Beth Kowalczyk Email & Phone Number

Manage the radiology billing and coding group, comprising 5-6 direct reports, for the full revenue cycle of insurance verification, coding, billing, payment posting, and appeals. Previously also managed collections. Excel at bringing order to chaos. Accomplished in analyzing workflows and financial data to identify patterns and locate opportunities for improvement in productivity, workflow, and profitability.Proven ability to successfully tackle challenging projects and quickly master new competences and technologies. Professional development and practical experience in conflict resolution and de-escalation between parties with opposing viewpoints and conflicting goals.Sit on the Patient Workflow Improvement Board, which is tasked with analyzing and improving the entire patient experience, seeking out opportunities to improve quality of care.Reduced claim denials by over 80% by identifying a pattern of prior authorization irregularities and implementing a new workflow to improve communication between departments and maximize revenue.Enhanced workflow for insurance benefits verification by reducing duplication of efforts, resulting in increased productivity and a 0.5 FTE reduction in staffing requirements.Spearhead analysis of annual and monthly financial reports to ensure accurate claims reimbursement and identify abnormalities. Update and analyze master file database containing contracted reimbursements for each in-network payer on a rolling monthly basis.Lead department-wide OSHA and HIPAA privacy training and compliance validation. Provide case-by-case support by researching legal requirements for unique HIPAA-sensitive situations.Electronic Medical Record (EMR), Health Insurance, Billing, Coding, Insurance Benefits Verification and Coordination, Engineering, Medical Terminology, and Service Quality.

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  Tufts University

  Summa Cum Laude