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Customer Service / Management / Accounts receivable and collections

Location:
United States
Posted:
December 15, 2015

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Resume:

Patricia A. Lewis

**** ***** ****

Alpine, New York 14805

607-***-****

************@*******.***

Education:

BS (Business Administration) 1988 University of Maryland University College

Special Training/Certifications

NY State Life, Accident, Health & Travel Insurance Producer License #LA1380026

Leadership Development (Studer Principles)

Basic Computer System Operation (IDX, Memorex, MediTech, Soarian)

Software (Windows, Microsoft Office Suite, Excel)

Professional Qualifications

Over twenty years of successful technical, operational, supervisory and policy-making experience in Management, Training, Operations and Administration of small and large, geographically dispersed, highly diversified organizations. In-depth knowledge of Personnel Management, Organizational Management, CPT and ICD Coding, Third-Party Claims Processing, Claims Payment, and HIPAA Compliance requirements. Demonstrated abilities to review, revise, and/or create policies and procedures for consistent, compliant, accurate, and timely services and functions. Proactive leader with the capabilities to enhance, expand, and strengthen operations in a continually changing environment. Proven track record of successful Revenue Cycle Management, Accounts Receivable enhancement, billing and collection from third-party payors (indemnity insurance companies, PPO/HMO, MEDICARE, MCO, MEDICAID, and commercial carriers). Actively participate in organizational leadership.

Professional Experience:

Arnot Health System Systems Director

2012 - 2014 Elmira, New York

Managed day to day operations of designated departments. Developed and maintained budgets for departments. Created new policies and job descriptions for 87 direct reports, four supervisors and one assistant director. Created a new Centralized Scheduling and Pre-authorization Department in 2013. Managed scheduling, payroll, and timesheets for all departments. Investigated every concern and complaint as documented in VERGE system, and followed-up with patients.

Reviewed and approved all Accounts Payable invoices before processing.

Schuyler Hospital Director, Patient Accounting

2008 – 2012 Montour Falls, NY

Managed Business Office, Billing Collections, Customer Service, Admissions, Credentialing, Cash Applications, Insurance Verification, Patient Access, and Cashier Departments. Initiated a co-pay collection initiative that increased revenue by over $100,000 in less than one year. Initiated payment at time of service in all hospital departments that increased cash flow. Brought professional fee billing for all providers back in-house.

Corning Hospital Manager, Business Office

2004 – 2008 Corning, NY

Oversaw operations in Patient Accounting, Collections, Central Scheduling, Insurance Verification, and Patient Registration Departments. Reduced AR days outstanding from 86 to 35 in less than two years. Exceeded financial goals by at least 10% every quarter for three years by increasing revenue collection.

Clinical Associates Executive Director

1991 – 2004 Towson, MD

Provided technical/analytical expertise to over 100 degreed medical professionals of various specialties, including General Surgery, Plastic Surgery, OB/GYN, Urology, Cardiology, Neurology, Rheumatology, Endocrinology, ENT, Dermatology, Psychiatry, Ophthalmology, Orthopedics, Pulmonology, Internal Medicine, Pediatrics, Ambulatory Surgery and Physical Therapy. Managed fee-for-service accounts receivable of over $34 million annually. Improved billing efficiency and coding accuracy, reduced claim denials, and improved communications between staff and physicians resulting in a decrease of days outstanding from 97 to 54 in one year, and an increase in collection ratio from 75% to over 94%. Designed and implemented charge vouchers and coding sheets for each specialty, which increased revenue generation an average of 10% per specialty. Developed functional models for AR, audits, and reviews to be utilized by all organizations. Originated monthly fee-for-service news advisory to keep physicians and staff current with ever-changing requirements of billing and processing. Discovered and successfully prosecuted an embezzlement of more than $100,000.

Special Recognition:

America’s Registry of Outstanding Business Professionals

Strathmore’s Who’s Who of Business Leaders

Assistant Professor, Business Management, Essex Community College

Phi Theta Kappa National Honor Society

Phi Kappa Phi National Honor Society



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