Management Manager
Resume:
Pendleton Avenue 765-***-****
(Home)
Pendleton, IN 317-***-****
***** (Mobile)
adamsce@frontier.
com
Charolette E. Adams (Charlie)
Summary of Experienced and innovative reimbursement policy
qualifications professional with expertise encompassing federal,
state and private payer reimbursement within the
pharmaceutical, in-vitro diagnostic and physician
sectors. Additional experience and expertise
include managed care contracting; medical practice
management and operations; billing and accounts
receivable operations; compliance and fraud and
abuse; staff development and management; and
Work experience patient-perceived quality and satisfaction.
1-02 - present Roche Diagnostics
Indianapolis, IN
Reimbursement Principal
Develops and leads U.S. federal, state and private
payer reimbursement strategies for Roche products.
Monitors and responds to federal rulemaking and
national and local coverage determinations impacting
reimbursement for Roche products. Works
collaboratively with product marketing and sales
teams to support business objectives and tactics and
provides ongoing reimbursement support to external
customers.
4-99 - 12-01 Steven F. Isenberg, M.D., Inc.
Indianapolis, IN
Practice Manager
Responsible for practice operations of solo physician
practice and hearing aid corporation. Primary
responsibilities included staff development and
management, patient intake and departure, accounts
receivable and accounts payable management, revenue
cycle management, inventory control,
cost-containment, payroll and benefits
administration, billing and coding compliance,
physician marketing, patient satisfaction, and
contract negotiation.
4-99 - 12-01 Isenberg Medical Communications
Indianapolis, IN
Vice-President
Responsible for developing, publishing and marketing
practice management tools to physicians, specialty
societies, pharmaceutical companies and medical
equipment vendors. Developed and edited website
content and maintained physician and patient response
databases. Supported physicians and employees in
practice management tactics implementation and
execution, including patient satisfaction
measurement.
11-97 - 2-99 St. Petersburg-Suncoast Medical Group
St. Petersburg, FL
Business Office Manager
Responsible for all aspects of the billing operations
of 100+ multi-specialty physician practice. Primary
responsibilities included ongoing management of
centralized billing operations, including patient
call center; consolidation of business operations;
physician and staff coding, and billing education;
and Medicare, Medicaid and third-party payer
billing, coding and documentation compliance.
Overall responsibility for 120 employees, including
managed care contracting and physician credentialing.
Work experience,
continued. 6-93 - 11-97 The Care Group, LLC
Indianapolis, IN
Assistant Director of Business Operations
Responsible for the daily business operations of a
75+ physician multi-specialty practice with primary
focus on centralized billing operations management,
including patient accounts call center. Overall
supervisory responsibility for 60 employees.
Maintained responsibility for providing continuing
education to physicians regarding service coding and
documentation, central business operations, and
regional practice business employees in the areas of
Part B Medicare and other third-party payer billing
requirements. Heavily involved in the areas of
third-party payer contracting, including managed care
contracting and credentialing, as well as revenue
cycle analysis and management.
5-90 - 6-93 Health Care Economics, P.C. Indianapolis,
IN
Consultant/Technical Analyst
Provided nationwide physician clients, medical
societies and medical facilities with support,
education and training in Part B Medicare billing,
coding and documentation requirements and compliance.
Conducted medical record documentation compliance
audits, contacted carriers on behalf of clients to
appeal audit findings and repayment requests,
conducted evaluation and management documentation
educational courses, performed practice assessments
and provided recommendations for improved business
operations. Performed fee analysis and provided
recommendations for the establishment of appropriate
fee schedules.
Education
2009, Certified Professional Coder-American Academy
of Professional Coders
1990, Certified Training Consultant-Ball State Center
References for Entrepreneurial Resources
References provided upon request
Contact this candidate