Robin N. McDuffie

** ******* ******

Providence, RI 02909 857-***-****

ad42wp@r.postjobfree.com

Objective:

To obtain a position that will enable me to utilize my managerial skills, medical billing, administrative, and computer experience with the opportunity of advancement.

Summary of Qualifications:

Extensive knowledge of patient registration, several medical/billing software, electronic billing, CPT coding, CDT coding, IDC-10 coding, numerous insurances, MVA Claims, W/C Claims, reconciliations of accounts, posting of payments, hospital policies and procedures, including JCAHO and HIPAA Laws.

Computer literate in EPIC Cadence, Slicer Dicer, RPA, Excel, Microsoft Windows, Power Point, Access, Meditech, IDX, Premis, WebMD, Medical Manager, Keane, PATCOM, BICS, AS400, REVS/POS, SDK, Logician, NEHEN, OR Manager, GRID, RIS-IC, Pivot, MMIS, and Windent. Involved in the design of EPIC Wisdom.

Strong interpersonal skills: team player, responsible, dependable, goal setter and achiever.

Able to exercise professionalism in dealing with situations that require confidentiality.

15+ years of Managerial/Supervisory skills, self-starter and motivator. Computer literate with Avaya CMS Supervisor, Kronos, Workday, Huron, Homebase, PFMLA, FMLA & ADA and union employees.

Knowledge of “No Surprise Billing”.

Professional Experience:

Boston Medical Center

Revenue Cycle Manager

5/22 – present

Responsible for supporting a team of 15 staff members. Daily duties include running daily reports of outstanding accounts in EPIC, monthly huddle meeting, working accounts with discrepancies, managing timecards, approving time off, and handling all disciplinary actions. Attending all meeting for insurance updates, department issues, and new updates regarding EPIC, and providing weekly financial reports to the director. Building relationship with other department managers for accounts issues. Ensuring that WQ’s are financially cleared for all of BMC incoming and new patient. Enrolling staff member in various training classes and the onboarding process of new employees. In place metric system for all staff members & monthly rounding with Huron. Responsible for all financial clearance for the following departments, Sleep Study, Cardiology, Genetics, Hematology, Specialty Surgery, Radiology, Bariatrics, Belkin Breast Center, OB-GYN, and Podiatry.

Boston University Oral & Maxillofacial Surgery Group Practice/ Head & Neck Cancer Center

Billing and Insurance Manager

8/10 – 4/22

Responsible for supporting twelve surgeons and residents, covering the both private, hospital, and school clinics, with office located at Boston Medical Center, Franciscan Hospital, and Beth Israel Hospital. Managed team of billing and insurance coordinators and served as a backup for OR booking. Responsibility included obtaining prior authorizations for surgical procedures, medication, OSA appliance, collections of accounts, writing contracts for private paying patients, monthly reconciliations of the private practice, obtaining approvals for MRI’s, CT Scans, PET Scans, TC 99 Bone Scans. Also responsible for ensuring all checks are deposited in the OSGP account. Act as a liaison between surgeons, outside physicians, surgeons, nurses, patients, and insurance companies. Worked with surgeons for transgender medical prior authorizations and financial clearance.

McKesson Corporation

Insurance Liaison

11/08 – 11/09

Responsible for managing several hospital accounts, posting of payments and claim submission for electronic payment. Accounts included Transplant, Vascular, Emergency Department, General Surgery, Psychiatry, OB GYN and Podiatry. Also, was responsible for meeting with the client regarding any problematic accounts or claims.

Education:

10/23 HFMA/RI

10/23 CHAM (Certified Healthcare Access Management) in process

11/12 Boston University

Certification in Human Resources Management Training

11/98 Sabre Certified

11/95 Laboure School of Nursing

Course Studied: Register Nurse

1/92 Wentworth Institute

License: MCIB & ACI

8/91 Northeastern University

EMT

9/82 Dorchester High School

High School Diploma/ College Prep Courses

*** References available upon request

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