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Manager Management

Location:
Middletown, NY, 10941
Posted:
September 08, 2014

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Resume:

Amy Stamp

Phone: 845-***-****

Middletown, NY *0941 Email: acftmb@r.postjobfree.com

HEALTH CARE ADMINISTRATION / EXECUTIVE MANAGEMENT

Fiscal Management Strategic Planning Health Care Finance Healthcare IT Policy Development Administration

Operations Contract Negotiation

PROFILE Distinguished 15 year professional career reflecting outstanding performance and progressive management

responsibility in the field of healthcare administration and related industries.

o Outstanding success in building and maintaining relationships with key institutional decision-makers,

establishing high profit service referral sources with excellent satisfaction and retention levels.

o Proficient in all regulatory aspects of commercial and government insurance billing including Medicaid

and Medicare.

o Consistently exceeds the operational standards set forth by regulatory agencies such as JCAHO, HRSA,

NYSDOH, OASAS, EMTALA, NYSOMH, CMS/HCFA, and OSHA.

o Exceptionally well organized with a track record that demonstrates self-motivation, creativity, and

initiative to achieve corporate and personal goals with a constant focus on the “bottom line”.

PROFESSIONAL EXPERIENCE

12/2013- Present GE HealthCare Consultant

Senior Centricity Clinical Technical Support Engineer

-Field calls from end users, guided end users through basic how to for Centricity Practice Solution and Centricity

EMR

-Corresponding with doctors, IT staff, non-IT staff, back office staff, etc.

-Meaningful Use Training; how workflows change, MU numbers, attestation, and audit. Prescription Reports

-Implementation and Upgrade training Via Webex

- Experience and familiarity with the clinical side of CPS 9.0,10,11, 12 CEMR 9.5 or higher. Familiarity with

Meaningful Use requirements, Experience with CCC Forms Experience with other Centricity products

-Siebel Support Ticket System

2008 – 12/2013 Greater Hudson Valley Family Health Center, Newburgh, NY

Director of EMR 2011-2013

Promoted to EMR Manager. Promotion due to exemplary work as Billing Manager/Project Manager. As EMR

Manager, responsible for Training and implementation and development of effective management strategies and

creating electronic medical records systems. Experience with Electronic Medical Records and physician office

workflow in an electronic record environment, as well as experience developing and implementing

training/coaching plans. Responsible for electronic health record (EHR) implementation, development of clinic

EHR training materials and related documentation, development and implementation of EHR policies and

procedures, and training staff members on EHR including physicians and other clinical, administrative, and

operational staff as needed. Develops ongoing training plans. Responsible for testing new versions,and assisting

in upgrade certification of new version of EHR/Practice management prior to implementation. Creates test

scenarios for EMR systems, execute these tests and evaluate the results. Develop policies and procedures for

EMR system users. Provides training bi-monthly to every new employee, for both PM and EMR Content. Produce

technical literature. Additionally, in charge of ensuring that employees comply with organizational or legal

standards for chart documentation. FQHC reporting including but not limited to UDS (uniform data reporting) and

MCVR (managed care visit & revenue).

Key Achievements: Project Management

o Manages the medical records staff of 10 where duties include but are not limited to Medical Records

releases and scanning in accordance with NYS guidelines

o Successfully completed GE certification courses for form creation in Basic Visual form Editor and

Text File Editing.

Successfully completed GE certification courses in Interface management and Crystal Reports

o Responsible for the implementation of EMR and Cydental for two new Dental suites

o Implemented comprehensive new employee 5 day training orientation for administrative and

Clinical Staff

o Implemented Bi-annual coding seminars for providers to ensure proper chart documentation and

orders selection.

o Modification of EMR forms to ensure that employees were able to capture data which complied with

standards required by Meaningful use, JACHO, and QUARR Measures as well as documentation

review.

o Project Management and Training for the following: Arcadia Data Warehouse implementation &

reporting, Medfusion Patient Portal, LinkLogic, Visdental Practice Management Interface, Visdoc,

Esignature, EMR Link Lab Interface, NYSIIS Immunization Registry Interface, GE Centricity EMR,

Charge MD Implementation

o Responsible for the project management of the transition from Medical Manager Intergy to GE

Centricity

Billing Manager 2009-9/2011

Responsible for Training and implementation and development of effective management strategies and creating medical

billing systems. Creates and directs the policies, objectives, activities, and initiatives related to the management of

all third party revenue of the Greater Hudson Valley Family Health Center, a Federally Qualified Health Center

comprised of 2 multi-specialty primary care sites, 2 Dental Sites, 1 Urgent Care Site and a Chemical Dependency

Outpatient treatment site. Proficient in FQHC reporting which includes but not limited UDS,

