Project Manager Medical

HANAN Y. WAIZMAN

Cell: 914-***-**** E-Mail: ***********@*****.***

LinkedIn: www.linkedin.com/pub/hanan-waizman/54/4b3/854/

PROFILE

Accomplished and progressive leader and manager with more than 20 years’ experience in Revenue Cycle Management in complex

healthcare environments (healthcare consulting, managed care organization, government and commercial insurance companies).

Experienced in planning and managing the execution of day-to-day strategies, including procedures that clinics use to improve cash

collections and meet liquidity goals. Experienced with FQHC and Meaningful use (1 & 2). Prepared Lean Six Sigma inspired projects

related to revenue cycle such as planning and monitoring performance and improvements (Q.I., process improvement and efficiency

measures) for all RC channels. Prepared and updated RC manuals. Planned and prepared the training of the staff with Revenue Cycle

related issues.

PROFESSIONAL EXPERIENCE

Revenue Cycle Manager

Community Medical & Dental Care, Inc. Monsey NY January 2014 - Present

Multi-Specialty Physician Practice

• Direct 145 Revenue Cycle Employees with 8 managers.

• Responsible for planning, maintaining and enhancing properly functioning revenue cycle process through a cross-departmental

organizational structure.

• Direct commercial insurance and managed care contracts and policies, establish goals, and negotiate pricing.

• Direct the planning and the execution of the payer’s relationship, as well as the planning of strategies for improving and

expanding market share.

• Creating RCM performance goals and monitoring it.

• Participate in weekly leadership meetings on planning and Q.I.

• Experience with creating and monitoring RCM budget and staff management.

• Focused on planning and monitoring detailed collection activities with proven success of 98% collection rate.

• Provide operational oversight of the Patient Access and Patient Accounting departments.

• Enhance efficiency and profitability FQHC medical practice with Lean Six Sigma methodologies.

• Constant improvement in monthly cash flow by implementing successfully billing and collection policies.

• Comprehensive knowledge of third-party and insurance company access requirements, operating procedures, regulations

(FQHC, Meaningful use) billing requirements and government reimbursement programs.

• Plan and implement IT/EDI connectivity projects with third party payers to ensure continual cash flow and execute EDI

efficiency measures with all payers.

• Conduct close monitoring of claims submissions to ensure constant revenue.

• Ensure that billing team members follow and adhere to all company policies and procedures.

• Solve escalated billing operations issues that cannot be addressed by the supervisor level.

• Plan and implement most efficient AR measures to drive improved cash flow and oversee AR staff and department performance.

Revenue Cycle Manager.

DOCTORS’ BILLING SERVICES, New Hempstead, NY July 1994 – December 2013

Medical Revenue Cycle & Project Manager

• Was responsible for planning, maintaining and enhancing properly functioning revenue cycle process through a cross-clients

departmental organizational structure

• Recommended efficiency and profitability measures to our clients’ medical practices with Lean Six Sigma methodologies.

• Strong and tested project management skills.

• Thorough understanding of both theoretical and practical aspects of Revenue Cycle (medical office arena)

discipline.

• Developed, planned and executed policies and procedures.

• Addressed coding issues and prepared measures for the upcoming ICD 10.

1

• Constantly monitored the operation of the medical billing teams to ensure punctual submittal of claims and

troubleshooting to maintain billing accuracy.

• Audited the medical billing system periodically to prevent errors between physicians’ intent and coding errors.

• Personally supervised the compliance regulation requirements impacting billing operations.

• Researched changes in reimbursement policies by and from government and commercial payers.

• Worked with management to implement the corrected measures to various policy changes.

• Trained medical providers and billing operations representatives.

• Created the best practical measures to solve patients billing and other problems.

• Gathered and reviewed patient’s reimbursement data, analyzed results and prepared reports.

• Prepared management meetings and provided reports, suggestions and plan of action

• Provided evaluation report for management on revenue cycle staff’s performance.

• Led and resolved issues and recommended disciplinary measures.

EDUCATION

New York Institute of Technology, New York, NY 1981

Bachelors of Science Degree: Political Science

MILITARY

Armed Forces

RANK: Sergeant Major / Platoon Leader DUTY: Special Ops DISPOSITION: Honorable Discharge

SKILLS

Allscripts PM & EMR; FQHC: HIPPA: LEAN- 6 SIGMA Black Belt: MS Word; Excel; Outlook; MS Project Manager;

MS Access;

2

Contact this candidate