Medical Billing

Highly accomplished healthcare professional with * years of experience with a proven track record of increasing revenue by 60%. Excellent organizational and analytical skills help extend the clinical staff by 30% due to increased practice workflow. Focused on delivering exceptional results through strong time management, communication, and teamwork abilities. Expertise in data modeling, analyzing documents, and understanding business needs. Capable of analyzing problems and designing recommendations including workflow processes and procedures. Skilled at multi-tasking and maintaining strong attention to detail. Professional who excels in establishing excellent working relationships with clients and employees.

SKILLS

Operations Management/ Personnel Management

Healthcare Project Management/HIPPA/OSHA

Customer Relationship Management

Strategic Planning/Budget Management

Agile/Scrum Project Management Methodology and Tools (Jira, MS Project)

Process Documentation

Professional Scrum Product Owner/ Scrum Master

Team Training and Development

SQA Testing and Methodologies

EMR Systems (Soap, Epic, Cerner, Salesforce, E-Clinical Works)/SAS analysis tool

Microsoft Office, PowerPoint, HTML, CSS, Java

Fluency in multiple languages: Spanish, Russian

EDUCATION Irkutsk State University, Irkutsk, Russia

2008-2009 Master of Arts, Linguistics

2004-2008 Bachelor of Arts, Foreign Languages and Translation

Certifications Forte Knowledge Technical School, Chicago, IL US

Software QA, Manual Testing/Selenium Automation Testing

Professional Scrum Product Owner (PSP I)

Professional Scrum Master (PSPO I)

EXPERIENCE

Practice Manager /Vein Clinics of America Barrington, IL

03/2018-08/2019

Ensured a new practice was operated within the well-defined company norms and processes, managed the day-to-day operational aspects of the clinic

Directed, supervised and evaluated work activities of medical, technical, clerical and other personnel

Facilitated and participated in weekly meetings with cross-functional teams, physicians and vendors

Implemented marketing, administration and physician strategies resulting in increased client retention and revenue growth of 60% in the first 9 months of employment

Supervised “Referral Growth” and “Pre-Authorization Denials” projects, ensured compliance to timeframe, collaborated with Medical Liaison and Eligibility/Billing departments for all project processes

Managed the project of patient management system integration with billing system creating reports such as Denial, Self-Pay, Administrative Adjustment, Missing charges

Established customer base with excellent referral grow by 15%, built and maintained professional relationship with referring physicians, led the clinic to top rated practices with the highest patient satisfaction score

Educated patients on insurance eligibility, managed their precertification that helped decrease writes-off by 7%

Reviewed all claim submitted for accuracy and corrected discrepancies in billing

Provided assistance for healthcare projects through SAS statistical and analysis software tool

Presented data and information to achieve business goals, provided data analysis from both within and outside of department

Scrum Master /Forte Knowledge Chicago, IL

01/2017-02/2018

Facilitated scrum ceremonies (grooming, sprint planning, daily stand-ups, retrospectives, demos)

Directed and led 1 Scrum team up to 7 members from the project initiation through the delivery of final product

Educated team members on Scrum framework and Agile methodology

Protected a team from outside distractions, impediments, or team conflicts, and maintained focus on product backlog project timeline

Tracked and reported Scrum team velocity

Conducted cross-functional collaboration with engineering, product management, and quality assurance

Supported the product owner with grooming and maintaining product backlog and working with the team

Collaborated with other Scrum Masters and Agile Coaches across the organization

Medical Office Supervisor/Record Specialist /USA Vein Clinics, Vascular and Fibroid Centers Northbrook, IL

11/2011-07/2017

Maintained daily office operations in all 6 practices for maximizing patient satisfaction and access as well as supervised clinical and non-clinical staff to ensure adequate coverage for quality patient care

Provided support and performed regular QA reviews for client intake, registration and scheduling functions

Facilitated the management in completing general formalities related to the patients such as insurance and medical reports

Traveled 90%, helped to open 15 new practices in 7 states, coached new fires on company procedures to maintain coordination and organization of all office activity, trained physicians on medical software.

Created “New Hires Guidelines” handbook that helped to provide a proper training for Travelling Team

Resolved or clarified CPT/ICD-10 codes or diagnoses with conflicting, unclear information by consulting with doctors or others or by participating in the coding teams’ regular meetings

Compiled and maintained patients’ medical records to document condition and treatment to provide data for research or cost control and care improvement efforts

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