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Click here or scroll down to respond to this candidateCandidate's Name
Belleville, NJ Street Address
PHONE NUMBER AVAILABLE - EMAIL AVAILABLEProfessional SummaryVersatile and innovative Manager with over 25 plus years of experience in billing, collections, bookkeeping, payroll and financial management. Motivational and inspiring team leader with expertise in billing, collections, A/R, patient relationship management and cost control.SkillsProficient in medical coding in the following: radiation oncology, hematology/oncology, breast surgery, and ENTP&L ResponsibilityPolicies and Procedures ImplementationBusiness Growth InitiativesDelegating Work AssignmentsContract Review and RecommendationsPayroll Administration and TimekeepingEmployee MotivationProcess Improvement StrategiesMS OfficeBuilding and Facility ManagementPerformance Monitoring and EvaluationBudget Development and ManagementCustomer ServicePolicy Development and EnforcementCost ContainmentHuman Resources OversightProficient in Excel and QuickBooksWork History03/2012 to CurrentOperations ManagerBergen Ear, Nose, And Throat Associates Hackensack, NJOversee day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies and procedures when managing $2Million annual budget and supervising 15 employees.Develop and maintain electronic record management systems to analyze and process data.Develop policies and procedures for effective practice management.Build relationships with physicians to create steady referral pipeline.Leverage patient feedback and perform continuous process improvements to streamline day-to-day business operations and patient satisfaction.Oversee accounting, budgeting, and financial reporting.Consult with healthcare professionals on business decisions.Implement onboarding for new employees, which enables each to effectively learn tasks and job duties.Manage 15+ employees with various personalities and from different cultures for 4 physician practice.Develop close working relationships with front office and clinical office staff.Communicate effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.Address and remedy all patient or team member issues.Created and manage electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.Assess processes and procedures, complying with OSHA and HIPAA regulations.Monitor physician daily billing to be sure all office notes are finalized and billed within 24 hours of visit.Retrieve from Epic (hospital system) all demographics, op notes, consults, and pathology to be billed.Update physicians of yearly updated, deleted, or added CPT & ICD-10 codes for billing.Oversee all A/R and forward patients to collections.Provide reports to physicians regarding the top 20 CPT codes performed monthly.Process, bi-weekly payroll through ADP Workforce.Manage company 401K and Safe Harbor for employees.Manage employee health benefits and HSA.Meet monthly with billing company regarding A/R and discuss and operational issues effecting billing i.e. insurance denials, front office data entry errors, collections, issues, etc.Credential physicians through CAQH and keep all licenses current.Manage physician malpractice insurance.Credential physicians with hospitals, surgery centers, and all insurance companies.Manage and oversee Audiology department with a revenue of $1 Million.Pay all practice monthly bills, move money between four entities and reconcile four separate business checking accounts.Provide accountants with monthly financials from the billing company, ADP, and QuickBooks reports.Oversee all surgeries booked keep surgical coordinators current with all new hospital surgery policies.02/2007 to 03/2012Radiation Oncology ManagerJohn Theurer Cancer Center Hackensack, NJVerified and obtained prior authorizations for all patients receiving radiation therapy.Medical Necessity correspondence to insurance for authorization of treatment.Appealed insurance denials.Billed daily and weekly radiation visits.Audited 10% quarterly of all patient medical charts for billing compliance.Collected patients deductible, copays and coinsurance.Posted all patient payments and non-EFT insurance payments.Monitored patient A/R and contacted patients for payment or to make payment plans.Oversaw all administrative and clinical operations.05/2001 to 02/2007Medical Biller and CoderRegional Cancer Care Associates Hackensack, NJImplemented new coding procedures that reduced mistakes and simplified processes.Initiated, performed, and documented quarterly coding audits for physicians.Tutored new coders for compliance with CPT and ICD-10 classification systems and coding guidelines.Coded Observations and Inpatient Professional Services.Applied charges and updated patient records by using Epic SoftwareUsed Epic Software to input information into computerized patient record system.Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.Assigned procedure codes to patient records for billing purposes.Verified signatures and checked medical charts for accuracy and completion.Accurately selected proper descriptive code when more than one anatomical location was indicated.Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.01/1997 to 05/2001Certified Medical AssistantPrystowsky Medical Associates Nutley, NJCalled and faxed pharmacies to submit prescriptions and refills.Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.Sanitized, restocked, and organized exam rooms and medical equipment.Conducted preliminary patient evaluations measuring weight, temperature, and blood pressure.Directed patients to exam rooms, fielded questions and prepared for physician examinations.Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.Taught patients about medications, procedures, and care plan instructions.Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs.Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.Performed or scheduled preventive maintenance on equipment to promote longevity of use, troubleshooting technical issues and coordinating repairs.Performed clerical duties, such as word processing, data entry, answering phones and filing.Liaised with patients and addressed inquiries, appointment requests and billing questions.Efficiently performed insurance verifications, pre-certifications and pre-authorization functions.Updated inventory, expiration and vaccine logs to maintain current tracking documentation.EducationCertified Medical Assistant: Medical AssistingBerdan InstituteHigh School DiplomaNewport Pacific High SchoolAffiliationsAAMANJ Sharing NetworkCertifications & OtherCertified Medical AssistantNotary |
