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Director of REvenue Cycle/Patient Financial Services

Location:
New York, NY, 07450
Salary:
$125,000 +
Posted:
February 02, 2009

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Resume:

William Zuccala

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

Ridgewood, NJ 07450

Phone: 201-***-****

zzz1t5@r.postjobfree.com

Objective With more then thirty years of diversified and progressive health care experience on both the Hospital and Professional side, seeks challenging career opportunity where skills and expertise can be utilized.

Experience ST JOSEPHS HEALTH CARE SYSTEM AND NURSING HOME PATERSON, NJ

Director of Patient Financial Services and Revenue Cycle 2006-2008

Responsibilities:

• Cash Budget of $400 million for the Hospital and Professional departments.

• To create a Revenue Cycle for both the Hospital and Professional areas.

• Coordinator of Recovery Audit Contractors (RAC) Committee

• Directed an $80 million Charity Care department

• Staff of 52 employees

• To assure that the three Charge Description Masters are accurate and compliant.

Accomplishments:

• Exceeded cash budget by $8M and $16M over the last two years

• Formed a Revenue Cycle committee comprising of 32 members which included Clinical, Administration and Physicians

• Started a RAC committee in preparation of the audit. This included Physician training

• Reworked the various Charge Description Masters to be accurate and compliant

• Through team work of all Revenue Cycle members and internal edits, we consistently achieved a 90% clean claim acceptance rate which increased cash collections

• Succeeded in passing all Federal and State regulatory audits

SOUND SHORE HEALTH SYSTEM AND NURSING HOME WESTCHESTER, NY

AVP of Revenue Cycle and Patient Accounts 2001-2006

The system is made up of Sound Shore Medical (350 Beds), Mount Vernon Hospital (250 Beds), and Howe Avenue Nursing Home (150 Beds).

Responsibilities:

• Cash Collection Budget of $180 Million for the Hospital and Professional Departments

• To create a Revenue Cycle process

• Co-Chairman of Compliance Committee, HIPPA Committee, and Charge Description Committee.

• Maintain and negotiate all managed care contracts to assure maximum reimbursement to the hospitals.

• Liaison between Hospitals and Physician billing companies.

Accomplishments:

• Reduced accounts receivable days from 92 days down to 68 days.

• Exceeded cash collection budget in each of the previous four fiscal years.

• Successful conversion of our billing system from SMS to the HDX system.

• Yearly audits of Compliance and HIPPA regulations revealed no findings.

• Lead member of Revenue Cycle Committee which included all areas of the Hospital. This group was instrumental in reducing denials and increasing cash

PRIME RECEIVABLES & CONSULTING CO ORADELL, NJ

Vice President of Operations 1995-2001

Responsible for all daily operations of a $15M professional care billing and consulting company. In the first 2 years of business, I was instrumental in increasing the number of clients from four to twenty-two. In addition to operations, I was also the liaison between the physicians, their staff, and the company. Presented all month-end reports to the Physicians at their Board of Directors Meetings. I also supervised the credentialing department, human resources, purchasing, and the compliance department which assured that all physicians were adhering to the Federal compliance regulations and coding guidelines. I was responsible for the supervision of a sixty-five member staff. On the consulting side, I completed many Accounts Receivable projects, as well as reviews of operations and computer systems.

NEW YORK UNIVERSITY MEDICAL CENTER NEW YORK, NY

Administrator-Faculty Practice Radiology 1989-1995

Concord Medical Group Operations Director

Managed all administrative and financial operations for a $30M radiology practice at this prestigious medical center. Supervised the activities of one hundred and ten staff members, including technicians, billers, MIS and support personnel, as well as 52 attending radiologists. This included all budgets, revenue projections, and P & L statements. Reported directly to the Chairman of Radiology and Chief Financial Officer of the Medical Center.

• Formulate revenue, expense, and capital budgets with reporting functions.

• Negotiated all managed care contracts with major carriers, complete with utilization cost analysis to maximize reimbursement.

• Attained substantial revenue enhancement through detailed cost and revenue analysis.

• Created standardized annual budget for monthly medial center review.

• Instrumental in increasing annual radiological revenue from twenty-three to thirty million dollars through

opening of four satellite treatment centers in N.Y.

• Replaced and upgraded all front and back end computer operations to state of the art comprehensive system (IDX); an intensive eighteen month endeavor ($500,000), which increased revenue collection by twenty three percent.

METROPOLITAN JEWISH GERIATRIC CENTER BROOKLYN, NY

Assistant Director of Finance 1983-1989

Worked closely with and assisted the Director of Finance at this hospital, skilled nursing facility and adult care center with forty million dollar budget. Managed financial aspects, medical records, data processing, cost reporting, and utilization review. Managed all regulatory requirements including 28A-regulation adherence.

HEALTH & HOSPITAL CORPORATION ROOSEVELT ISLLAND, NY

CFO- Goldwater Memorial Hospital, and Controller for Coler Hospital 1974-1983

Education St. Francis College, Brooklyn, NY Bachelor of Science

Memberships: New Jersey HFMA



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