Manager Customer Service

Highlights of Qualifications

Professional with 15+ years in Private, Long Term Care, Dental and Hospital

Revenue Cycle Management; Experience and energetic process improver in all

aspects of revenue cycle operations, cash flow and collection, while

complying with multistate and federal regulations.

PROFESSIONAL EXPERIENCE

PHRS Inc. November 2007 - March 2010

Accounts Receivables & Practice Support Director

. Created and expanded all billing department operations from the ground-

up.

. Successfully oversaw the daily reimbursement and billing for private

practices and inpatient physicians billing,

. Managed business office team of 30 employees, including 2 managers and

1 supervisor. Staff responsibilities include billing (Medicare,

Medicaid, commercial and third party), collections, payment posting,

insurance verification, practices support, credentialing, help desk

and IT staff.

. Reviewed and identified issues with billing and collections to ensure

we maintained our 26 day DSO without increasing bad debt.

. Responsible for supplying detailed analytical reports to Chief

Financial Officer.

Alliance Healthcare July 2000 - October 2007

Regional Business Office Manager

. Responsible for increasing cash flow and maximizing reimbursement for

a multistate Skilled/Longer Term Care group.

. Managed billing team of 20 employees, including 1 manager. Staff

responsibilities include billing (Medicare, Medicaid 9400's 9401's,

commercial payer contracting, and third party), collections, insurance

follow-up and payment posting.

. Reduced net aged receivables from $3.2 million to $1.7 million first 7

months.

. Developed denial tracking procedures which decreased our denials by

48% my first year.

. Responsible for supply month end reports to CEO, while achieving

financial goals.

Mt. Sinai Hospital July 1997 - June 2000

Physicians billing Supervisor

. Successfully oversaw the daily billing, reimbursement and collections

for inpatient and outpatient physician hospital billing.

. Managed billing team of 30+ employees, including 1 team lead. Staff

responsibilities include billing (Medicare, Medicaid, commercial, and

third party claims), collections, insurance follow-up, insurance

verification, customer service, payment posting and coding.

. Provided continued education and training to physicians, residents

and other medical staff.

. Reduced average A/R days from 83 to 45.

Feminine Health Concerns October 1994 - July 1997

Medical Biller/Medical Assistant

. Successfully conducted all medical billing for Medicare, Medicaid and

commercial payers through paper and electronic submission.

. Completed denial resolutions, insurance verification, payment posting

and follow-up for a physicians group 5.

. Assisted the Nursing staff with vitals, preparation of patient

treatment and prescription reordering.

. Worked closely with Office Manager on month end closes and sending

patient statements.

SOFTWARE

Allegro

Athena

GPMS

HBO

HDS

IDX

MDI

Medical manager

MediSoft

Open PM

Meditech

Misys

PowerPoint

Verinet

WedMD

Windows Suites

Practice View

SharePoint

AS-400

Crystal Reports

DB2

Sequel Server

Omni MD

EDUCATION

Diversified Health Occupations - 1995 (Certified Medical Biller)

Cleveland State University, Cleveland, Ohio 1995 - 1997

Kaplan University, Online 2005 - Present (Business Management Degree May

2010)

AFFILIATIONS

Alpha Kappa Alpha Inc. - Member 1997 - present

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