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Manager Insurance

Location:
White Plains, New York, United States
Posted:
April 19, 2018

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Resume:

Robert Di Lorenzo MS, PT

914-***-****

* ********* *****, *********, ** 10583

ac46vv@r.postjobfree.com

~ HEALTHCARE/REHAB. DIRECTOR ~

Medicare/Medicaid/Insurance Expert

Pharmaceutical Expertise ( sales )

Results-driven and highly effective healthcare leader with a strong complement of skills related to staff management, pharmaceutical protocol, insurance expertise and operational initiatives.

Expert knowledge of the inner details relating to Medicare, Medicaid & general insurance claims documentation and authorization processes. Skilled at detecting fraudulent insurance claims.

Extensive expertise monitoring and managing no fault, workmen’s compensation and other liability cases.

Leverage understanding of clinical and managerial practices to facilitate positive change, fuel bottom-line performance and overall productivity.

Collaborate with Physicians, Facility Administrators, and Insurance Representatives, as well as manage a team of Physical Therapists to ensure successful treatment plans are met and exceeded.

~ EDUCATION & QUALIFICATIONS ~

Masters of Physical Therapy / DPT, Long Island University, Dobbs Ferry, NY

Bachelor of Science in Biology, Mercy College, Dobbs Ferry, NY

American Physical Therapy Association (APTA) & New York State Licensed Physical Therapist # 024164

Insured for Professional Liability – CNA Insurance Company

~ CORE COMPETENCIES ~

Health & Wellness Management

Medicare & Medicaid Compliance

Insurance Liaison

Team Leadership & Management

Quality Improvement Initiatives

Clinical Program Development

Cost Analysis & Containment

Medication Protocol

NYS Licensed & Insured PT

~ WORK EXPERIENCE ~ ( Marketing Experience ).

East Coast Pain Management, Bethel Nursing & Rehabilitation Center and Classic Residence by Hyatt. Performed extensive marketing and advertising for the facilities. Met with discharge planners at hospitals to increase referrals and census. Formulated company web sites in conjunction with IT. Conducted educational healthcare lectures to promote his facilities at senior centers, assisted living facilities and independent living centers. Met with pharmaceutical representatives and doctors in the region. Performed local TV and Radio shows talking about healthcare reform and current events in healthcare, while promoting his employer. Met with local politicians to discuss healthcare reform and how it affects their constituents. Increased productivity by 35 percent.

Monitored and managed no fault, workmen’s compensation and other liability cases. Provided expert testimony at depositions. Served as a liaison between patients, legal teams, facility administrators & insurance carriers.

Created and implemented a diagnosis evaluation system successful at differentiated between muscular skeletal and other medical conditions ultimately preventing misdiagnosis.

Integrated 200+ patients into Hyatt Assisted Living after the Hallmark Facility in Tribeca was damaged during 9/11 attacks.

BOCES SCHOOL SYSTEM NORTH AND SOUTH WESTCHESTER COUNTY NY 2016/ 2017

Treating children of all ages with all types of mild to severe diagnosis…

R and D with Human Condition Tech. Group, Citi Field Queens, NY

Certified in Ergonomics / Data Entry / Organic Motion/ Xsens. 2015/ 2016

East Coast Pain Management, Rye & Yorktown Heights, NY 2013/2015

Supervisor, Physical Therapy - Outpatient, multi-disciplinary pain management center

Bethel Nursing & Rehabilitation Center, Croton-on-Hudson & Yorktown Heights, NY 2010-2013

Director, Rehabilitation (provider through Select Rehabilitation, Chicago, IL) – Sub-acute 240 bed facilities

Central Park Physical Therapy, Yonkers, NY 2009-2011

Manager & Sr. Physical Therapist – Outpatient Physical Therapy facility

Central Physical Therapy, Croton-on-Hudson & Yorktown Heights, NY 2006-2009

Manager, Physical Therapy – Outpatient Physical Therapy facility

Advanced Physical Therapy At Home (APTAH), Roslyn, NY 2003-2009

Director, Southern Westchester Division - Post-Acute Homecare Provider

Classic Residence by Hyatt, Riverdale, NY & Fountains at Riverview, Tuckahoe, NY 2000-2003

Director, Wellness Centers (concurrently) – Newly constructed Assisted Living facilities



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