JEFF H. GRUENEWALD

PROFESSIONAL EXPERIENCE

NATIONAL JEWISH HOSPITAL

October 2022-Present

Senior Clinical Support Representative

oPatient calls/scheduling

oPatient intake

oPayment collections

oEpic EHR super user

oWork along with and support clinical staff

WESTERN-ORTHOPEDICS

August 2021 – October 2022

Medical Billing Specialist

oPatient calls

oPatient account issues

oCash posting

oCredit card processing

oA/R Follow-up

oBank Deposits

oWorks with Assistant Surgeons with CPT codes and prices(10 clients

o Filing HCFA's for paper payers along with OP notes or primary EOB's

CORDANT HEALTH

November 2018 — August 2021

Medical Billing Specialist/Diagnostic Lab Billing

oCash posting

oPatient Calls

oAR Follow-up and collections

MBMS

April 2016 November 2018

Medical Billing Specialist/Analyst Senior Lead

oDuties included Staff Training, and working with 3 Clients in Colorado, California, and Illinois.

oLiaised with a collection agency and hospital systems.

oClaim rejections, radiology coding, A/R follow-up, cash posting.

oLiaised with an outsourcing company in India.

oInitiated two key partnerships which resulted in 54% revenue growth.

CENTURA HEALTH

September 2015- March 2016

Medical Billing Specialist (Contract)

oPhysician Services, Revenue Management, A/R Follow-up, Pt.

oRegistration, Refunds, and projects as Assigned.

oAccounts Receivable follow-up and resolution.

SELF - EMPLOYED

December 2014- October 2015

Credentialing Consultant/Medical Billing Specialist

oConsulted with IOM companies to develop credentialing dept

oFull cycle medical billing

oCharged Entry

oCash Posting

oAR Follow-up

UNIVERSITY PHYSICIANS INC

April 2013 -June 2014

Medical Billing AR Specialist

oA/R Follow-up

PEAK BILLING SERVICES INC

April 2009 - May 2013

Credentialing & Licensing Manager/Medical Billing Specialist

oPhysician licensing and credentialing

oPayer contracting

oPayer Enrollment

oCertified Radiation Oncology Coder

oMedical Billing

oA/R

oMonth-End Reporting to Clients

oIT problems and Customer Service Manage office

oCustomer service payment posting

oDetailed oriented

oAccounting

oAccounts Receivable

oAgency

oBilling

oComputer Programming

oCPT

oClients

oStaff training

oFiling

oFiring

oHiring

oHome care

oICD-IO

oInsurance

oInterpretation

oMedical billing

oOncology

oCoding

oRadiology Reporting

CENTURA HEALTH AT HOME

November 2008 – April 2009

Medical Billing Analyst/Staffing Supervisor

oClinical staffing for home care patients

oPatient and referral calls

oOn-call after normal office hours

oRecruited new clinical staff

oScrubbed all billing prior to billing for any errors with codes and or Modifiers for Commercial, Medicare, and Medicaid

ROCKY MOUNTAIN CANCER CENTERS September 2006 - February 2008

AR Rep

oFollowed up on commercial insurance accounts, filed appeals on Denials.

oHandled patient statements and collections.

EDUCATION

EMILY GRIFFITH OPPORTUNITY School

Medical Insurance Billing and Coding Specialist- Certificate

MINNESOTA SCHOOL OF BUSINESS

Accounting & Computer Programming Certificate

ST. CLOUD STATE UNIVERSITY

General Studies Courses

SKILLS

•Physician Credentialing and Licensing

•Full cycle Billing

•Customer Service

•Month-End Reporting

•Healthcare Staffing

•Charge Entry

•A/R Follow-Up

•Cash Posting

•Insurance Verification

EOB Interpretation

•Commercial, Medicare, and Medicaid Billing

•Use Of CPT, HCPCS Codes

•Electronic Billing and Use of Many Software Packages

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