Manager Insurance

YAAKOV ARNOLD, MBA

**** **** ***** ******, ***** # 161, Lincolnwood, IL 60712 • 832-***-**** • ************@*****.***

Areas of Expertise and Professional Accomplishments

Self Employed June 2011-Present

Healthcare

Consult with physician private practices to help implement programs to improve office efficiency and increase billing outcomes.

Created script outline for professional mental health insurance claims narrative.

Freelance Writing

Generate promotion material for Pizza Packet and Hurwitz Associates, Inc.

Wrote advertising brochures for New York State Lead abatement services and Yossi Stern Construction.

Motorola, Schaumburg, IL June 2014-August 2015

Contractor

Assist Project Leader with overseeing the floor layout, construction, packing, and shipping of wireless communication systems.

Oversee workflow and assume responsibility over projects in Project Leader’s absence.

Train new employees.

Abigail Neiman, M.D., P.A., Houston, TX January 2009-June 2013

Practice Manager

Operations

Managed all aspects of medical practice and office logistics such as scheduling, insurance verification, prior authorizations, and marketing.

Responsible for renewing and maintaining the physician's federal and state licenses, malpractice insurance, hospital affiliation, and physician association memberships.

Ensured HIPAA compliance and conducted staff training programs.

Directed all vendor relationships and purchases such as medical waste removal services, medical equipment, pharmaceuticals, and office supplies.

Decreased office supplies expenditures by 23%.

Financial Management

Accountable for overall financial management including the operating budget.

Cut practice write-offs by $10,000 in first year as practice manager.

Evaluated and negotiated pricing structures for vendor contracts.

Collaborated with accountant to maintain accurate financial records.

Data Analysis

Conducted biannual Net Present Value analysis to determine cost effectiveness of pharmaceutical inventory.

Produced in-depth monthly financial reports.

Analyzed demographic data to determine the optimal site to relocate practice prior to October 2011 move.

Coding and Billing

Oversaw all practice coding, insurance billings (EDI files and paper claims), and EOB/ERA payment postings.

Extensive experience with ICD-9, CPT and HCPCS codes, practice management software, coding with modifiers, and insurance billing methodology (Medicare, Medicaid and private).

Strong understanding of transaction codes for electronic data interchange, and remittance advice codes (Medicare, Medicaid, and private).

Reviewed all claim preview reports; clearinghouse acknowledgements, reports and transaction responses.

Created MultiLink shortcuts to streamline inputting procedures with multiple CPT and HCPCS codes, cutting down on billing errors.

Raised billing outcomes and co-pay collections by 13%.

Raised Net Collections Ratio to 96.7% within 12 months.

Recouped $50,000 of unsettled insurance claims within first year.

Successfully appealed denied claims, recovering over $10,000 in first five months of 2013.

Project Management

Led the transition, training, and prepared the groundwork for the implementation of Medisoft Clinical, electronic medical record system.

Human Resources

Managed employee recruiting, hiring, payroll, on-boarding, training of non-clinical staff, performance reviews, and disciplinary action.

New Paradigm Resources Group, Chicago, IL May 2007 – December 2007

Industry Analyst-Internship

Researched and authored industry reports.

Identified and analyzed emerging technologies and trends within telecom sector.

Jewel-Osco Grocery Store, Evanston, IL February 2005 – May 2007

Lead Supervisor

Led and mentored a team of 20 supervisors and store associates.

Consulted and advised department managers regarding seasonal changes that affected consumer purchasing patterns.

American Jewish University (University of Judaism), Los Angeles, CA February 2001- January 2005

Public Information Specialist

Served as university liaison with news media and general public.

Wrote news releases, speeches, and text for radio ads.

Directed teams of faculty, administrators, and graphic artists in redesigning and publishing university course catalog.

Managed production including writing, editing, and design of university newsletters, magazines, and journals.

The Jewish Week, New York, NY January 1996 – June 2000

New Media Editor

Columnist for the largest Anglo-Jewish newspaper in the United States.

Website editor.

Education

Loyola University Chicago, Chicago, IL May 2008

Master of Business Administration, Information Systems and Operations Management

Certificate in Data Warehousing and Business Intelligence.

University of California Los Angeles (UCLA), Los Angeles, CA August 1995

Bachelor of Arts, Philosophy

Contact this candidate