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Manager Accounts Receivable

Location:
Lithia, Florida, United States
Posted:
October 30, 2016

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Eva Friscia

La Belle, Fl

515-***-****

Professional Skills

Over 20 years Healthcare Experience

Over 15 years of Managerial/Supervisory experience

Revenue Cycle Management

Computer knowledge: Nextgen, MS Office, Word, Excel, Pivot Tables, Outlook, WordPerfect, Infinity, Advanced Data System (ADS), IBM Systems 36, IBM AS/400, Precision reporting system, Ingenious Med online billing software, Navicure Clearing House, Centricity electronic medical records and IDX.

Professional Experience

May 2014-December 2015 Planned Parenthood of the Heartland Des Moines, IA

Director of Revenue Cycle

Oversaw all billing operations for four states which include Iowa, Nebraska, Arkansas and Oklahoma handling 19 sites with staff of 12.

Developed, implemented, and managed efficient and effective operational policies, processes and best practices within functions of the revenue cycle including billing operations, patient accounts, claims processing, commercial insurance contracts, provider credentialing, fee schedules, coding and compliance, and accounts receivable management.

Continuously monitored staffing levels and personnel assignments to ensure there is sufficient knowledge/skill overlap to accomplish goals within each department, including cross-training and succession planning as needed.

Generated billing and collections data that support finance and operations, and that produces pricing and coding that will optimize reimbursement.

Supervise the month end A/R closing process and account reconciliation ensuring that processes are completed accurately and closed within a one day window.

Researched and implemented new clearing house to minimize manual posting. Set up all insurance carriers to receive EFT. In process of researching and implementation on new insurance verification software.

Oversaw all processes for outside lab.

In charge of Implementation of ICD-10 transitioning process.

May 2010-May 2013 Montefiore Hospital Bronx, NY

Manager of Revenue Cycle

Assisted in developing revenue cycle policies and implement strategies to increase revenue and ensure adherence to Montefiore policies.

Assisted implementing new workflows to support revenue cycle policies at practice sites.

Analyzed reports, ran DBMS queries and monitored revenue of $1.3 million for Cardiology and $3.8 million for Department of Medicine on a monthly basis forwarding data to Dept. Managers.

Monitored Front-End Performance on Co-payment capture and timely charge submission.

Served as a Liaison between 150 Physicians, Front-End staff and Back-End staff.

In charge of monitoring missing charges capturing 4000 missing charges resolving 99.5%.

Facilitated implementation of new projects for Provider Based Billing, EMR, Work with Professional Services, IT and Department staff to ensure that our work flow efficiency would not be compromised.

Developed annual competencies related to revenue cycle activities including registration, eligibility verification and scheduling.

Coordinated revenue cycle improvement programs.

Maintained division encounter forms and EMR templates with current coding.

Researched, implemented and maintained on-line billing company/software for Cardiology, Nephrology, GI and Geriatrics to increase revenue by decreasing paper billing using handheld devices.

September 2009 to February 2010 Manhattan Physicians' Group New York, NY

Director of Revenue Cycle

Oversaw all facets of revenue cycle processes and performance for a multi-specialty practice with 8 sites including establishing, maintaining and measuring key performance indicators of the revenue cycle functions, and providing leadership and direction over management of scheduling, registration and patient accounting.

Reported to the Chief Financial Officer, supervised and directed the work of approximately 25+ employees within the patient access/registration department and patient financial services.

Responsibility included overseeing follow up on over 500 outstanding credentialing applications for 100 physicians and 30 carriers.

oWas able to meet expectations and resolve within a 3 month period 400 out of the 500.

oOversaw and maintain all credentialing files for 100 established physicians and apply for new physicians

oOversaw and maintained CLIA Lab Certificate adding on new lab test as needed for all 8 sites.

Performed data analysis, report writing and presentation of findings to management and physicians.

Implemented process to capture all surgical procedures performed at Lenox Hill Hospital.

Handled billing and follow up on all outstanding claims for 100 physicians for various carriers including Fee for Service and Managed Care.

In charge of updating and maintaining billing master files for Cpt's, Icd's and updating fees for J-codes.

In charge of 3 coders monitoring and assuring accuracy in billing out charges

January 2004-September 2009 McKesson Provider Technologies New York, NY

Department Liaison/Account Manager/Operations Manager

Handled Physician billing for over 500 doctors within 49 specialty groups at Elmhurst Mount Sinai Hospital and 78 doctors under a private group practice within the Elmhurst Practice as well as the OB/GYN department with 23 physicians at Queens Hospital Center.

Responsibilities included overseeing day to day operations at 3 locations with a staff of 27 which included 2 A/R supervisors as well as overseeing 13 staff members in India with our outsourcing company.

Oversaw submission of over $100 million dollars in charges per year and over $20 million dollars in payments which included our Global Billing.

Our fee for service requirements were $600 thousand in payments per month, which I exceed anywhere by $300 - $700 thousand per month totaling $1.5 million monthly within 3 months of my employment. Oversaw global billing and revenue of $1.2 million monthly.

Met with President, Vice President and Director of finance bi-weekly to update status on the practice.

Responsible for monthly meetings and generating reports for physicians as well monitoring and reporting denials and coding issues.

Maintained credit balances and ZZ-unapplied less than 60 days and 160 for days in accounts receivable.

Responsible for conducting mid-year and year-end review and setting employee goals.

Oversaw transfers to outside collection agencies and maintained current fee schedule.

October 1998-December 2003 Continuum Health/MedMark Management Company Manhattan, NY

Supervisor of Client Billing Services

Non Healthcare

April 2015 -Present Flying J Pilot Center, South Bay, FL

Education

Mt. Vernon HS

High School Diploma



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