Medical Manager
Resume:
Cynthia M. Kornberg-Soto
**** **** **** ******, *** 5E, Brooklyn, NY 11224
Home 718-***-****, Work 212-***-****
**********@***.***
Work History
Department of Psychiatry, Mount Sinai St. Luke’s Hospital, New York, NY
Office Manager
September 2014-current
Manage daily office operations of three clinics of the department of Psychiatry.
Assist the program manager, medical staff and providers, and also provide back-up coverage for the Program Manager due to vacation and unplanned absences.
Manage a staff of 6.
Work on denial reports with the practice manager to fix discrepancies with coding and charges to ensure proper collection from insurances for patient visits.
Work on the departmental budget with the program manager to verify and reconcile the budget expenditures.
Work on productivity and ambulatory dashboard reports for the entire department.
Manage and train new and temporary staff of new processes regarding front end operations, registration, insurance verification, and approvals.
Oversee the productivity of staff, assign work, and evaluate performance to ensure all work is completed in a timely fashion.
Assures adequate staffing overage for all three clinics; work with Winston staffing and administration to ensure coverage from other resources as needed.
Maintain and manage the IDX appointment system and master schedule of provider schedules for three clinics of the department of Psychiatry.
Register and schedule patient appointments as needed.
Monitors systems for data collection and reporting of service activity to ensure compliance with external requirements and internal reporting needs. Do statistical reporting as needed.
Conducts environmental rounds, fire safety drills, and emergency evacuation plans for the department.
Constant professional communication with senior management, medical staff, clerical staff and the patients.
Communicate with health insurances, clinical reviewers, and hospital billing department to resolve discrepancies with patient billing as well as insurance verification and prior authorizations for coverage of services.
Communicate with Eagle, eIDX, EPIC and the department of Compliance to resolve discrepancies of double medical charts to ensure proper documentation and billing and avoid intermingling of patient medical records.
Collect and update patient information and input into hospital electronic medical record.
Monitor registration, billing set ups, electronic medical records, identify errors and establish corrective action with the department of compliance.
Collects, monitors, investigates and resolves any patient and provider complaints that arise within the practice.
Maintain office records, employee HR files, documents, and patient medical charts.
Scanning of medical information and inputting into the electronic patient medical records.
Spencer Cox Center for Health(Formerly Center for Comprehensive Care), St. Luke’s-Roosevelt Hospital Center, New York, NY
Referral Coordinator
December 2012-September 2014
Manage daily operations of referrals, specialty appointment process and obtain prior authorizations.
Manage and train new temporary staff of new processes regarding specialty appointments, insurance requirements and verification, and approvals.
Manage daily office operations; assist the practice manager, medical staff and providers, and also provide back-up coverage for the Practice Manager due to vacation and unplanned absences. Including managing a staff of 6.
Provide back-up coverage to the front desk, registrar for new patient orientation, and the call center staff for the three sites of the organization.
Register and schedule patient medical and dental appointments and diagnostic procedures for the HIV, non HIV, and the recently incarcerated population.
Maintain an active patient database to track scheduled, cancelled, and rescheduled appointments and follow up on the expiration dates of all referrals and prior authorizations.
Constant professional communication with senior management, medical staff, clerical staff and the patients.
Communicate with health insurances, clinical reviewers, and hospital billing department to resolve discrepancies with patient billing as well as insurance verification for coverage of procedures.
Collect and update patient insurance information and input into hospital electronic medical record.
Collects, monitors, investigates and resolves any patient and provider complaints that arise within the practice.
Maintain office records, documents, files and medical charts.
Scanning of medical information and inputting into the electronic patient medical records.
Performs occasional in-service classes to the medical staff regarding new regulations and procedures to ensure proper test ordering for referrals regarding different insurances.
Center for Comprehensive Care, St. Luke’s-Roosevelt Hospital Center, New York, NY Secretary II, but have been acting as Office Manager since 2008
March 2008-December 2012
Manage daily operations of referrals, specialty appointment process and prior authorizations.
Manage and train new temporary staff of new processes regarding specialty appointments and insurance requirements, and approvals.
Manage daily office operations; assist the manager, medical and secretarial staff of the Comprehensive Care Department.
Schedule patient appointments and diagnostic procedures for the HIV, and the recently incarcerated population.
