Profile

Motivated, personable business professional with over 15 years experience

in Medical Practice Administration and Revenue Cycle Management. Talent

for quickly assessing work flow problems and mastering technology. Highly

successful in implementing departmental unit structure to facilitate

workflow. Proven track record of increasing revenue and decreasing DSO's.

Special strength in promoting an atmosphere of professionalism and

teamwork. Thrive in deadline-driven environments. Excellent team-building

skills.

Skills Summary

Business Management Accounts Payable Extensive knowledge of

Revenue Cycle Management Management Practice Management

Contract Negotiation HR Staff Training & systems

Supervision

Professional Experience

Director of operations

o Managed all aspects of the day-to-day operations of an Orthopedic

Practice with a total of 34 providers; 16 orthopedic surgeons, 4

Physician Assistants, Physical and Occupational Therapy, Pain

Management, Rheumatology, Radiology, MRI and Bone Densitometry

services.

o Directly responsible for Billing, Scheduling, Reception at 5

locations, Surgical Booking and Medical Records Departments.

o Implemented new practice Management system AthenaHealth, with system

wide work flow changes:

o Mini-registration with eligibility checking at appointment

scheduling.

o 5 point registration check-in process.

o Referral tracking system.

o Automated appointment scheduling reminder call system.

o Decreased days in A/R from 175 to 60 days within a one year time frame

by developing structured follow up protocols and systems.

o Decreased aged self-pay A/R considered "uncollectable" from 2.5

million to $250,000.00 by designing a rigorous collection

process.

o Provided detailed management reports including trending analysis,

potential increase and/or decrease in revenue based on service

volumes, Third Party payment history, DSO's and collection activity.

o Transitioned practice to a paperless chart system using Misys

Allscripts EMR.

o Negotiated all Third Party and Managed Care contracts resulting in

higher payment rates with COL increases annually.

o Developed stringent credentialing tracking system with monthly

reporting updates.

o Updated all provider profiles on CAQH database allowing for a

smooth credentialing process.

Practice administrator

o Directed all business operations for an Orthopedic Practice with 14

providers; 4 orthopedic surgeons, Physician Assistant, Physical and

Occupational Therapy, Radiology and MRI services.

o Developed standard operating procedures improving patient work flow

and increasing efficiency.

o Implemented digital Radiology Stryker PACS system.

o Restructured work flow reducing patient wait time and increasing

radiology revenue.

o Coordinated construction and electrical enhancements for PACS

system upgrade.

o Enhanced Accounts Payable reporting system ensuring prompt payment of

receivables with the use of Quickbooks software.

o Developed random sampling audit system for verification of services

rendered and charge capture reporting accuracy.

o Created tracking system for reporting in-hospital services, ensuring

charge capture for all services rendered.

o Customized reporting programs in Practice Management system providing

daily, weekly and monthly visit, referral and payment analysis.

A/r director

o Clinical Laboratory owned by a Canadian based company, providing

laboratory services to the Greater Hudson Valley area. Company closed

this branch in 2004.

o Managed Accounts Receivable, Customer Service and Data Entry

departments.

o Trained data entry staff on proper coding protocols and

demographic data entry requirements for over 3,000 accessions

entered daily for claim processing, increasing accuracy rate

from 87% to 96%.

o Developed electronic claim submission tracking system for prompt

response to denied claims.

o Decreased days in A/R from 95 to 50 days within a 6 month time

frame.

o Developed protocols for responding to patient queries via mail or

telephone, resulting in an increase in correct registration data and

revenue.

o Assisted corporate executives with business closing process.

o Equipment leasing terminations negotiated and scheduled return.

o Inventory of supplies made and shipped to Canada for future use.

o Medical Records archived and sent to Iron Mountain for record

retention.

o Accounts Receivable transferred to corporate headquarters.

Employment History

orthopedic associates of dutchess county, - Poughkeepsie, NY

Director of Operations, 4/2006-3/2009

Bone & Joint associates - White Plains, NY

Practice Administrator, 9/2004-4/2006

mds hudson valley laboratory - Poughkeepsie, NY

A/R Director, 3/2003-9/2004

northeast radiology - Brewster, NY

Billing Director, 2/2000-3/2003

mam management services, inc - Ossining, NY

Chief Operating Officer, 1/1998-2/2000

park avenue healthcare management - White Plains, NY

Executive Director Reimbursement Services, 3/1995-1/1998

urban health plan - Bronx, NY

Director of Administrative Services, 2/1992-3/1995

Education

Long Island university - Dobbs Ferry, NY

Master of Science Degree, Health Administration

hofstra university - Hempstead, LI

Bachelor of Science Degree, Human Services Administration

Affiliations

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MGMA

Biltmore Who's Who of Professionals, Honorary Member

International Who's Who of Professionals

Gerson Lehrman Group's Council of Healthcare Advisors

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