Suzette Ivanowski

Written by - - Comments Off on Suzette Ivanowski
Medical Billing Specialist

 

Suzette Ivanowski

 

Objective:  To obtain a growing position with a(n) stable growing company, were we can both grow together with the optimum goal is the patient.

 

 

Skills:

 

  • Physician billing
  • Health insurance and claims processing, including Medicare and Medicaid
  • Claims appeal procedures, including Medicare
  • HIPAA compliance
  • Credit card and payment processing
  • Microsoft Office and Windows -proficient
  • Customer Services
  • Problem Solving

 

 

 

Work Experience:

 

Medstrive/ Sonas Medical Supply

Claims Processors/ Insurance Specialist

Denison Texas

Feb 2014 - May 2016

 

  • Took inbound calls and made outbound calls regarding claim appeals, denials, and claim processing
  • Processed all claims that required documentation
  • Worked with precertification reports
  • Followed state and federal guidelines, including HIPAA regulations
  • Identified errors and re-filed denied claims
  • Worked through and processed rejected claims
  • Identified patient billing issues
  • Worked with calls from patients, medical staff, and insurance companies
  • Dealt with Medicare, Medicare Advantage, and Medicaid along with all other major insurance companies
  • Processed audits for medicare
  • Performed full-cycle medical billing in a fast-pace medical billing company
  • Thoroughly investigated past due invoices and minimized number of unpaid accounts
  • Reviewed remittance codes from EOBS/AR's
  • Evaluated and verified benefits and eligibility
  • Posted and adjusted payments from insurance companies and patients

 

 

 

Kohl’s Credit Card Services (Call Center)

Customer Service Agent II

June 2011 to June 2012

 

  • Talk to customers about payment
  • Worked within a high volume call center environment
  • Increased customer loyalty through customer service and resolving issues
  • Took 70+ Inbound calls per day per shift
  • Provided customer service by answering inquiries, providing account, and billing information
  • Assisted store and customers with store and product complaints and account inquiries
  • Maintained knowledge of current sales and store promotions
  • Demonstrated empathy and resolved problems on the spot
  • Directed calls to appropriate individuals and departments
  • Asked open-ended questions to assess customer needs

 

 

McKesson Corporation

Medical Billing Specialist II

October 2009 to May 2011

 

  • Performed full-cycle medical billing in a fast-pace medical billing company
  • Prepared and attached all required claims documentation including referrals, treatment plans, or other required correspondence to reduce incidence of denials
  • Thoroughly investigated past due invoices and minimized number of unpaid accounts
  • Precisely completed appropriate claims paperwork, documentations and system entry
  • Followed all federal and state guidelines for release of information including HIPAA Regulations
  • Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received
  • Added modifiers as appropriate and had diagnoses verified and corrected, if needed.
  • Interacted with providers and other medical professionals regarding billing and documentations, policies, procedures, and regulations.
  • Reviewed remittance codes from EOBS/AR's
  • Evaluated and verified benefits and eligibility
  • Identified and resolved patient billing and payment issues
  • Posted and adjusted payments from insurance companies and patients

 

 

 

United Healthcare (Call Center)

Claims Notification

October 2008 to October 2009

 

  • Provided customer service while doing an average of 60+ calls per day
  • Answered customer and provider inquiries
  • Provided benefit coverage
  • Worked to solve problems and benefit coverage questions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Education:

 

United Healthcare - 2009

HIPAA Compliance Training

Required up-to-date training for job position

 

McKesson Corporation - 2005-2008, 2009-2010

HIPAA Compliance

Required up-to-date training for job position

 

 

Medstrive/ Sonas Medical Supply  2014-2016

HIPAA / Medicare Compliance training for job position

 

 

 

Boles High School - 1993

High School Diploma

Category
E-mail
suzieb476@gmail.com
Phone Number
9193303366

Contact Candidate

Contact

Comments are closed.