Elizabeth Ciuró

Fayetteville, NC *****

adypm6@r.postjobfree.com

+1-910-***-****

• Over 22 years' experience working within the healthcare field.

• Extensive experience in A/R Revenue Cycle procedures.

• Excellent organizational and interpersonal skills, a self-starter with initiative and able to work independently, and a team player.

• Performed tasks under minimal supervision, excellent problem solving, analytical and time management skills.

• Excellent communication skills, fully bilingual English and Spanish written and verbal.

• Proficient on Word, Outlook, Excel, ICD-10 and CPT-4 and HCPC's codes.

• Knowledge of Navicure, Centricity, EClinicalWorks,eMed, PM Allscript, NextGen, Greenway and Epic.

• AAPC Member

• Ability to efficiently manage multiple tasks and prioritize.

• Excellent leadership as well as customer service skills.

• Ability to identify and resolve collection and coding issues as well as HEDIS measures.

• Knowledge of HIPAA rules and regulations.

• Managed and resolved credit balances as well as reimbursement issues.

• Ability to analyze month end reports and aging reports.

• Experienced in overall office management, as well as supervisory skills. Work Experience

Patient Account Supervisor

Cape Fear Valley Health System - Fayetteville, NC

April 2022 to Present

In charge of overseeing BCBS of NC and Commercial insurance accounts for Cape Fear Valley Health System Hospitals.

Review Account Receivables reports to allocate past due accounts. Participate in revenue analysis biweekly meetings. In charge of 11 team members.

Auditing team members accounts on a weekly basis.

Interview and hiring staff.

Performance reviews as well as disciplinary reports. Office Manager

Convenient and Urgent Care Clinic, Dermatology and Family Practice - Lehigh Acres, FL March 2021 to January 2022

• Provided excellent patient service.

• Evaluating staff performance

• Oversee daily schedule

• Establishing office policies and procedures

• Interview and hire new personnel.

• Responsible for front desk duties

• Manage daily schedule for 4 providers

• Oversee clinical and administrative staff

• Responsible for achieving goals for insurance HEDIS scores.

• Scheduled and conducted monthly staff meetings.

Office Administrator

Drs. Arun and Sarada Penukonda-Internal Medicine and Vascular Surgeon - Cape Coral, FL June 2019 to March 2021

• Created and implemented new employees office rules and procedures to keep a smooth office flow.

• Worked on HEDIS on Humana, UHC, Florida Blue and Medicare.

• Prepare payroll and payables.

• Maintain employees time keeping, reviewed and approved time off requests.

• Interviewed, hired and trained new employees.

• In charge of overseeing the Account Receivables as well as the check in and check out desks.

• Overseen clinical and administrative staff duties.

• Review insurance contracts.

• Responsible for maintaining OSHA and CLIA current according to the state requirements.

• Scheduled staff monthly meetings.

Office Manager

Dr. Sajid Wazir- Internal Medicine Prime Care Medical - Naples, FL January 2017 to May 2019

• Full charge of revenue cycle procedures.

• Perform a variety of duties such as daily charge entry for all Skilled Nursing, Assisted Living Facilities and hospitals visits.

• Daily download and post of EFT payments from various payers. Review denials and appeal when needed.

• Worked Medicare denials and appealed accordingly.

• Perform daily account audits to assure charge entry and payment posting accuracy.

• Correction and researching codes for accurate charge entry. Post daily charges, assist with insurance verification.

• Reconciled bank statements.

• Reviewed,research and issued refund requests.

• Reduced 120 days accounts receivable by 43%.

• Implemented daily system to reconcile billing

• Streamline billing and coding procedures for practice by implementing EMR system and ERA. Implemented EPS for most of the commercial and private payers. A/R Auditor

Medical Management Group - Phoenix, AZ

November 2012 to December 2016

• Ensured compliance with established internal control procedures by examining records

• Insurance contracts and documentation for this multispecialty group of physicians including anesthesiologists and the ambulatory surgical center.

• Completed audited work papers by documenting and notifying to CFO.

• Communicated audit findings by preparing reports and discussing findings with management.

• Maintain billing and charge entry protocols by updating programs and questionnaires, recommending new policies and procedures.

• Contributed to team effort by accomplishing discussed goals by minimizing errors.

• Helped with month end reporting.

