Behavioral Health Medical Billing

LORI SCAVUZZO

**** *.*. ******* ****, Port St. Lucie, FL 34953

772-***-**** ************@*****.***

Objective

Seasoned and detail-oriented Billing Manager with over 20 years of progressive experience in medical billing, office management, and insurance claims. Proven leader with a track record of optimizing revenue cycles and enhancing billing department efficiency. I am skilled in Medicaid, Medicare, private insurance, and behavioral health billing systems (FASAMS, CFARS/FARS). Seeking a dynamic role to contribute expert knowledge in streamlining operations, ensuring compliance, and improving reimbursement outcomes.

Core Qualifications

20+ years of medical billing experience across private practices and behavioral health agencies

Comprehensive understanding of Medicare, Medicaid, and private insurance billing

Expertise in FASAMS, CFARS/FARS, and CMHC billing and implementation

Strong background in credentialing, collections, and compliance oversight

Skilled in policy development, team supervision, and staff training

Effective communicator with excellent organizational and problem-solving abilities

Demonstrated success in improving workflow efficiency and revenue recovery

Professional Experience

Billing Supervisor

Helping People Succeed, Inc. – Jensen Beach, FL

2024 – Present

Lead daily billing operations for a community-based health organization

Maintain compliance with state and payer regulations while supporting provider credentialing

Collaborate with leadership on revenue strategy and reimbursement optimization

Billing Supervisor / Comptroller Assistant

New Horizons of the Treasure Coast, Inc. – Port St. Lucie, FL

2005 – 2024

Supervised a multi-provider behavioral health billing team across Medicaid, Medicare, and private payers

Managed credentialing, NPI assignments, collections, and payer audits

Led CMHC billing implementation and met all state compliance requirements

Developed internal billing procedures and staff training programs

Promoted twice in recognition of outstanding leadership and departmental performance

Office Manager / Billing Lead

Associates in Gastroenterology, PC – New Jersey

1999 – 2005

Directed billing, collections, and administrative functions in a high-volume private practice

Managed provider contracts, credentialing, purchasing, and day-to-day operations

Improved billing turnaround and reduced denials through workflow redesign

Supervised a team of billing specialists and front office staff

Billing & Insurance Specialist

Toms River X-Ray, CT & MRI Center – Toms River, NJ

1996 – 1999

Processed insurance claims, performed payment posting, and managed account follow-ups

Focused on resolving denials and maintaining clean claims submission

Assisted with team oversight and addressed payer issues for accurate reimbursement

Education

Toms River High School North – Toms River, NJ

Graduated: 1984

Technical Proficiencies

EHR Systems & Revenue Cycle Software (e.g., Etactics)

HCPCS & CPT Coding

837/835 EDI Configuration

FASAMS, CFARS/FARS

AHCA, Availity, BCBS Portals

Microsoft Office Suite

References

Available upon request

Contact this candidate