Administrative Professional with Billing & Scheduling Experience
Resume:
Nancy P. Pisarski
Garden City, MI ***** • ***********@*******.***• 734-***-****
Office Administration
Professional office administration with years of experience directing all aspects of office operations.
•Proven results in customer service and maintaining positive office environments through supporting customers / clients. Skilled in incoming / outgoing multi-phone lines.
•Effective communication and relationship building skills utilized to resolve customer service issues, train, and mentor staff, and collaborate with leadership.
•Excellent organizational and time management skills.
•Knowledge of accounting principles and practices, Microsoft Office, Quick Books, and Square.
•Working knowledge of medical terminology, CMS Prior Authorizations, and clinic procedures, including transcription and documentation in alignment with industry regulations.
•Strengths in strategic planning, process improvement, and data analysis.
Professional Experience
Michigan Otolaryngology Surgical Associates (MOSA) – Livonia, Michigan
Prior Authorization Specialist, November 2024 - Current
Maintenance Services – Garden City, Michigan
Accounting – Invoicing Billing Specialist, November 2022 – November 2024 (Part Time)
Proficiency in Yard Books and Quick Books accounting software.
Billing clients for landscaping, yard maintenance, snow removal, and various commercial and home maintenance. Customer service for incoming and outgoing customer calls.
Metro Transport Group – Athens, Tennessee
Accounting Department-Freight Billing Specialist, June 2022 – November 22 (Contract)
Expedite and Truckload
Sending invoices and account updates to clients.
Kept an accurate record of client accounts and outstanding balances.
Received, sort, and track incoming payments.
Validate debit accounts to ensure the credibility of payments.
Issued receipts for received payments.
Provided regular, accurate reports of billing data.
Sylectus and Alliance software
Nancy P. Pisarski … Page 2
E5 Workflow – Sydney, Australia,
Prior Authorization Specialist, July 2020-June 2022 (Contract)
Pre-Authorization requests to payors, Managed Care (CMS). Interacts with clients, insurance companies, patients, and sales representatives as necessary to request prior authorizations. Responsible for updating account activity, updating patient and claim information and demonstrating proficiencies with the billing system to ensure all functionalities are utilized for the most efficient processing of claims. Documents eligibility, benefit, and authorization information in accordance with established guidelines.
Detroit Medical Center – Detroit, MI
Patient Access Rep ll, September 2019 to July 2020 (COVID NON-ESSENTIAL EMPLOYEE)
Patient registration, verify current demographics, obtain referrals, insurance verification and pre-authorization approvals for CMS for Physical Medicine and Rehabilitation in the Fluoroscopy Suite. CPT, ICD-CM, HCPCS LEVEL ll coding for Radiology.
Reliable Drug and Alcohol Inc. - Romulus, MI
Collector, April 2019 to September 2019 (Contract)
NON-DOT/DOT drug and alcohol tester. Notifying flight crew members of selective process and random drug and alcohol screening based on federal guidelines mandated by the FAA and Department of Transportation. Urinalysis testing for the five panel THC, PCP, COC, OP, AMP, respectively. In addition to (BAC) from a breath sample provided by standardized breathalyzer testing.
Audrey Bruell, MD, PC – Livonia, MI
Clerical / Clinical Coordinator, May 2003 to April 2019
Managed office operations for a busy dermatologist practice, including office opening and closing, patient documentation, policies, procedures, staffing schedules, and infection control. Obtained preauthorization’s for surgical procedures in CMS, private insurance companies, Evicore and Availity portals. Scheduled patient appointments answered incoming / and making outbound patient calls, along with insurance verification. Gathered and documented patient medical history and physician summary/diagnosis. Assist physician with non-invasive and surgery procedures. Authorized prescription refills and relayed information to pharmacy. Responded to patient questions and resolved patient service issues. Directed quality control and trained staff on infection control techniques in compliance with MIOSHA regulations.
Additional Relevant Experience:
Landstar Logistics, INC – Northville, MI
Director of Customer Service, September 1996 to May 2003
Oversaw shipping operations and customer relations for a national transportation service. Responded to customer inquiries, resolved issues, and communicated delivery changes/expectations to customers and
Supervisors. Managed shipments to achieve on-time shipment promise to customers by categorizing cargo by receipt location and scheduling with appropriate carrier. Ensured precise placement on trucks through estimating weights, heights, and centers of balance. Hired and trained shipping employees. Identified process improvement opportunities. Maintained ISO 9000 and 9002 certifications for quality systems.
Selected Contribution: Improved compliance with industry standards, resulting in increased validation of shipping deliveries by 30%.
Advanced Dermatology – Plymouth, MI
Office Manager/Regional Manager, June 1989 to September 1996
Directed office operations and supervised staff for a regional dermatology clinic. Executed tactical plans to achieve company objectives and monthly clinic goals. Collaborated with billing department and management to increase revenue through accurate patient documentation for billing. Facilitated staff meetings to celebrate accomplishments, communicate policy and procedure changes, and gather feedback. Selected Contribution:
•Increased employee loyalty and reduced turnover by implementing innovative employee engagement programs.
Education
Certified Medical Office Assistant
Career Center, Livonia, MI 1981-1983
Studies in Healthcare Administration
Oakland Community College, Royal Oak, MI 1984-1986
Studies in Business Administration / Accounting
Schoolcraft College, Livonia, MI 1990-1992
EMR EMA Training & Development, Modernizing Medicine
Livonia, MI 2017-2018
Studies in Outpatient Medical Coding
REFERENCES
Sean McDonagh, Vice President of Operations -Jen Oil Company 734-***-****
Peter Ret, PA-C – Pinnacle Dermatology
Anthony Fica, AJF Homecraft, Owner
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