Post Job Free

Resume

Sign in

Practice Administrator

Location:
Anaheim, CA
Salary:
26.44 to 32.00 hourly
Posted:
September 11, 2016

Contact this candidate

Resume:

CINDY A. CASTILLO

Telephone: 714-***-**** E-mail: acv5vs@r.postjobfree.com

http://www.linkedin.com/pub/cindy-castillo/15/934/159/ SUMMARY OF QUALIFICATIONS

A dedicated professional with excellent qualifications as a MEDICAL MANAGER, SURGERY SCHEDULER, ACCOUNTS RECEIVABLE MANAGER, PHARMACY, MEDICAL BILLER & COLLECTOR, ADMINISTRATIVE ASSISTANT, BUSINESS OFFICE MANAGER AND CONTRACTING & CREDENTIALING. Command superior communication skills, interfacing effectively with patients, co-workers, physicians, medical personnel and insurance representatives. Resourceful and flexible, successfully managing multiple projects from inception through completion. Deliver quality customer service to all clients, resolving all problems with tact and courtesy. Perform calmly in stressful and rapidly-changing working environments. Continually analyze operational procedures and recommend changes to improve efficiency and bottom line performance. Detail-oriented and precise, with a keen eye for troubleshooting. Deliver a history of integrity and reliability, and a strong work ethic. Key Strengths Include:

Well-versed in office management and marketing. Experience encompasses diverse specialties such as orthopedic, podiatry, consulting, anesthesia, infusion billing, DME billing, audiology, pharmaceuticals, allergy, substance abuse, family practice, senior assisted living and general surgery.

Utilize superior multi-tasking talents to complete all assignments accurately and on-time.

Quickly learn and adapt to new software and IT developments.

Successfully coordinate multiple projects/assignments simultaneously.

Significant experience training and mentoring junior personnel.

Possess expert knowledge of billing codes and insurance regulations. PROFESSIONAL EXPERIENCE

ACCOUNTS RECEIVABLE/ INSURANCE VERIFICATION/CONTRACT & CREDENTIALING MANAGER Sonus Hearing Care Professionals, Inc. – Huntington Beach, CA Supported all processes related to insurance billing, claims processing, medical contracting and credentialing and insurance verification. (2015 to 2016)

Liaison to communicate by email or telephone contact to 53 clinics and 25 providers.

Supervised the Insurance Verification department to assure clinics had the patient verification information prior to their appointments for audiology and hearing aid dispensing services in Northern and Southern California.

Responsible for all interaction with outside billing service including regular communication on accounts receivable balance of an estimated 4 million. PRACTICE MANAGER Bethany O’Connor, M.D. – Costa Mesa, CA Provide medical consulting and operations support to Physiatrist physician. (2014 to 2015)

Coordinates communication between billing service to physician part-time.

Monitored the accounts receivable communicates updates to physician.

Reconciliation of physician accounts payable.

CLINIC MANAGER Illumination Foundation. – Buena Park, CA Oversee all medical operations and perform billing for Buena Park Community Clinic for 2 providers specialized in family medicine and ophthalmology. Manage medical operations and medical billing, EHR and perform monthly billing charges to multiple payers, including, HMO’s, CalOptima, Medi-Cal, and Healthcare Partners, homeless and the uninsured. (2013 to 2014)

Act as liaison with clinic partners and with the Orange County Coalition of Community Clinics, including attending monthly meetings as the BPCC representative.

Oversee medical outreach events and coordinate marketing efforts with the development team, and volunteers/externships occurring at the clinic.

Communicated with patients to provide affordable options for their healthcare.

Converted and implemented of Advanced MD EMR and EHR system and meaningful use.

Due to loss of funding clinic was closed by corporate office. MEDICAL ALLERGY BILLING & COLLECTIONS Dr. Alan Gorenberg, M.D., Inc. – Orange, CA Perform billing and collections to insurance payers for four clinics locations Orange, Victorville, San Bernardino and Ridgecrest for four physicians and 1 P.A. (2013 to 2013)

. Increased collections by 20% in the first thirty days for an accounts receivable balance of 1.5 million.

Train front office staff on collections and HMO’s, PPO’s, Managed Care and Medi-cal. MEDICAL BILLING & COLLECTIONS LEAD New Directions for Women - Costa Mesa, CA Oversee all billing and collection for this residential treatment center for women recovering from drug and alcohol addiction. Coordinate billing for the 6 therapists working at the 5 houses currently affiliated with the 50-bed center. Assist with creating financial plans for the two new facilities projected to open in Philadelphia and London (UK). Communicate regularly with insurance representatives from all types of private pay PPO’s and HMO plans to ensure all bills are paid. (2012 to 2013)

Successfully increased collections by 30% in first three months.

Structured and organized a departmental conversion to the EMR system.

Utilize Gateway EDI, Medisoft, QuickBooks, Slim CD, UB04, and other billing software.

