Mariya Yesilevich

Analyze and resolve complex billing and claim issues by interpreting payer requirements and ensuring regulatory compliance. Review EOBs and claims to identify discrepancies, maintain detailed case records, and support audit-ready documentation.

Analyze and resolve complex billing and claim issues by interpreting payer requirements and ensuring regulatory compliance. Review healthcare documentation to identify discrepancies, coordinate with internal and external stakeholders, and maintain audit-ready case records while improving workflow accuracy and turnaround time.

Communicate Medicare plan information in compliance with CMS regulations while maintaining accurate enrollment and eligibility documentation. Interpret regulatory guidelines to ensure compliant enrollment workflows and meet performance metrics.

Coordinate client scheduling and communications while ensuring accurate documentation of eligibility and benefits information. Review and explain regulatory timelines, maintain organized records across systems, and manage high-volume outreach while meeting deadlines.

Coordinate scheduling and client communications while ensuring accurate documentation of eligibility and benefits information. Review and explain regulatory timelines to clients, manage high-volume communications, and maintain organized records across multiple systems to support data accuracy and compliance.

Ensure compliance with regulatory and organizational standards through accurate documentation and adherence to established procedures. Train and onboard new employees, manage sensitive patient data with strict confidentiality, and handle intake and eligibility verification.

Ensure compliance with regulatory and organizational standards through accurate intake, eligibility verification, and health documentation procedures. Train new employees, handle sensitive PHI with strict confidentiality, and resolve client issues while maintaining detailed compliance records.

Coordinate logistics, scheduling, and cross-department communication to support daily operations and on-time deliverables. Maintain accurate company records, manage data migration and documentation during an acquisition, and support payroll, hiring, and onboarding with structured documentation.

Earned an Associate Degree in Computer Information Systems from Tunxis Community College.

Earned a High School Diploma from William H. Hall High School.