Manager Management

BACKGROUND SUMMARY

Result-oriented, accomplished, and dedicated professional with extensive

experience in business development, strategic planning, organization of

management workflow, and utilization of proactive approach in resolving

issues and improving customer satisfaction. Extensive background in general

management, medical finance management, staff supervision, and leadership,

with a strong business-focus in Coding, billing, and collection

capabilities. Understand and ensure compliance with all applicable

financial laws, as well as Medicare, Medicaid, and HIPPA regulations and

guidelines. Demonstrate strong analytical thinking, problem solving, and

verbal and written communication skills, combined with great interaction

and rapport-building expertise.

< Proven results in planning and implementing new practice initiatives.

< Team focused experience with diverse groups; community driven, and

mission-driven approach assures high quality performance.

< Comprehension of managed care: HMO, PPO, POS, IPA, and capitation, as

well as governmental programs (Medicare and Medicaid)

Education

Essex Community Collage

Baltimore MD

Associates Degree

Almeda University

Boise, ID

Bachelors Degree

Healthcare Experience

< Currently serving as Business Office Director for Arizona Heart

Institute, Certified Cardiology Coder 2008 -present

AHI is an invasive and non-invasive Surgical Cardiology Practice with

statewide offices. Arizona Heart Institute was the first in the Arizona

to have a medical office based Cath-Lab, with full range of diagnostic

testing, a Vein Clinic, and Cardiac Rehabilitation Department

< Responsible for directing the functions of the business office,

including patient billing and reimbursement, computer operations, and

collections; ensure optimum reimbursement for medical services through

accurate and timely reporting of all physician and ancillary services:

to include timely submission of all insurance claims and adjustments;

directly supervises accounts receivable; generating monthly reports

and ensure their accuracy; ensure the lowest possible accounts

receivable.

< Recruit, hire and supervise business office staff in addition to

developing and attaining performance goals and objectives. Evaluate

performance and recommends merit increases, promotions, and

disciplinary actions.

< Oversee the preparation of daily charge tickets; work with physicians

on charge procedures, including consistent use of procedure codes;

coordinate revisions as needed to obtain correct reimbursement;

identify and resolves discrepancies.

< Ensure daily, weekly, and monthly billing functions are performed and

accurate.

< Monitor and interpret insurance reimbursements and implementing

procedures that ensure optimum reimbursement and compliance with

regulations.

< Schedule month-end cutoff; ensures that all areas meet cutoff and

generates monthly management reports from medical accounts and

receivable system.

< Monitor aged balances of all accounts and ensures that delinquent

accounts are followed up.

< Provide follow-up on contract accounts and acts as liaison with

managed care plans and insurers.

< Prepare monthly financial analysis on accounts receivable, collection

percentages, billing statistics, etc.

< Implement Reimbursement Policies and Procedures to maximize

efficiency, and insure compliance with appropriate industry

regulations.

< Maintain computer master parameters including CPT-4 and ICD-9 code

files.

< Assist with budgetary activities under direction of Executive

Director.

< Scottsdale Cardiovascular Center: Hospital Coding 2000 - 2008

Successfully directed and coordinated all activities pertaining to a

clinical practice through general or direct supervision of staff.

Responsible for patient registration, appointment scheduling, insurance

verification, patient flow, and other reimbursement related activities

with (8) on-staff Cardiologists, Nuclear Medicine Department, and

Research Center, specializing in non-invasive and interventional

cardiology, Echocardiograms, Stress Echocardiograms, Transesophageal

echocardiograms, and nuclear stress testing. S.C.C. treats an average of

35,000 patients per year.

< Serve as the key liaison for new business ventures and outside IT

companies. Keep

< Successfully kept management and staff informed of new insurance

policies and issues.

< Credentialing of new physicians and re-credentialing of current

physicians. Monitor finances quarterly, timely, and accurate cash

management duties.

< Patient balances

< Electronic Insurance billing with a clean claim submission of 90%

< Timely follow-up on claims 90 days

< Developed a research library for CMS procedural coding with physician

in-service, plus developed and authored office policy for tracking

billable office and hospital procedures. Implement cost saving

measures contributing to S.C.C. financial targets.

< Herro Brothers Medicine; Practice Manager 1994-2000.

A (15) Physician, multi specialty medical practice with a full service

allergy clinic, and ambulatory surgical center specializing in:

Anesthesiology, Pain Management, and Allergy Testing.

< Liaison between physicians and staff: Supervise and direct the staff,

including interviewing, hiring, training, progressive disciplinary

actions, formal dismissals, performance appraisals, and employee

relations

< Allocating resources to maximize: patient access, efficiency, staff

productivity, cost savings, and operational efficiency

< Managed practice supplies within specified budget.

< Report monthly productivity results to providers and staff.

< Ensure accuracy of all data collection and data entry on site, through

staff training and compliance monitoring.

< Facilitate and oversee flow of information to and from the central

office. Conduct timely and accurate cash management duties, including

oversight of the: patient balance, electronic billing, in-house cash

balances, and bank deposits

< HIPPA Compliant Officer

< Northwest Valley Medical Association: Accounts Manager 1987-1994

Internal medicine group of 7 physicians with a full accredited on-site

laboratory, and Radiology Departments. Specializing in a comprehensive

approach to preventive health care procedures performed on a regular

basis includes; Cardiac stress testing, Chest X-ray and Mammography,

Laboratory services, EGD.

< Zahid Butt MD Practice Manager 1985-1987

Internal medicine/private practice:

< Developed and implementing practice policies and procedures.

< Successfully developed protocols to build a solid cash-flow engine

< Identified performance lapses with clear communication of these lapses

to account management staff

< Ensure registration, coding, and charge entry were completed to

maximized revenue

< Fee-schedule development, analyze claims denials, claim rejections,

and underpayments

< Provide system-wide feedback as necessary to resolve issues to

maximize patient revenue.

< Develop and managing specialty-specific forms.

< Remain compliant with all regulatory and current coding initiative

updates.

< The Billing Connection: Principle/Owner 1984 -1994

The Billing Connection was a professional billing service offering a

reimbursement of services for a variety of medical practices and

specialties. My goal was to afford the practice the opportunity to focus

their talents and the talents of their staff on their patients, which

allowed The Billing Connection to focus on the practices revenue

management.

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