Demonstrate tact and diplomacy while handling strictly confidential patient information. MEDICAL SITE MANAGER / SURGERY SCHEDULER St. Jude Heritage Medical Group - Fullerton, CA North County Surgical Medical Group - Fullerton, CA Provided a full range of administrative support for this group of 3 general surgeons and 1 PA specializing in colon-rectal and laparoscopic procedures. Collaborated with the group’s Chief Administrative Officer, Medical Director and Vice President of Site Operations to ensure an integrated system for delivery of care. Organized training and cross-training for all staff. Continually reviewed operations and suggested methods to improve performance and interdepartmental collaboration/cooperation. Generated monthly reports on operational efficiencies, financial status and employee relations for management review. Served as liaison between the Site Coordinator/Manager, physicians and St. Jude management on all administrative issues. Performed marketing responsibilities for the practice. Created fliers and business cards citing physician specialties. Actively promoted the office’s services to group sites, clinical management services and MSC’s. (St. Jude: 2008 to 2012; North County: 2007 to 2008)

Increased surgery volume by 20%, and met or exceeded financial goals each year.

Converted the group’s computer system from IDX to Advanced Web IDX.

Coordinated North County’s move to a new facility after it joined St. Jude Heritage; determined the layout, furnishings and workstation placement for the new building.

Responsible for all of the office’s environmental services, in concert with site coordinator/leads.

Maintain physician protocol books, and create SOP’s. BUSINESS OFFICE MANAGER • Avalon at Newport Assisted Living Center - Newport Beach, CA Directed all business operations at this assisted living center with an attached Alzheimer’s facility. Recruited, hired and oriented staff. Compiled and submitted payroll information for 70+ employees, ensuring all hours had been verified by each department head. Supervised 4 direct reports. Maintained individual ledgers for the 200+ residents living in apartment-type units at 2 separate buildings, and collected rents. Reviewed vendor statements, reconciled outstanding balances and initiated communications to resolve any payable-related queries. (2006 to 2007)

Significantly improved collections and reduced receivables.

Planned and promoted social events for residents, and conducted tours for new clients.

Facilitated monthly and bi-weekly staff meetings, in accordance with All State Health and Safety Codes and Title 22; ensured each employee attended these in-service trainings. PHARMACY BILLING & COLLECTIONS MANAGER A-Med Healthcare Pharmacy - Huntington Beach, CA Addressed/resolved all billing conflicts for this home-health pharmacy. Diligently investigated all client concerns to avoid future complications. Prepared daily correspondence and payment documentation, ensuring all information was accurate and complete. Supervised 3 staff members. (2005 to 2006)

Billed approximately $6 million annually for infused medication, TPN and DME.

Conducted quality control on pharmacy products submitted to CCS, Medi-Cal, Managed Care and Cal Optima.

OFFICE MANAGER Bristol Chiropractic Office / Dr. Ali Mostafavi - Santa Ana, CA Supervised all accounts receivable for this busy chiropractic office, while simultaneously taking a leading role in marketing the doctor’s services. Posted payments and information updates in the office computer system. Negotiated fees with insurance adjusters and attorneys. Reviewed claims and sent bills to appropriate payers (85% workers’ compensation, 10% personal injury, 3% PPO and 2% Medicare). Filed liens to the WCAB electronically and manually through the EDEX system. Managed all front and back office duties, as well as inventory responsibilities. Oversaw two chiropractic assistants. Reported directly to the doctor. (2002 to 2005)

Improved collections by 35% in first six month of employment.

Significantly reduced collection times for all accounts.

Participated in public events with up to 50,000 attendees to raise the doctor’s public profile. CLIENT MANAGER Marina Billing Services, Inc. - Cerritos, CA Managed a group of 44 anesthesiologists based in Los Gatos, CA, Group Anesthesia Services.

Generated over 1.4 million in monthly revenue. In charge of supervising 12 staff members in data entry, coding and collections.

Coordinated monthly billing of charges of over $2 million and managed multiple payers’ Workmen Compensation, HMO, PPO, Medicare, and Medi-Cal.

Exceeded expected benchmark to meet monthly goals.

Reported directly to the Director of Operations, General Manager and the CEO of the company.

(2000 to 2002)

Ot h e r W o r k E x p e r i e n c e

Apria Healthcare, Inc. Dr. Albert Sanders

Lead Biller Home Infusion, Tustin, CA Orthopedic Biller & Collector, San Antonio, TX Center for Health Education Advancement Nix Hospital Office Coordinator, Brea, CA Pharmacy Technician, San Antonio, TX Reimbursement Dynamics, Inc. City Pharmacy

Reimbursement Administrator, Orange, CA Pharmacy Technician, New Braunfels, TX Allan L. Bernstein, D.P.M.

Office Manager, Santa Ana, CA

Robert Beltran, M.D., E.N.T.

Office Manager, Santa Ana, CA

Medical Reimbursement Services, Inc.

Anesthesia & Pain Management Accounts Receivable Manager, San Antonio, TX EDUCATIONAL BACKGROUND

Business Administration & Management Major Fullerton College - Fullerton, CA Certificate (Six Sigma) Green Belt Certified Improving Performance through St. Joseph Health Completed Facilitative Leadership Training Program & Job Instruction Training Computer Skills: Windows/7/8 Word Excel PowerPoint Outlook Report Manager PeopleSoft Kronos Medisoft IDX Advanced MD QuickBooks AllScripts Pro PICIS MediTech Authorize.net RightCad PACWIN BrightTree Practice Fusion Kareo Centricity GE Box ADP payroll OPEN TO TRAVEL/RELOCATION Conversational Spanish

REFERENCES: Available upon Request COMPENSATION: Open to Negotiation



Contact this candidate