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Manager Management

Location:
Belleville, NJ
Posted:
June 18, 2018

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Resume:

Lawrence J. Corbo III

*** ******** ******* 973-***-****

Belleville, NJ 07109 ac5w2z@r.postjobfree.com

Key Accomplishments

Streamlined accounting operations and analysis to optimize revenue, increasing revenue 20%.

Built cost efficient operations (data management, reporting, budgeting, auditing, etc.) to reduce time and expenses by 10%

Lead a team of 12 (hired, developed and motivated) to improve business efficiency and increase profitability by 10%

Establishing positive relationships with internal clients resulting in improved operational processes.

Built a model that provided senior management with an effective means of evaluating the business to increase efficiency by 22%. .

Conducted contract feasibility analysis and revenue cycle analytics to ensure profitability of 8 product lines.

Nominated and won 2015 Fidelis Care NY Gold Award, which recognizes staff for superior performance; teamwork, service, quality, and leadership (4 gold awards annually for the entire company). EXPERIENCE

Healthcare Financial Consulting

Larry Corbo Consulting, Belleville, NJ 2017-Present Self-employed consultant responsible for various healthcare financial projects

Value based contract analysis

Interim Revenue Cycle Director for health system Director, Provider Reimbursement and Analytics

Fidelis Care NY, Rego Park, NY 10/2016 to 7/2017

Created analysis for new and expanded product lines resulting in four new lines of business.

Assured corporate financial objectives for various businesses were met by developing reimbursement programs and value based payment policies

Finance Department liaison to Claims, Provider Relations, Contracting Departments

Predictive Analytics for reimbursement rate change and explanation to senior management Strategy Program Development Director, Provider Operations Support Empire BlueCross BlueShield/Health Plus, New York, NY 11/2015 - 10/2016

Create and present extremely high quality presentations to executive management

Monitor and report on Other Known Liabilities to senior management and actuary preventing 3+% of potential loss.

Led Cost Containment and Revenue Cycle Team to ensure recoveries are received to reduce expense by 18%. Manager, Provider Reimbursement and Analytics

Fidelis Care NY, Rego Park, NY 6/2010 -11/2015

Assist in development of Physician and Hospital Reimbursement programs, policies and strategies to assure corporate objectives are met.

Predictive Analytics to projective ICD 10 Financial Impact

DRG analyses and weekly claims review for appropriate payment determination Healthcare Financial Consulting

Larry Corbo Consultant, Belleville, NJ 6/2007- 6/2010

Improved program operations (data management, analysis, reporting, etc.) increased revenue by x%

Interim staff - Director of Budget and Reimbursement (New Albany Medical Center, IN) and Controller

(Mountainside Hospital)

Managed Medicare appeals including DSH payments, IME adjustments and wage index

Hired and trained accounting team (11 employees) in achieving all financial management goals (Mountainside Hospital)

Chair of monthly Revenue Cycle meeting. Responsible for Managed Care rate settings (New Albany Medical Center) Lawrence J. Corbo III

Manager, Health Care Services Group

RSM McGladrey, New York, NY 2/2006 to 6/2007

Rate analysis and rate settlements utilizing current PPS rates to Optimize revenue and improve budgeting

Evaluated/developed budgets for 330 grant programs for various providers DEPARTMENT MANAGER

Meridian Health, Neptune, NJ 3/2002 to 2/2006

Managed Corporate Reimbursement & Grant Reporting Department for a 3-hospital system

Trained and supervised a four person team in meeting challenging department goals and all deadlines

Managed entire Medicare and Medicaid reimbursement programs including cost reports and compliance

Reconciled all 3rd party liabilities on a monthly basis

Performed extensive analysis, reporting, and budgeting for grants including disproportionate share appeals

Increased by 8% revenue through more effective management of reimbursements and grants SUPERVISOR & SENIOR CONSULTANT

CBIZ/KA Consulting Services, Cranbury, NJ 4/1997 to 3/2002

Led a variety of projects for several large hospital systems including budgeting/planning, Medicare Cost Reports, NJ State Cost Reports, PPS rates, disproportionate share appeals, and revenue optimization

Increased revenue 7% through more effective data management, analysis, and reporting

Established long-term relationships with clients by providing cost-effective services and knowledgeable support OPERATIONS COORDINATOR

Blue Cross/Blue Shield of NJ Inc., Newark, NJ 7/1995 to 4/1997

Directed all operations and NMIS auditing for the Federal Employee Program and Medigap Division including budgeting, cost analysis, reporting, and open season

Compiled reports to support Management Reporting System including weekly progress reports, electronic tracking claims, telephone data, tracking statistics, and trend analysis

Completed six open season visits in order to provide detailed information to federal employees on PPO and POS benefits as well as gather information and complete forms for the POS pilot EDUCATION

BS, Management/Finance, Franklin Pierce College, Rindge, NH SKILLS/CERTIFICATIONS/INTERESTS

MS Office (Excel, Word, PowerPoint, Outlook, etc.),QuickBooks, and McKesson (PFM, PMM, Report Writer) and NASCO, Oracle, Hyperion, Kaufman Hall, EDW, Rate Manager, FACETS, NEtworx

APR DRG, MS DRG, APC, APG, PPS Reimbursement Methodologies, ICD-10

Reimbursement Payment Methodologies – Subject Matter Espert

FIDA, NYS Health Exchange contract analysis

IME/GME, DSH, Bad Debt review

Certification in Health Care Reimbursement, Rutgers University, New Brunswick, NJ

Baseball, Football, Swimming, Travel



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