Constant professional communication with senior management, administrative and medical staff, and patients.
Communicate with health insurances, clinical reviewers, and hospital billing department to resolve discrepancies with patient billing as well as insurance verification for coverage of procedures.
Collect and update patient insurance information and input into hospital electronic medical record.
Maintain office records, documents, files and medical charts.
Scanning of medical information and inputting into the electronic patient medical records.
Performs occasional in-service classes to the Medical staff regarding new regulations and procedures to ensure proper test ordering for referrals regarding different insurances.
The Office of Grants & Research, St. Luke’s-Roosevelt Hospital Center, New York, NY
Administrative Assistant I/Asst Grants Manager
March 2004-March 2008
Manage daily office operations; assist the Director and staff of the Grants and Research Department.
Assist Senior Grants Manager with reviewing, approving, and submitting budget proposals, contracts and grant applications.
Invoice sponsors in regards to their Institutional Review Board fees.
Monitor and expedite monthly financial reports to department Administrators and principle investigators.
Prepare, transcribe, type, and proof a variety of memos, reports, correspondence and dictations.
Create charts/graphs/spreadsheets for presentations.
Collected, organized, and maintain chemical inventory database to ensure compliance with OSHA for three laboratories.
Handle petty cash, check requests, purchase requisitions, and other expense vouchers.
Maintain office records, documents and files.
Maintenance/upkeep of department laboratory/non-laboratory equipment, inventory and laboratory supplies, maintenance and warranty contracts.
Constantly work with purchasing, accounts payable and finance departments to resolving discrepancies with hospital orders and follow up of payments to vendors.
Constant professional communication with senior management, administrative staff and patients.
Schedule patient appointments and other diagnostic procedures.
Communicate with health insurances and hospital billing department to resolve discrepancies with patient billing.
The OB/GYN Department, Beth Israel Medical Center, New York, NY
March 1999-March.2004
Administrative Assistant II
Assist the Administrator in various administrative duties pertaining to the department, various managers, and its staff.
Supervised a staff of 15.
Create charts/graphs/spreadsheets for presentations.
Prepared, transcribed, typed and proofed a variety of memos, reports, correspondence and minutes.
Collected and manipulated data to generate statistical reports and budgets for the PCAP program/OB/GYN department.
Coordinated and scheduled appointments, meetings, conferences, and room assignments for physicians in clinic.
Maintain office records, documents and files.
Maintenance/upkeep of department medical/non-medical equipment, inventory and medical supplies, maintenance and warranty contracts.
Prepared and maintained payroll accrual and attendance records for nursing and non-nursing staff. Investigated and resolved discrepancies.
Screened incoming calls, took messages, and responded to inquiries pertaining to departmental procedures, protocols, services and programs.
Used initiative and good judgment to coordinate and implement special projects.
The Professional Billing Department, Beth Israel Medical Center, New York, NY
Senior Secretary
November 1997-March 1999
Answered phones, filed documents, scheduled meetings, prepared payroll, and maintained time accruals for the departmental staff.
Assisted the Office Manager in other duties as required by department.
Maintained departmental inventory of office supplies and ordered accordingly.
Typed memos and correspondence for department as required.
Processed paperwork for terminated/transferred employees.
Met with patients and directed them to the proper personnel.
Distributed various monthly physician billing reports.
Student Affairs, Herbert H. Lehman College, Bronx, NY
September 1995-November 1997
Worked as a liaison between Administration, Faculty, Staff, and Students.
Served on the budget and community affairs committees, and the student senate.
Education
M.H.A. Health Administration, University of Phoenix
B.S. Dietetics, Food & Nutrition, Herbert H. Lehman College
Evander Childs High School
August 2006
January 1999
August 1985
Computer/ Office Skills
Proficient in Microsoft Word, Excel, Power Point, Publisher.
Excellent communication skills and the ability to interact with all levels of management.
Master scheduler of appointment system(eIDX), moderate experience with patients, booking of appointments, medical ICD-10 and CPT coding, and insurance billing.
Proficient in hospital systems and programs (Oracle, eIDX, EPIC, Eagle, EPACES, IRB Industry log sheet and contract database, etc.)
Ability to work on multiple projects simultaneously.
Languages
Fluent in English and Spanish
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