Elaine Savino
Saint Simons Island
Summary
Detail-oriented and experienced medical claims professional with over 20 years of healthcare administration and claims processing expertise. Proven ability to analyze, review, and adjudicate medical claims accurately and efficiently. Adept in coding systems, healthcare billing, insurance regulations, and problem resolution. Strong communicator with a track record of collaborating with medical providers, insurers, and team members to ensure accurate claims resolution and optimal outcomes.
CWCP (Certified Workers' Compensation Professional)
Designation the state of Georgia
Overview
24
24
years of professional experience
1987
1987
years of post-secondary education
Work History
Workers Compensation Claims Examiner
U.S. Department of Labor
Jacksonville
05.2018 - 04.2025
- Reviewed and adjudicated complex medical and occupational illness claims.
- Approved medical treatments, surgeries, and disability compensation.
- Interpreted healthcare regulations and policy guidelines for claims eligibility.
- Participated in mentoring program, guiding peers on professional growth and decision-making in claims handling.
Voucher Examiner / Claims & Billing Officer
Malcom Randall VAMC
Gainesville
05.2015 - 05.2018
- Processed claims and payments under Purchased Care Programs.
- Reviewed invoices, reconciled discrepancies, and ensured timely resolution.
- Acted as liaison between VA and external care providers.
Voucher Examiner
Harry S Truman VA Hospital
Columbia
01.2012 - 05.2015
- Processed authorizations and payments for third-party medical claims.
- Investigated and resolved rejected claims and invoicing issues.
Accounts Receivable Technician
Harry S Truman VA Hospital
Columbia
07.2007 - 12.2011
- Followed up on third-party reimbursements and managed account adjustments.
- Audited payments and prepared reconciliations across multiple systems.
Medical Billing Specialist
Harry S Truman VA Hospital
Columbia
06.2005 - 07.2007
- Submitted claims to insurance providers and resolved denials.
- Utilized ICD-10 and CPT coding for accurate claim submissions.
Coding Supervisor
University of Missouri Healthcare
Columbia
08.2004 - 06.2005
- Led coding staff and ensured accurate medical coding and compliance.
- Resolved coding discrepancies and trained new employees.
Managed Care Discrepancy Analyst/ Team Lead
HCA Healthcare
Irving
04.2001 - 08.2004
- Audited and resolved payment discrepancies across 15 hospitals.
- Managed team performance and reported financial reconciliation results.
Education
Westran High School
Huntsville , MOSkills
- Claims processing
- Peer mentoring
- Problem solving
- Attention to detail
- Effective communication
- Claims adjudication
Timeline
Workers Compensation Claims Examiner
U.S. Department of Labor
05.2018 - 04.2025
Voucher Examiner / Claims & Billing Officer
Malcom Randall VAMC
05.2015 - 05.2018
Voucher Examiner
Harry S Truman VA Hospital
01.2012 - 05.2015
Accounts Receivable Technician
Harry S Truman VA Hospital
07.2007 - 12.2011
Medical Billing Specialist
Harry S Truman VA Hospital
06.2005 - 07.2007
Coding Supervisor
University of Missouri Healthcare
08.2004 - 06.2005
Managed Care Discrepancy Analyst/ Team Lead
HCA Healthcare
04.2001 - 08.2004
Westran High School
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