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Click here or scroll down to respond to this candidateCandidate's Name
Street Address NW 43 rd St.Coral Springs, Fl. Street Address
PHONE NUMBER AVAILABLEOBJECTIVE: A position in management that will utilize my abilities, as well as enableme to continue as a productive individual and an asset to a business.EXPERIENCE: Eighteen years of successful financing, credit, collections, operations andAdministration.EDUCATION: Plymouth State University/Business ManagementPlymouth, N.H.Hesser Business University/Computer Science and Business ManagementManchester, N.H.Gilford High School/DiplomaGilford, N.H.WORK SKILS: Motivation of self and staff, managerial experience, payroll, posting, daily ledgers,CRT, and excellent communication skills. Concise credit background: includingBilling, credit, collections, and insurance knowledge. P&L sheets, accounts receivableIncluding all phases of current to delinquent reconciliation of accounts. Aging Analysis,Returned checks. Determination of delinquencies to be reported to credit bureaus orCollection agencies. Adjustments, write-offs, and the proper appeal process of accounts.Researching disputed accounts and resolving them in a professional and timely manner.Accounts Payable, office purchasing, medical/legal principal, and litigation of accounts.Experienced in setup of financial departments and procedures.WORKEXPERIENCE: Angels RecoveryDelray Beach, Fl.10/2014- 11/2015Director of Operations/Bat Billing Utilization Review Responsible for the daily operations of the financialComponents of the organization. Consisting of the Verifications Department, UtilizationReview Department, Posting Department, Billing Department, Collections Department,Medical Records Department. Overseeing the Appeals process and Insurance carrierRequests for additional supporting documentation to maximize revenue reimbursement.Responsible for implementing all policies and procedures for all above listed departments.Health ExcelMiami, Fl.1/2009- 10/2014V.P. Of Operations: Responsible for Daily Operations of six medical Facilities to supportThe growth and add to the bottom line of the organization. Strategic planning and goal-Setting in measuring progress and adjusting processes accordingly to keep the entireOrganization on track. Formulating policies and strategic plans for future growth andManaging daily operations of personnel, purchasing, administration and all FinancialDepartments. Monitor revenue margins for worker productivity, and developingGuidelines for personnel evaluations, staff advancement and recruitment procedures.Responsible for maintaining profit margins in all areas, according to established objectives.Develop or maintain internal control systems to ensure accountability. Required toDevelop strong relationships with outside partners, such as vendors and advisors, as wellAs internal partners, including Department Supervisors and Coexecutives.Palmetto Park MedicalBoca Raton, Fl.12/2004- 12/2009Administrator: All aspects of Administration and Managerial Duties: Responsible for dailyOperations of a medical practice. Patients insurance verification, proper scheduling ofPatients in a timely manner for office visits and procedures. Confirmation of dailyAppointments for patients. Pre-Op scheduling and all tests and paperwork completed in aTimely manner prior to surgery. Proper signing in of established and new patients toFacilitate clean claims being sent out. Verification that all patients insurance valid andProper co-pay amounts collected while in office. Overseeing all employees at front deskAnd check out positions. Proper and timely flow of patients and practitioners running in aTimely manner. Proper scheduling of follow-up visits. Overseeing, nurses, medicalAssistants, physicians and nurse practitioners properly signing off on lab work andCorrespondence in a timely manner to be filed correctly in patients chart and notified ofResults. Timely records documentation accountability and rescheduling for high-riskPatients monitored very closely.A/P, A/R, insurance department, billing, coding, collections and medical records.Determination of delinquent accounts and possible write-offs. Analyze correct payorRemits and appeals. Coordinate with billing office past due accounts to be collected inHouse. Researching disputed patient accounts and lab bills. Accounts to litigate or sendTo credit bureau. Marketing, payroll and benefits coordinator. Interviewing applicants,Employee reviews, employee attendance record and termination. Responsible forMaintaining correct data for daily, weekly, monthly and yearly production ledgers for dailyOffice patients, patients for diet program, patients for laser appointments and patients forAcupuncture physician. Office purchasing/vendor monitoring. Scheduling of physiciansAnd nurse practitioners functions. Credentialing for physicians, referrals and analysis ofCorrect remittance amount. Referrals for patients. Opening and correct distribution ofThe mail. Bank deposits and review of monthly statements for all departments of office.Responsible for all aspects of opening, closing, Alarm Company and practitioners on callSchedule coordinated with answering service or other vendors. Oversee all aspects ofThe daily operations for multi-practitioner medical site.Family Practice/Plastic SurgeonsFt. Lauderdale, Fl.4/2002-12/2004Administrator: Responsibilities include A/P, A/R, insurance department, collectionsDepartment, front desk operations, marketing, payroll and also patient coordinator.Oversee all aspects of operations of a medical facility.Solutions for a Medical BusinessFt. Lauderdale, Fl.3/2000-3/2002Administrator: Managed all daily operations of the facility including: InterviewingApplicants and terminations. Motivating and monitoring office staff. Office andCRNA payroll and employee reviews. Office purchasing, monitor correct payer remits.Analyze which accounts to be reported to credit bureaus and other outside agencies.Decided dollar amounts of attorney/patient settlements of PIP. Managed all operationsOf A/R and billing for the corporation. Responsible for maintaining current and correctData for daily, weekly, monthly and yearly production journals. Provided physicians andCorporate colleagues with statistical data inclusive of various A/R and billing parametersOn spread sheets. Responsible for electronic transmission of claims and also proficientIn the knowledge of HCFA and UB 92 formats. Monitored and advised employeesRe-submission of claims and appeal process of claims. |
