Kelly Petrulakis
Gilberts
Summary
Self-motivated Health Care Professional with strong leadership and communication skills. Delivered optimal billing efficiency through relationship-building and effective account management. Focused on enhancing client service and problem-solving capabilities.
Overview
24
24
years of professional experience
9
9
years of post-secondary education
1
1
Certification
Work History
Infusion Billing Specialist
Northwest Neurology
Rolling Meadows
06.2023 - Current
- Verified insurance coverage and patient information for accuracy.
- Processed patient billing and insurance claims efficiently.
- Managed accounts receivable and followed up on outstanding payments.
- Processed pre-authorization forms using electronic health record systems.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Educated patients on insurance benefits and authorization procedures.
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
Intake Coordinator
AristaCare Pharmacy
Hoffman Estates
09.2019 - Current
- Communicated patients' insurance benefits to referral sources (clinical liaison, discharge planner, medical social worker, clinic nurse) to facilitate timely home nursing coordination.
- Obtain appropriate authorizations necessary from the patient's insurance provider, then effectively document all information into CPR+.
- Maintained daily census of 150-170 patients, including updates on recurring patients' benefits and authorization renewals to ensure seamless patient care.
- Extensive knowledge of IV antibiotics, IVIG and SQIG products, MS infusion medications, Tepezza, Krystexxa and researching appropriate medical policies to ensure coverage criteria are met.
Senior Admissions Representative
Orsini Pharmaceutical Services
Elk Grove Village
11.2016 - 03.2019
- Led benefits investigation team, overseeing time sheet approvals, PTO requests, yearly reviews, disciplinary actions, and weekly meetings to ensure compliance and team effectiveness.
- Initiated and followed up on prior authorization and pre-determinations including denial investigations for pharmacy claims.
- Communicate directly with pharmaceutical manufacturers providing updates, reporting and any other pertinent reporting and/or patient information.
- Communicated with pharmaceutical manufacturers, providing updates and reports on patient information to streamline collaboration and enhance service delivery.
- Delivered customer service to patients, insurance companies, and vendors through in-person interactions, phone calls, and email, ensuring timely and accurate information exchange.
Benefits Coordinator
Weil Foot and Ankle Institute
Des Plaines
02.2014 - 09.2016
- Secured benefits for custom molded orthotics, diabetic shoes, and custom braces through insurance companies, completed precertification, and recorded charges for accurate billing.
- Obtained predetermination for Electronic and Ultrasound Bone Stimulators by evaluating clinical information and drafting letters of medical necessity.
- Entered podiatric surgeon and assistant surgeon charges for Regenerative Surgery Center.
- Posted daily payment receipts, insurance EOBs, patient payments, refunds and adjustments manually.
- Delivered customer service to patients, insurance companies, and vendors through face-to-face interactions and incoming phone calls, ensuring clear communication and support.
Front Office Coordinator
Center for Advanced Breast Care
Arlington Heights
01.2012 - 02.2014
- Coordinated front office operations including patient check-in/out, appointment scheduling, co-pay and deductible collection, patient flow management, surgery scheduling, precertification, record management, and triaging communications.
- Delivered customer service to patients, insurance companies, vendors, and external physicians, ensuring clear communication and support.
- Trained staff as super user for electronic medical records system, eClinicalWorks, facilitating smoother transitions and usage.
Payment Poster and Refund Specialist
Barrington Orthopedic Specialists
Schaumburg
09.2005 - 12.2011
- Posted payments, EOB denials, and appeals for 16 physicians, MRI, and physical and occupational therapy services, ensuring accurate financial records.
- Processed patient and insurance refunds, contributing to improved cash flow.
- Compiled reports and spreadsheets for collection activities, facilitating informed decision-making for inside and outside collections.
- Scheduled office appointments on Misys Tiger and EMR.
Scheduling Coordinator
Northwest Gastroenterologists
Arlington Heights
03.2004 - 09.2005
- Managed appointment and procedure scheduling for a busy office of 10 physicians and a small surgery center with Misys Medic.
- Conducted initial insurance verification screening to assess patient benefits and coverage levels.
Laboratory Representative
Northwest Community Hospital
Arlington Heights
06.2002 - 03.2004
- Managed patient registration and ordered laboratory tests for a variety of outpatient and reference lab clients, such as nursing homes and doctors' offices.
- Screened diagnosis codes for Medicare patients to ensure payment eligibility and compliance with ABN protocols.
- Delivered lab results and customer service to patients, physicians, office personnel, and hospital staff, fostering clear communication and support.
Education
Master's - Public Health
National University
01.2017 - 06.2026
Certificate - Physician Office Billing and Coding
College of DuPage
Glen Ellyn, ILBachelors of Applied Science - Criminal Justice
Illinois State University
Normal, ILAssociates of Arts - Philosophy
William Rainey Harper College
Palatine, ILSkills
- Medical Billing
- Medical Coding
- CPT Coding
- ICD-10
- HCPCS
- Prior Authorizations
- Medical Records
- Clinical documentation
- Documentation review
- EMR Systems
- EClinicalWorks
- Microsoft Office
- Microsoft Word
- Home Care
- Home Health
- Healthcare
- Medical Office Experience
- DME
- Anatomy Knowledge
- HIPAA
- Research
- Medical Scheduling
- Home Health
Certification
- Licensed Pharmacy Technician
- 2021-03 to 2022-03
Additional Information
Authorized to work in the US for any employer
Timeline
Infusion Billing Specialist
Northwest Neurology
06.2023 - Current
Intake Coordinator
AristaCare Pharmacy
09.2019 - Current
Master's - Public Health
National University
01.2017 - 06.2026
Senior Admissions Representative
Orsini Pharmaceutical Services
11.2016 - 03.2019
Benefits Coordinator
Weil Foot and Ankle Institute
02.2014 - 09.2016
Front Office Coordinator
Center for Advanced Breast Care
01.2012 - 02.2014
Payment Poster and Refund Specialist
Barrington Orthopedic Specialists
09.2005 - 12.2011
Scheduling Coordinator
Northwest Gastroenterologists
03.2004 - 09.2005
Laboratory Representative
Northwest Community Hospital
06.2002 - 03.2004
Certificate - Physician Office Billing and Coding
College of DuPage
Bachelors of Applied Science - Criminal Justice
Illinois State University
Associates of Arts - Philosophy
William Rainey Harper College