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Project Manager Customer Service

Location:
Raleigh, NC, 27616
Posted:
June 02, 2011

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Resume:

Ronald R. DaSilva 919-***-****

**** *** ***** **. *******, NC 27616 **************@*****.***

Financial Management / Operations

Accomplished Healthcare Financial Management Professional with over 21

years of business experience

which includes Business Office Management, Project Management, Financial

Analysis, Policy Development,

Resource Planning, Staff Management and Contract Negotiations. Proven

ability to utilize my strong leadership

skills to make key contributions to the growth and profitability of several

companies.

Revenue Cycle Management Operations Management Cost Benefit Analysis

Policy Development Forecasting Contract Negotiations

Staff Management Project Management Customer Service

Selected Accomplishments And Responsibilities

< Report directly to Director of Patient Financial Services. Responsible

for 52 Full Time Employees. Plan, coordinate and implement policies to

manage the daily operations of the Patient Accounts Division. Responsible

for ensuring Patient Satisfaction by resolving all escalated patient

issues. Ensured maximum reimbursement for all hospital services rendered

for the Revenue Management of 1.4 Billion dollars annually.

< Report directly to Chief Operating Officer; Manage staff of 28 to ensure

collections of 35% of all of UNC Hospital's annual revenue of $270

Million, approx. $90 Million. Coordinate personnel functions, including

hiring, training, performance appraisals, promotions, transfers and

disciplinary actions. Develop and execute accounts receivable management

plan, including the utilization of high dollar reports and interim

billing for inpatient accounts. Prepare analysis, identify trends and

align staff to reduce outstanding A/R in all financial classes. Managed

patient eligibility and collections from providers including Medicaid,

Tricare, State Health Plan and Worker's Comp claims. Accessed A2K, CT

Vision, Sovera and Report to Web Systems.

< Performed accounting functions for the revenue management of all

Transplant related accounts for both Duke University Hospital and Private

Diagnostic Clinic. Performed audits of patient accounts to ensure

correct billing and contractual reimbursement for all accounts. Provided

financial analysis, identified trends and interpreted negotiated

contracts with payers. Resolved outstanding accounts receivables in

compliance with insurance regulations and Duke University Health Service

policies. Reduced entire Transplant A/R by 38% in fiscal year.

< Reported directly to the Senior Vice President of Operations. Managed the

Administrative Operations Division of a $50 Million nationwide company.

Hired, trained and supervised 5 staff members including performance

evaluations and promotions. Interfaced with 10,000 client accounts and 40

salespeople nationwide to resolve all client issues. Implemented new

policies and tracking systems to control over 100 issues per day.

Improved overall performance, including an additional $500,000 in annual

sales of ancillary services to customers.

< Reported directly to Board of Directors of US1 Industries. Served as

Project manager for nationwide implementation of new online data

management system for 200 affiliate companies. Handled all staffing

functions including the screening, pre-qualifying and hiring of all new

employees and contractors. Performed auditing functions to ensure

compliance with OSHA, Department of Transportation and all federal

regulations.

< Monitored budget expenditures and prepared written reports for senior

management and department heads. Prepared cost/benefit analysis,

identified trends and provided recommendations to reduce operating costs.

Identified and problem-solved variances from approved budgets.

< As member of the newly created Planning and Analysis Unit, collaborated

in creation of centralized database to combine and track Management

Performance Indicators, Accounting Reporting, and Analytical Services,

thus providing business partners with financial information and analysis

in a timely accurate manner.

RONALD R. DASILVA Page Two

Employment History

Business Office Manager, HMA -Sandhills Regional Medical Center, Hamlet, NC

2009

Position eliminated, Business Office consolidated with another Hospital.

Report directly to CFO. Manage Business Office and Admissions Department

staff of 21 FTEs to ensure maximum reimbursement of A/R in all Financial

Classes. Handled escalated inquiries overseeing Cashiering, Financial

Counseling and Customer Service provided to all patients. Implemented new

upfront collections policy with monthly bonus structure for Patient Access

staff.

Manager, Patient Financial Services, New Hanover Regional Medical Center,

Wilmington, NC 2009

Reported directly to Director of Patient Financial Services. Responsible

for 52 Full Time Employees and department budget of $2 Million. Plan,

coordinate and implement policies to manage the daily operations of the

Patient Accounts Division. Manage all Billing, Collections and Cash

Applications to ensure maximum reimbursement of $1.4 Billion of annual

Revenue. Manage all onsite vendors including Jon Barry, Chamberlin Edmonds

and AIM Healthcare.

Business Office Director, PSI Corp., Brynn Marr Hospital, Jacksonville, NC

2008

Laid-off due to budget cuts, eligible for rehire with good recommendation.

Manage Business Office for 81 Bed Hospital. Responsible for Revenue

Collection of $20 Million Annually. Performed Billing Chart Audits. Headed

up Monthly Quality Review Meetings with all Hospital Managers including

Medical Records, Admissions, Pharmacy and Utilization Review. Facilitated

Implementation of new HMS System with training and system modifications.

Manager, UNC -Extended Business Office, Patient Financial Services,

Raleigh, NC 2007 - 2008

My position eliminated due to new contract with UNC Hospitals. Directly

Reported to Chief Operating Officer. Managed Staff of 28 to ensure

collections of 35% of UNC Hospital's annual revenue of $270 Million.

Developed and execute accounts receivable management plan, including the

utilization of high dollar reports and interim billing for inpatient

accounts. Prepare analysis, identify trends and align staff to reduce

outstanding A/R in all financial classes.

Patient Account Associate, Duke University Health System, Durham, NC

2004 - 2007

Performed accounting functions for the revenue management of all Transplant

related accounts for Duke University Hospital and Private Diagnostic

Clinics. Performed audits of accounts to ensure correct billing.

Project Manager, One Call Motor Freight - Affiliate of USI Industries,

Kearny NJ 2003 - 2004

Reported directly to Board of Directors of US1 Industries. Served as

Project Manager for nationwide implementation of new online data management

system for 200 affiliate companies. Handled all staffing functions

including: screening, pre-qualifying, and hiring owner-operators and office

staff.

Financial Consultant

2000 - 2002

State Farm Insurance, Parsippany, NJ ; Merrill Lynch, Plainsboro, NJ;

Deutsche Bank, New Jersey, NJ

Monitored budget expenditures and prepared monthly expense reports for

senior management and department heads. Prepared cost/benefit analysis,

identified trends, provided recommendations to reduce operating costs.

Sr. Account Administrator / Pricing Analyst, Chase Manhattan Bank, NY, NY

1996 - 2000

Administered pricing, accounting, and performance activities for pension

fund and mutual fund clients. Analyzed price fluctuations for all global

and domestic securities. Ensured accuracy of published daily NAV's (Net

Asset Values).

Manager, Operations Administration, Daylight Transport, Los Angeles, CA

1992 - 1996

Directly reported to Senior Vice President, Operations. Managed the

Administrative Operations and Customer Service Department for this $50

Million transportation company. Hired, trained, and managed 5 staff

members.

Education

Bachelor of Science in Finance, New York University, Stern Business School

1989

Computer Skills

Microsoft Excel, Word, Access, Outlook, Siemens, AS400, Pulse, Business

Objects, Passport, Monarch, Siemens, IDX, HMS System, MediSoft, Cirius,

RAS, CT Vision, A2K, Blue-E, McKesson, Kronos, Report to Web, Ibax,

Visionware.



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