Rob Adelstein Email & Phone Number

Hyannis, Ma, Us

➤ Supervising medical billing and following up on claims to ensure payments are made in a timely manner. ➤ Reducing overall outstanding billing for the hospital from $17M at onset of Epic implementation to under $1M.➤ Contributing to resolving claims, investigating outstanding payments, and recovering hospital charges for billing.➤ Clearing all billing edits, preparing reports of hospital DNFB, and helping all clinical departments to lower DNFB.➤ Updating, editing, and submitting claims through EPIC electronic health records system and collaborating with teams.➤ Reducing Hospital Billing CFB to 0.3% of total CFB, developing best practices for EPIC WQs, and serving as an EPIC Super User.➤ Building strategic relationships with insurance companies and finding strategies to lower filing issues.➤ Coordinating with insurance companies and patients on resolutions to problem claims, as well as managing work lists.➤ Providing patient billing information and identifying patterns in billing and claims denials for expediting resolution.➤ Training staff in the fastest way to resolve claim matters and increasing the total amount of claims billed .➤ Working with front-end staff to maximize revenue at time-of-service and reduce balances in accounts receivable.➤ Preparing clinical hold reports for DRG review, hiring and reviewing staff members, and ensuring accurate records.

Canton, Massachusetts, Us

➤ Verified eligibility and obtained authorization for insurance coverage as well as processed any claim denials.➤ Provided education and training to surgical team on correct billing and coding procedures to improve accuracy.➤ Oversaw the collection of all Medicare billing for verifying Medicare eligibility and for reconciling payments received.➤ Maintained and demonstrated a solid working knowledge of billing and collections requirements and specifications.➤ Used Medicare electronic portals for billing, collections, and report generation and completed audits of PFFS charts.➤ Maintained filing and other administrative duties for medical billing as well as ensured accuracy/completeness.➤ Monitored the system on a daily basis for any errors in claims, potential entrance issues, and overlaps in care.

➤ Requested medical records and other documentation from facilities and faxed confidential medical documents.➤ Communicated with patients to answer questions and solve issues regarding accounts or payment/billing concerns.➤ Successfully negotiated 2 buy outs of other dental practice that doubled growth of the business and reduced expenses.➤ Handled correspondence including patient letters as well as scheduled appointments and follow-ups.➤ Documented and updated all activity in system according to department guidelines and quality assurance standards.➤ Verified insurance, ensured data was entered into the system correctly, and fielded patient questions about billing.➤ Oversaw administration of clinical and nonclinical operations, worked insurance denials, and sent back for processing.➤ Assisted in the development of long-range strategic and financial plans and developed department-level budgets.➤ Hired, terminated, and trained administrative staff and supervised medical assistant, medical biller, and medical coder.➤ Oversaw billing, coding, and collections as well as ensured digital medical records were current and accurate.➤ Reconciled account information and conducted billing and collection audits to ensure regulatory compliance.➤ Oversaw daily medical office operations, managed staff of 10, and increased number of new patients by 300%.

Alpharetta, Ga, Us

➤ Collaborated closely with other brokers and interns servicing oil future markets in executing orders for clients.➤ Offered key support in opening new accounts, upgrading existing service, and educating high-end clients.➤ Retained high volume of customers building long term relationships and providing education and personal assistance.➤ Placed oil and option trades, submitted mutual fund and bond orders, and provided notification/explanation of terms.➤ Conducted group presentations and one-on-one product and service demonstrations to existing and prospective clients.➤ Interviewed, hired, coached, and motivated staff as well as provided ongoing coaching and performance evaluations.➤ Delivered staff training in areas of referral acquisition, asset gathering, problem solving, and client satisfaction.➤ Ensured ongoing compliance with CFTC, company, and client services rules, policies, and procedures.➤ Secured numerous multi-million- dollar accounts from client referrals, prospecting, and successful relationship building.➤ Continuously ensured client satisfaction with a high likelihood to recommend by enhancing service and resolving issues.