Suzette Ivanowski

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