• Review and issued insurance refund requests.

• Review denials and payment discrepancies and appeal when needed.

• Perform daily account audits to assure charge entry and payment posting accuracy. Accomplishments

Lower A/R by 7%

Claims Resolution Specialist

Florida Cancer Specialists - Fort Myers, FL

March 2010 to November 2012

• Follow up on past due claims.

• Prepare appeal letters.

• Conduct random audits for proper coding of CPT codes vs diagnosis codes.

• Work daily reports; ensure that the claims are not missing codes or modifier before sending out.

• Assist A/R with billing and coding questions.

• Complete special projects when assigned within timeframe allotted for project completion. MCR-BC BS Refund Coordinator

21st Century Oncology - Fort Myers, FL

February 2006 to March 2010

• Auditing, analyzing, researching and resolving issues pertaining to refund requests from various insurance companies including Medicare.

• Performed audits on the accounts for accuracy in payment and charge posting.

• Responsible for working Medicare and Blue Cross Blue Shield monthly credit balance report as well as an unapplied credit reports.

• Promoted from Insurance Collections.

A/R Specialist/Office Manager Assistant

Cape Coral Eye Center - Cape Coral, FL

December 2005 to August 2009

• Daily billing, posting charges, payments and adjustments.

• Audited surgery, facility and anesthesia charges prior to posting.

• Check in desk collecting patient insurance information, entering new patients data.

• Reviewing the monthly accounts receivable report to follow up on submitted claims.

• Downloaded the Medicare EFT, review for denials on charges, correct and resubmit.

• Provided training of new staff when needed, performed insurance verifications, obtained authorizations.

• Responsible for the monthly employee weekly schedule, payroll and interviewing of new personnel. A/R Specialist/Team Lead

Collier Neurologic Specialists - Naples, FL

March 2003 to November 2005

• Billing and collections for the Neuro-Surgeons, Physical Therapy, Pain Management and Durable Medical

Equipment.

• Prepared and reviewed the monthly accounts receivable for each doctor. Responsible for auditing all the charges for Physical Therapy, Pain Management and Neurosurgeon charges prior to post.

• Assisted the doctors with multiple surgery coding. Reviewed explanation of benefits for accurate payments including Medicare and BC/BS and Workers Comp cases. Education

AS in Medical Insurance Billing and Coding

Everest University - Brandon, FL

April 2008 to June 2010

Bachelor's in Accounting

University of Illinois - Chicago, IL

September 1991 to May 1993

Bachelor's in Advertising

University of Puerto Rico

August 1987 to June 1989

Skills

• CPT AND ICD10 Coding. Navicure, Greenway, AllScript PM,NexGen EHR. (10+ years)

• Billing

• claims (10+ years)

• Accounts Receivable (10+ years)

• Collections

• training

• Medical Billing

• Microsoft Excel

• Medical Terminology

• Leadership Experience (9 years)

• Outlook

• CPT

• Excel

• Data Entry

• Microsoft Office

• coding

• Management Experience

• ICD-10

• Medical Collection (10+ years)

• Project Management

• Microsoft Word

• Medical Coding

• HEDIS

• EMR Systems (10+ years)

• Insurance Verification

• eClinicalWorks

• Laboratory Experience

• EMR Systems

• HEDIS (2 years)

• ICD-9

• Insurance Verification

• Medical Coding (10+ years)

• Workers' Compensation

• eClinicalWorks (1 year)

• Public Relations

• Medical Records

• Auditing

• Epic

• HIPAA

• EDI

• Office Management

• CPT coding

• Allscripts

• Medical office experience

• Medical office management

• Front desk

• Analysis Skills

• Medical Scheduling

• Anatomy Knowledge

• Triage

• Recruiting Full results: Proficient Written Communication

• Proficient June 2018 Measures a candidate's ability to convey written information using proper grammar rules. Full results: Proficient Scheduling

• Proficient June 2018 Measures a candidate's ability to cross-reference agendas and itineraries avoid conflicts when create schedules. Full results: Proficient Management & leadership skills: Impact & influence

• Completed February 2021 Choosing the most effective strategy to inspire and influence others to meet business objectives Full results: Completed Electronic health records: Best practices

• Highly Proficient Full results: Proficient Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field. Certifications and Licenses

Driver's License

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