports, and payment control breakdown.

Conducted month-end close activities for multiple facilities, addressing any errors.

Secured pre-certification and referrals from insurance companies.

EDUCATION

ASHFORD UNIVERSITY – San Diego, CA 2020

Master of Business Administration (MBA) with a Major in Organizational Leadership

TOURO COLLEGE – New York, NY 2018

Bachelor of Science (BS) with a Major in Psychology

KINGSBOROUGH COMMUNITY COLLEGE – Brooklyn, NY

Associate in Arts (AA) with a Major in Liberal Arts and Sciences

GLOBAL INSTITUTE OF TECHNOLOGY – New York, NY

Diploma in Medical Billing and Coding

N.H.A. – Medical Billing and Coding Specialist

Change Management

Strategic Planning

Adaptability

Conflict Resolution

Data Analysis

Time Management

Decision Making

Problem Solving

Critical Thinking

Interpersonal Skills

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