Medical Quality Control
Resume:
Horace Craigwell
Brooklyn, NY 11234
**********@*****.***
PROFESSIONAL SUMMARY
. Six years of progressive Management Information Systems experience.
Analyzing, testing development and implementation of Financial, Billing
and Registration systems
. Thirteen years successfully managed/supervised Maimonides Medical Center
Patients Accounts Receivables
. Outstanding interpersonal, analytical, communication, leadership and
time management skills. Dynamic leader and team player, acknowledged
as "Quality Accounts Receivable and IT Professional"
. Selected to chair Maimonides Medical Center Registration Committee
March, 2002
. Developed, implemented, and conducted formal training for all levels
of registration areas employees.
Educated registrars on insurance contracts, policies and procedures to
obtained authorization and verify eligibility for Manage Care,
Medicaid, Medicare and Commercial Insurance.
. Dedicated to professionalism and highly motivated toward goal
achievement which led to notable increase in employees' morale in
registration areas
. Instrumental in increasing revenue by approximately 30 percent from
2002 to 2008
. Data Coordinator for Maimonides Medical Center State Planning and
Research Cooperative System
. Received MIS "Quality Systems Achievement" award, 2004
. Excellent working knowledge of AHW/Eagle, Nextgen, Patcom, Stockamp,
Quic and IDX BAR Billing Systems,and Microsoft Office
PROFESSIONAL EXPERIENCE
Maimonides Medical Center
2003- 2009
Systems Analyst/Project Leader
. Support and maintain Eagle Billing System code files, Physician and
Users security files by developing computer information resources,
providing for data security and control, strategic computing, and
disaster recovery
. Develop and interpret organizational goals, policies, and procedures
for systems and operational areas
. Plan, manage and direct project implementation schedules and Accounts
Receivable and billing applications
. Perform systems analysis and testing Eagle Billing System, create and
monitor test data
. Maintain quality control/satisfaction records, by evaluating project
activity to improve Management Information Systems customers' service
1990 - 2003
Maimonides Medical Center
Patients Accounts Supervisor/Manager
. Managed over Thirty(30) staff in the Patients' Accounts Receivable
Billing Department
. Supervised and coordinated staff activities on third-party account
billing and ensured staff compliance with third-party billing
regulations
. Supervised, trained and monitors work flow for all charge entry
personnel.
. Reviewed monthly Accounts Receivable reports for completeness,
accuracy and compliance with regulations
. Developed and maintained procedures to resolve accounts, and prevent
backlogs
. Conducted Account Receivables audit and variance analysis and prepared
monthly statistical reports
. Established policies and procedures in accordance to department goals
and objectives
EDUCATION
Bachelor of Science Health Care Administration Saint Francis
College, Brooklyn, NY
Graduate: February 1996
Associate of Applied Science Accounting Borough of Manhattan
Community College, NY, NY
Graduate: May 1991
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