Key Achievements: Project Management

o Experience with physician office workflow in an electronic record environment, as well as experience

developing and implementing training/coaching plans. Responsible for Practice Management

implementation, development of clinic practice management training materials and related documentation,

development and implementation of practice management policies and procedures, and training staff

members on practice management and billing procedures, including physicians and other clinical,

administrative, and operational staff as needed. Developed ongoing training plans. Responsible for testing

new versions and assisting in upgrade certification of new version of HER/practice management prior to

implementation

o Led a staff of 10 that processed claims for Fiscal Year ’11 which produced in excess of $5 million in

patient revenue including commercial insurers, government insurers, and self-guaranteed reimbursement.

o Manage a revenue cycle improvement engagement including clinical operations resulting in over $5

million in financial improvements and an increase in the overall collection rate of 8% (81.2% to 89.7%).

o Developed and met cash collections goals which resulted in a 4% profit in FY ’11 for the organization.

o Responsible for the Project management/implementation of all GE Centricity CPS 9.5 system finance

functions including EDI setup, provider fee schedules, facility setup, insurance carrier setup, plug-ins, and

procedure codes and diagnoses setup.

o Provider Credentialing

o Responsible for maintaining standards and reporting for HEDIS & QUARR Incentive Programs

o Monitor performance of all third party insurance contracts including facility capitation agreements to

ensure that reimbursements are accurate. Negotiate with insurance carriers to review procedures that

facility is being undercompensated for.

o Improved department’s fiscal performance by streamlining patient eligibility screening to reduce claim

rejections by 50% monthly thereby improving departmental cash flows. Conducted weekly, monthly, and

quarterly review of coding to ensure proper charge capture, particularly related to Medicare DRGs.

2005 – 2008 Lighthouse International Accounting and Finance, NY, NY

Billing Manager

Creates and directs the policies, objectives, activities, and initiatives related to the management of all third party revenue,

worked directly with Senior Administration to ensure policies was being adhered to and to discuss ways to

improve overall performance. Managed and trained staff effectively.

Key Achievements: Project Management

o Improved department’s fiscal performance by streamlining patient eligibility screening to reduce claim

rejections monthly thereby improving departmental cash flows. Conducted weekly, monthly, and

quarterly review of coding to ensure proper charge capture.

o Successfully Collections $300,000 within first few weeks of employment.

o Experience with physician office workflow, as well as experience developing and implementing

training/coaching plans. Responsible for with new practice management system implementation,

development of clinic training materials and related documentation, development and implementation of

billing policies and procedures, and training staff members, including physicians and other clinical,

administrative, and operational staff as needed. Will develop ongoing training plans. Responsible for

testing new versions and assisting in upgrade certification of new billing software prior to implementation

o Single handedly set-up new ADS practice management system.

o Monitor performance of all third party insurance contracts including facility capitation agreements to

ensure that reimbursements are accurate. Negotiate with insurance carriers to review procedures that

facility is being undercompensated for.

NYP- Presbyterian/ Columbia Hospital- 61st Street Service Corp, NY,NY

2005- 2007

Medical Administration/Billing

Responsible for diagnosis and procedure coding, setting up fee schedules, Charge and payment entry, processing

electronic and paper claims, corresponding with in insurance companies, Patient account services, A/R Follow-up,

Patient billing statements, referrals, prior-authorizations. Practice management software IDX.

2002 – 2005 Kidney & Hypertension Specialists, Bronx, NY

Billing Manager

Creates and directs the policies, objectives, activities, and initiatives related to the management of all third party revenue,

worked directly with Senior Administration to ensure policies was being adhered to and to discuss ways to

improve overall performance. Manage Staff and taught staff new efficient workflows in order to maximize

revenue reimbursement.

Key Achievements: Project Management

o Responsible for the complete restructuring of the billing department and operations.

o Facilitated group merger by completing provider/group credentialing, maintained reports of credentialing

activities such as accreditations, members and facility privileges.

o Responsible the successful Project Management/Implementation of the new Medical Manager Intergy

practice management system.

2000-2002 Concorde Medical Group, NY,NY

Administration/Billing

Responsible for diagnosis and procedure coding, setting up fee schedules, Charge and payment entry, processing electronic

and paper claims, corresponding with in insurance companies, Patient account services, A/R Follow-up, Patient

billing statements, referrals, prior-authorizations. Practice management software Emed.

EDUCATION

1998 Ultrasound Diagnostic School New York, NY

Medical Assistant Certificate

Honors graduate of an incentive 900 hour course comprised of theoretical and practical application of essential

medical assisting skills including; all medical administrative procedures, claims processing, clinical skills, and lab

procedures.

1997 Niagara University Niagara Falls, NY

CERTIFICATIONS

2014 Currently Pursuing PMP Certification

2010 Skillsoft Microsoft Project 2010

2010 GE Healthcare Practice management Setup

2010 GE Healthcare EMR Crystal Reports

2011 NACHC Maximizing Revenue and Third Party Reimbursement

2012 GE Healthcare Text File Editor

2012 GE Healthcare Visual Form Editor

2012 GE Healthcare Interface Setup and Management

2012 GE Healthcare EMR Management for Meaningful Use Workshop



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