Hi, I’m
Janella Marie Volante
Abu Dhabi
Summary
Competent Clinical Billing Specialist with 8 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Proficient in overseeing team operations, implementing improvements and reducing delinquency. Enthusiastic about taking billing operations to the next level through proactive leadership skilled problem solving.
Overview
14
years of professional experience
1
Certification
Work History
Cleveland Clinic Abu Dhabi
Clinical Billing Specialist
10.2017 - Current
Job overview
- Streamlines billing processes for increased efficiency and productivity in the department.
- Oversees daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Increases cash flow by consistently following up on outstanding balances owed by patients or third-party payers.
- Provides exceptional customer service to patients in resolving billing disputes or answering questions about their account status.
- Enhances revenue by accurately reviewing and submitting medical claims for reimbursement.
- Maintains up-to-date knowledge of industry regulations, staying compliant with changing guidelines and best practices.
- Identifies trends in claim denials, implementing corrective measures to prevent future issues.
- Optimizes internal communication between departments by creating concise reports detailing relevant financial data for colleagues'' review.
- Conducts regular audits of patient accounts to ensure accuracy and completeness of data entry.
- Trains new employees on the intricacies of clinical billing procedures, ensuring a smooth onboarding process.
- Leads training sessions on new software implementations, ensuring all team members were proficient in utilizing tools necessary to perform job functions effectively.
Cleveland Clinic Abu Dhabi
Senior Billing Analyst
04.2016 - 10.2017
Job overview
- Used data entry skills to accurately document and input statements.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.
- Collaborated with customers to resolve disputes.
- Monitored outstanding invoices and performed collections duties.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
United Health Group
Medical Biller
10.2013 - 03.2016
Job overview
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Adhered to established standards to safeguard patients' health information.
- Filed and updated patient information and medical records.
New Sinai MDI Hospital
NICU Registered Nurse
02.2011 - 10.2013
Job overview
- Communicated with family members and loved ones to provide information about patient care, treatments and medical options.
- Administered medications and fluids and checked vital signs on critically ill newborns.
- Followed policies, procedures and hospital regulations for protocol compliance and patient safety.
- Assessed, evaluated, and cared for neonate and pediatric patients.
- Crafted tailored nursing care plan for each patient and evaluated it daily for effectiveness.
- Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
- Guided patients, caregivers, and family members on plans of treatment and helpful resources available locally to support care.
- Administered medications and treatments as ordered by physician.
- Assessed and documented changes in patient's condition and prepared patient for transfer to higher level of care.
Education
University of Perpetual Help, Philippines
Bachelor of Science from Nursing
03.2010
Skills
- CPT coding knowledge
- ICD-10 Proficiency
- HIPAA Compliance
- Claim submission
- Medical terminology understanding
- Revenue Cycle Management
- Medical Billing Software Mastery (EPIC)
- Customer Service
- Complex Problem-Solving
- Certified in Resolute Hospital Billing Administration - EPIC
- Staff Training and Development
- Strategic Planning
Accomplishments
- Supervises team of 18 staff members.
- Collaborated with Information Technology team to develop Patient Portal - Billing
- Utilized Microsoft apps to create trackers and audit tools
- Assigned as one of the EPIC super users who are responsible for creating and testing new system workflows and upgrades.
Certification
- Certified in Resolute Hospital Billing Administration , EPIC - 2019 - Present
- Certified Medical Coder, AAPC - 2016- Present
- Certified Medical Biller, AAPC - 2017 - Present
- Registered Nurse, Philippines - 2010 - Present
Affiliations
- AAPC
- EPIC
Timeline
Clinical Billing Specialist
Cleveland Clinic Abu Dhabi
10.2017 - Current
Senior Billing Analyst
Cleveland Clinic Abu Dhabi
04.2016 - 10.2017
Medical Biller
United Health Group
10.2013 - 03.2016
NICU Registered Nurse
New Sinai MDI Hospital
02.2011 - 10.2013
University of Perpetual Help
Bachelor of Science from Nursing
- Certified in Resolute Hospital Billing Administration , EPIC - 2019 - Present
- Certified Medical Coder, AAPC - 2016- Present
- Certified Medical Biller, AAPC - 2017 - Present
- Registered Nurse, Philippines - 2010 - Present
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