1. OPERATIONS - BUSINESS WORKFLOW
JULIE KRASNOFF
PHYSICIAN & HEALTHCARE BILLING - ACCOUNT MANAGEMENT
EXCEPTIONAL WORK ETHIC - CHAMPION OF COLLECTIVE ACCOUNTABILITY - TEAM LEADER & MENTOR
Medical & Physician Billing | Online Claim Submission & ERA | Record & Systems Automation | Account Collections
Medical Terminology | Medicare-Medicaid Billing | HIPAA Compliance | Audits & Financial Statements
Multi-Line Telephone Systems | Scheduling & Calendaring | Customer Service | Vendor Relations | Administrative Services
PatientKeeper Platform | HIS | DBMS (Database Management Systems) | Microsoft Office Suite | Claim Logic
Solutions-driven Clinical Billing Specialist offering a hybrid combination of competencies in Medical Billing, Coding, and Accounts
Receivable. Maintains a superior understanding of heavy data entry, security functions, invoicing, and account reconciliation. Utilizes
aggregate knowledge of administrative applications to mitigate costly mishaps. Superior mathematical, technical and analytical abilities.
Unmatched leadership qualities - acknowledged for influencing workplace dynamics while fostering team collaboration and efficiency.
654 N Wellwood Ave Suite D #250 Lindenhurst, NY 11757
516.526.3989 - jakrasnoff@gmail.com
CAREER CHRONOLOGY
Business Dynamics – Melville NY (10. 2015 - Current)
Processing Manager
Specialized in ALLScripts, Payer Path and Case Coder.
Responsible for setup, charge entry, processing and payment posting for 36 surgical, spine, and general orthopedic practices.
(Approximate revenue of 30 million dollars monthly).
Resolving electronic claim submission edits.
Liaison between clients and Business Dynamics Revenue Cycle Management.
Verifying insurance eligibility for all claims and ensuring quality assurance across the board.
Highlights:
Promoted after three months from Assistant Manager to Manager.
North Shore Long Island Jewish Health Systems- Westbury, NY (11. 2005 - 5. 2009)
Edit Manager - Clinical Practice Plan, Edit Department
Coordinated and directly managed work performance activities for a twenty-member internal division team, including:
employee relations, executive support, compliance, scheduling, and payroll.
Specialized in PCS, BAR, DBMS, SMS, RIS, Custom Coder, Medeconnect billing and management applications.
Responsible for solving issues relating to provider claim submissions, charges, and eligibility.
Established processes for weekly billing /coding audits and controls to ensure reconciliation of all transactions.
Collaborated with Central Business Office Directors to create customizations to facilitate best business practices.
Supervised charge interface activities and batch processing from Hospital Information System to IDX registration - billing application.
Analyzed complex technical specifications regarding database functionality, queries, and claims submissions through Claim Logic.
Designed, developed, and implemented operational and training curriculum for new hires and department representatives.
Worked on a small development team to manage electronic charges from PatientKeeper to IDX; additionally monitoring all databases
to ensure accurate claim submissions.
Expert understanding of Hospital Information Systems (HIS) including MEDITECH and IDX.
Outstanding troubleshooting capabilities and a knack for determining solutions to complex situations and issues.
Managed the oversight of numerous investigations, analysis, and follow-up on outstanding and unsettled accounts.
Strong working knowledge of insurance carriers including BCBS, United Health, Aetna, Assurant Health, and Humana.
Motivated by deadlines - eagerly accepts challenging situations to address critical circumstances for accurate resolve.
Administrative management skills include high-call volumes, multi-line telephone systems, customer inquiries, calendaring,
scheduling, call directories, data entry, and internet - web-site proficiency.
2. Responsible for arranging and setting up weekly ads to educate consumers on store-wide specials and
deals.
Collaborated with General Managers, Department Managers, and Retail Associates to ensure the
fulfillment of Target’s corporate expectations.
Highlights:
Lead Developer on a small project team - worked on the extraction and rule bank for eligibility verification through Medeconnect.
Recognized as the Lead Support Liaison - directing communication activities between vendors, Practice Managers, and Directors.
North Shore Long Island Jewish Health Systems - Westbury, NY (5. 1998 - 11. 2005)
Assistant Supervisor - Clinical Practice Plan, Collections Department
Accountable for the day-to-day operational integrity of Collections Division - managing all facets of physician billing, account
management, contract management, and patient satisfaction.
Directly responsible for a managing, coaching, and developing 15 Collection Representatives.
Worked independently and in collaboration with teams on routine and non-routine functions to handle invoice reviews, processing,
reporting, analysis of aging accounts, and payment transactions.
Administered monthly reconciliation of all collection agency commission reports.
Provided professional and timely services related to reviewing and adjudicating account claims.
Maintain and streamlined monthly write off procedures, making adjustments of financial records as needed.
Researched and resolved issues to help address concerns related to billing discrepancies and inconsistencies.
Improved and increased department functionality by establishing and implementing workflow strategies and processes.
Identified lucrative revenue opportunities to recover and save valuable dollars by improving accounts receivable practices.
Coordinated in-office responsibilities involving filing, processing of statements and management of internal communications.
Highlights:
Technical and Leadership talents were recognized with an upward promotion from Assistant Supervisor to Edit Manager.
North Shore Cornell Health Systems - Westbury, NY (9. 1991 - 5. 1998)
Collection Representative - Clinical Practice Plan, Collections Department
Provided strategic support to operations and management team - directly overseeing collection responsibilities and duties.
Successfully impacted the CPP division by lowering administrative overhead, reducing private collector dependency, and improving
collections of delinquent account receivable debt.
Excelled in data entry, high-call volume telephone support, cash application reporting and internal procedures.
Exemplified service excellence by educating payees on the importance of on-time and up-to-date payments.
Gained positive recognition from supervisors by increasing personal productivity and task completion times.
Played a key role providing front-line operational service to handle incoming collection request and recording of payments.
Operated as a third party billing liaison, helping to implement methodical process to quickly collect on accounts while reducing
administrative handling cost.
Highlights:
Promoted from a part-time role to a full-time opportunity after one year of dedicated service.
LEADERSHIP - DEVELOPMENT
EDUCATION
East Meadow High School
High School Diploma - General Studies
Educated and trained North Shore Long Island Jewish Health Systems staff on GE and hospital policies and procedures.
Recognized participant at regional networking opportunities, medical conferences, and industry-related seminars.
Elected to develop, prepare and implement departmental and HR training material including, but not limited to exams,
brochures, and reading material.