Gina Sciortino
Pekin
Summary
Revenue Cycle Specialist with 15+ years of experience in hospital and physician practice billing. Expert in commercial, Medicare, and Medicaid claims, denial resolution, A/R management, and credentialing. Known for improving revenue workflows, resolving complex billing issues, and maintaining strong payer and patient relationships.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Insurance Billing Specialist
Hopedale Medical Complex
Hopedale, IL
01.2022 - Current
- - Manage end-to-end billing for a Critical Access Hospital across commercial, Medicare, and Medicaid payers
- - Post and reconcile payments to ensure accurate reimbursement and timely follow-up
- - Resolve claim denials and appeals through proactive payer communication
- - Act as liaison with PM software vendors and clearinghouses to resolve billing issues
Revenue Cycle Integrity Analyst
Soderstrom Skin Institute
Peoria, IL
04.2007 - 12.2021
- - Oversaw full revenue cycle operations for a multi-provider dermatology practice
- - Implemented A/R protocols that improved collections and reduced outstanding balances
- - Managed physician credentialing and payer enrollment
- - Supported acquisitions through revenue cycle integration and workflow alignment
- - Performed charge entry, authorizations, benefit verification, and payment posting
Education
Education - K-8 & Coaching
Illinois State University
Skills
- Revenue Cycle Management
- Claims & Appeals
- Denial Management
- A/R Optimization
- Medicare, Medicaid & Commercial Billing
- Payment Posting & Reconciliation
- Insurance Verification & Authorizations
- Physician Credentialing
- PM Software & Clearinghouse Liaison
- Customer Service
Certification
Certified Revenue Cycle Representative (CRCR)
Awards
Employee of the Month, Chief Operating Officer Care Award
Timeline
Insurance Billing Specialist
Hopedale Medical Complex
01.2022 - Current
Revenue Cycle Integrity Analyst
Soderstrom Skin Institute
04.2007 - 12.2021
Education - K-8 & Coaching
Illinois State University