Project Manager Medical

Sheila. C. Ponessa

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

Hopewell Junction, NY 12533

845-***-****

*************@*****.***

Employment

History

Health-Quest Medical Practice

Manager Primary Care Services

April 2009 to Present

< Managed staff of over 75 employees

< Maintain and improve upon operations of assigned Primary

Care Offices

< Evaluate office hours and schedules to ensure

productivity and efficiency

< Maintain effective communication with Physicians and

clinical staff

< Coordinate "in service" education for staff as necessary

< Evaluate and report any concerns to compliance or Human

resources

< Interview, hire, train and support all new employees

< Perform employee performance appraisals

< Monitor and track employee's hours: tardiness, overtime,

unscheduled time off.

< Deliver disciplinary action, including employee

terminations when necessary

< Review all policy and procedures to all staff members

< Ensure all correspondence for patient care is handled in

a timely manor

< Analyze financial reports to capture additional revenue

< Run daily productivity and claim reports on each

assigned site

< Investigate and respond to all patient complaints and

take effective corrective action

< Process payroll on a biweekly basis

Health-Quest Medical Practice

Project Manager

Feb 2009 to April 2009

< Managed acquired new medical offices including staff

analysis for budget

< Coordinated telephone, IT and contractor work

< Evaluated and inventoried supplies and equipment

< Organize work for staff for efficiency

< Coordinate all training and implementation of patient

financials for electronic medical records

< Review daily productivity with each staff member

< Establish streamlined consistent policy and procedures

for all staff functions

< Conduct weekly customer service quality analysis

< Monitor incoming and out going call volumes

< Analyze reports for claim accuracy

BAW Medical Management

Director of Operations/Client Liaison

2008-2009

< Formatted compliance guidelines, implemented HIPAA

standards

< Responsible for hiring / interviewing all new billing

staff

< Coordinate daily billing operations

< Cross verification of inpatient hospital stays

to ensure proper reimbursement

< Coordinate and organized materials for internal audits

< Work aging reports weekly

< Bill for various specialties such as Dermatology,

Hematology, Oncology, Internal Medicine, Cardiology, and

Rheumatology

< Formatted a system to track dates of service for

physician payroll

MDx Medical Management

Business Development / Project Management 2005-2008

< Contracted to set up new client offices for varying

specialties

< Assigned to work on site with clients to improve

revenue

< Organized physicians offices for improved operational

efficiencies

< Worked closely with physicians to address problem areas

< Interviewed potential employees for client offices

< Worked with software vendors for specific clients needs

< Assisted with new practice system implementation

< Managed medical records scanning process for EMR

transition

< Oversaw duplicated file scans within EMR

< Supported office managers with employee evaluations

< Coordinated with IT for all hardware implementations

< Oversaw all credentialing processes for on coming

providers

< On call for any client support issues or questions

< Ordered supplies / equipment when necessary

Collection Bureau of the Hudson Valley

Billing Team Leader

1990-1997/ 2004-2005

< Hospital billing procedures through government and

commercial carriers

< Specialize in all hospital contracts for Medical Billing

< Responsible for submissions of paper and electronic

claims

< Assisted with client chart audit

< Responsible for oral and written correspondences

< Provide counsel and support to a small management team

as needed

< Participate in conferences, travels, workshops and

training as needed

American Medical Billing Service

Claims Manager

2001-2004

< Oversaw daily operations of the collections department to

the billing department

< Managed bad debt accounts

< Worked interchangeably with a collection agency to receive

maximum reimbursement on clients

claims

< Established and maintained a new filing system which was

better accessible and user friendly

< Enabled to staff to be more efficient at tracking files,

patient identification numbers and year to

date correspondences by implementing new systems

< Handled all mental health billing accounts

< Responsible for all pre-authorizations through numerous

carriers

< Attended various seminars on HIPAA compliancy and

assisted clientele in attaining compliancy by the given

deadlines

Qualifications

< Microsoft Office Suite

< ECW-EMR

< Advantx

< Misys Healthcare Systems- Tiger

< SRS -Practice management / EMR

< Lytec Medical Professional 2001

< IBM AS400 system

< Athena Health Systems

< Software installation

< Type 85 wpm

< Dictation services

< Excellent interpersonal skills, dedicated, hard worker

and team player

< Experienced Medical coder

< Member AAPC since 12/05

< Responsible, diligent multi- tasker

Education

2007-Present; B.S. in Business Management, Axia College

2010-Present-CPC (Certified Professional Coder) Credentials

Pending Exam

Newburgh Free Academy, Newburgh, NY 12550

HIPAA-Compliance workshops 2005 & 2008

References will be provided upon request

Contact this candidate