Angela Tomasetti
Horsham
Summary
Results-driven professional specializing in revenue cycle management, claims processing, and insurance compliance. Proven track record in enhancing team performance and streamlining processes to achieve optimal efficiency.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Revenue Cycle Lead
Jefferson Health
Abington
01.2024 - Current
- Developed innovative ideas and solutions that enhanced team performance and outcomes.
- Utilized various software tools to streamline processes and optimize efficiency.
- Guide and train colleagues to foster collaboration and achieve service-related goals.
- Maintained updated knowledge through ongoing education and advanced training.
- Manage multiple workqueues efficiently and accurately, consistently exceeding daily quota requirements.
Revenue Cycle Specialist
Jefferson Health
Abington
01.2020 - 01.2024
- Facilitated timely reimbursements by reviewing insurance claims for accuracy and compliance.
- Processed appeals of denied claims promptly to ensure resolution.
- Monitored accounts receivable daily, identifying actions to enhance cash flow.
- Verified patient coverage through direct contact with insurance providers.
- Ensured correct patient account details by thorough review.
- Maintained up-to-date knowledge on insurance policies and regulations.
Insurance Verification Specialist
Abington Hospital - Jefferson Health
Willow Grove
01.2016 - 01.2020
- Oversaw billing operations in a high-volume healthcare environment to ensure accuracy and efficiency.
- Processed pre-authorization requests for obstetrical patients, expediting care delivery.
- Facilitated resolution of claim issues related to billing and reimbursement inquiries.
- Informed physicians and coworkers about insurance policies to clarify coverage details.
- Responded promptly to patient inquiries regarding benefits and eligibility status.
- Contacted insurance companies to obtain critical information on policies and payment benefits.
- Assisted in training new staff on insurance verification procedures and best practices.
Medical Receptionist
Abington Memorial Hospital
Willow Grove
02.2007 - 01.2016
- Checked in and out patients for appointments, ensuring accurate co-payment collection.
- Protected patient confidentiality by adhering to strict HIPAA guidelines.
- Delivered high-quality administrative support to sustain patient flow and workflow efficiency.
- Responded to incoming calls, addressing inquiries from patients and medical offices.
- Scheduled appointments and efficiently managed physician calendars.
- Entered insurance demographics and health history into patient database with precision.
- Prepared charts for new patients, confirming completion of all necessary forms accurately.
Education
Diploma - Medical Office Administration
CHI Institute
Southampton, PA02-2007
GED -
Commonwealth of Pennsylvania
Harrisburg, PA04-2006
Skills
- Revenue Cycle Representative certified
- Claims processing
- Medical coding
- Insurance compliance
- Supervision and leadership
- Training and development
- Reliability
- Revenue cycle management
Certification
- Revenue Cycle Representative
Timeline
Revenue Cycle Lead
Jefferson Health
01.2024 - Current
Revenue Cycle Specialist
Jefferson Health
01.2020 - 01.2024
Insurance Verification Specialist
Abington Hospital - Jefferson Health
01.2016 - 01.2020
Medical Receptionist
Abington Memorial Hospital
02.2007 - 01.2016
Diploma - Medical Office Administration
CHI Institute
GED -
Commonwealth of Pennsylvania