Accounts Payable Receivable
Resume:
JAMES V. FARGNOLI
*** ******* ******, **** *****, N.Y. 11795
*************@*****.***
PROFESSIONAL EXPERIENCE
Restorix Health, White Plains, NY June 2014 – November 2016
Regional Director / Director of Revenue Cycle Analysis
-Responsible for daily operations of four Wound Care Centers on Long Island.
-Supported Program Directors regarding all financial, operational, community education and human resource issues.
-Implemented the opening of two new Wound Care Centers.
-Provided weekly/monthly reports including budget variances, etc. to Executive Team.
-Created annual operational budgets.
-Analyzed corporate revenue data to determine financial and operational performance of our centers nationwide.
-Developed power point presentations regarding various revenue cycle topics and conduct educational conference calls to nationwide staff.
Healogics, Inc., Jacksonville, FL March 2008 – May 2014
Director – Revenue Cycle Department
-Responsible for all Revenue Cycle issues for the Atlantic Zone (NY, NJ, PA and VA).
-Assisted with operating budget for Atlantic Zone, Gross Revenue.
-Supported four Area Vice Presidents (AVPs) and forty-five Program Directors (PDs) regarding all financial, operational and revenue cycle issues in the Atlantic Zone.
-Previously responsible for financial, operational and revenue cycle support for three AVPs and fifty PDs in the Southeast Zone.
-Presentation of financial and operational issues to hospital’s administrative team.
-Review of hospital collection reports and monthly Revenue Cycle Audits.
-Continuous review of Local Coverage Determination policies for the various MACs.
-Conducted Revenue Cycle education to new Program Directors (PD) during PD 1.
-Communicated Revenue Cycle topics during DASH meetings, monthly conference calls, etc.
-Annual review of Hospital Superbill and Charge Masters.
-Prepared power point presentations and conduct monthly PD education conference calls.
-Created Webinars for training purposes.
-Development Team presentation and analysis support.
St. Catherine of Siena Medical Center, Smithtown, NY September 2005 - March 2008
Director - Reimbursement Department
-Created and monitored annual budget with Gross Revenue of $600 million, for 311 bed Hospital, 240 bed Nursing Home and three additional entities.
-Supervised, coordinated and completed all work orders including special projects with staff.
-Responsible for the completion of the Institutional Cost Report, Medicare 2552 and RHCF-4.
-Prepared monthly Revenue Proof for presentation at financial statement meeting.
Curative Health Services, Hauppauge, NY December 1997 - March 2005
Director - Reimbursement Department, 2/2000 – 9/2005
- Supervised field staff of six managers.
-Guided company through reimbursement methodology change to APCs.
-Co-authored, presented and disseminated details of APCs to entire company.
-Participated in company-wide learning initiatives using Digital Lava technology.
-Produced and presented quarterly financial statement for ninety programs.
-Created initiatives to assist field in the financial operations of their centers.
-Researched rules and regulations published by CMS, determined the effect on our business, provided senior management and field personnel with pertinent information.
Interim Corporate Compliance Officer, 2003 – 2004
-Developed and maintained policies and procedures for Compliance Program and the Corporate Integrity Agreement.
-Managed day to day compliance activities.
-Identified areas of compliance risk and develop corrective action plan.
-Supervised internal audit activities.
Manager - Reimbursement Department 12/1997 – 2/ 2000
- Provided financial support to 150 Wound Care Centers.
-Prepared and presented Wound Care Center’s annual financial statements.
-Billing system and Medicare regulations review.
-Provided reimbursement and physician in-services for new program.
Holmar Nursing Agency, Inc., Rockville Centre, NY March 1997 – December 1997
Controller
- Supervised staff of seven.
-Created Accounting System including Financial and Statistical Reporting.
-Filed current and previous year’s cost and statistical reports.
-Responsible for daily financial activities including payroll, accounts receivable and payable.
-Assisted Auditors with creation of previous year’s accounting records.
North Shore Health System, Valley Stream, NY September 1987 – March 1997
Franklin Hospital Medical Center
Controller
-Responsible for Financial Statements, General Ledger and Annual Budget presentation.
-Directed staff of ten supervisors.
-Responsible for Reimbursement activities including third party filings, rate calculations, etc.
for Hospital, Skilled Nursing Facility and Home Health Agency.
-Converted General Ledger and Accounts Payable Systems.
-Coordinated audits for Certified Public Accountants and third party agencies.
-Developed, coordinated and supervised staff for completion of all special projects.
-Oversaw payroll, accounts payable, accounts receivable and data processing activities.
The Church Charity Foundation of Long Island, Hempstead, NY Feb 1985 - Sept 1987
Supervisor – Reimbursement Department
- Prepared third party and governmental reports for Hospitals and Nursing Homes.
-Accumulated financial data and departmental statistics for third party reporting requirements.
-Reviewed and analyzed rate calculations.
-Prepared Medicare 2552 utilizing cost reporting programs.
-Assisted in preparation of annual budget, feasibility studies and special projects.
-Distributed and supervised special projects to a staff of three.
Peat, Marwick, Mitchell & Co., New York, NY September 1982 – February 1985
Consultant
-Reviewed third party rate calculations for clients.
-Prepared Medicare 2552 utilizing cost reporting program.
-Assisted in financial feasibility studies and several hospital audits.
EDUCATION
Adelphi University
MBA Health and Hospital Care Administration
Hofstra University
B.B.A. Accounting
PROFESSIONAL AFFILIATIONS
Healthcare Financial Management Association – Advanced Member
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