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Quality Assurance Revenue Cycle

Location:
Los Angeles, CA
Posted:
November 24, 2023

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TATYANA CHARNY

Mobile: 818-***-**** Email: ad1e6f@r.postjobfree.com

OBJECTIVE Seeking a position which can fully utilize my special skills, education, and work experience within a company that will allow for advancement and growth.

Highly motivated and experienced Healthcare Administrator with demonstrated success in operational efficiency, quality assurance, and regulatory compliance. Versatile and results-oriented professional with 20+ years of diverse experience, knowledgeable in all aspects of business functions, and with a solid background in the healthcare industry. Recognized for professionalism, positive mental attitude, commitment to excellence, and demonstrated ability to communicate and interact effectively with management and staff. Well-organized and analytical thinker with strong critical-thinking capabilities to manage day-to-day operations and strategic growth. Competent in developing administrative policies/ procedures and resolving problems. Proven ability to synthesize, review, and analyze complex data, contributing valuable insight to ensure organization’s financial success and delivery of quality patient care. Regarded for the ability to drive processes and motivate cross- functional teams; work well under pressure to meet goals and objectives. Outstanding interpersonal skills; adept at persuasion, power, and influence.

CORE COMPETENCIES

Collaboration and Leadership Skills Policy and Procedure Development Vendor and Resource Management Profitability Improvement Strong Problem-Solving Abilities Physician Relationship Management Contract and Budget Administration Strong Knowledge of Billing and Coding Guidelines Computer Skills: Proficient with Microsoft Office (Excel, Word, PowerPoint), QuickBooks, SIS, Nextech, Vision, Adventix, Medisoft PROFESSIONAL EXPERIENCE

oBand, Inc / MiVip Surgery Centers Culver City, CA 11/2010 - Present Chief Revenue Cycle Officer

Director of Insurance Verification & Billing Department Hired and challenged to restructure revenue cycle and address every aspect of nine surgery centers, six clinics and billing department operations. Coordinated insurance verifications, authorizations, and billing processes between clinics, referring physicians and surgery centers. Restructured pre-admitting procedures, staff scheduling, and every step of revenue cycle process in order to increase efficiencies for multi-specialty surgery centers, clinics and billing office. On daily basis oversee all aspects of operating functions in an effort to lead centers to new heights in revenues and physician/patient satisfaction. Established solid foundation and communicated employee expectations through revised procedures.

Increased procedures volume and operational revenue, which lowered labor cost and cost per patient, though improved surgeries line up.

Lead the monthly operational and financial meeting.

Increased collection goals from 70% to 112%.

Improved productivity by initiating new processes for revenue cycle operation from start to finish.

Prepared various financial documentations for yearly audits.

Established pricing for procedures, based on cost analysis and local benchmark prices.

Closely monitored with the accounting department the financial performance of all facilities to avoid cash flow issues and develop cost efficient practices.

Reviewed, negotiated, and controlled all agreements (physicians, vendors and purchasing) for multiple surgery centers and clinics.

Maintained physician, facilities, and vendors files up-to-date through appropriate credentialing.

Developed, implemented, and continually improved department policies, processes, procedures.

Improved physicians and employees satisfaction through listening responsiveness to concerns.

Created reports and statistical analysis of department operations and identified improvement opportunities.

Boosted morale and achieved low employee turnover, while building a great reputation for the company.

Maintained confidentiality, adhering to all HIPAA guidelines and regulations. Aegis Management Group Santa Monica, CA 04/2008-11/2010 Office Manager/ Director of Insurance Verification & Billing Department Assumed leadership position to direct all aspects of business office operations; developed and maintained policies and procedures. Recruited, hired, and trained staff. Initiated and established processes and procedures for in-house billing department, which included hiring, training, and establishing goals and objectives in a few months.

Reduced account receivable over 90 days from 45% down to 15%.

Improved billing and collections via tenacious follow-up of past due accounts.

Significantly increased efficiency of operations by bringing accounting and billing in-house and up-to-date.

Increased revenue through resolution of difficult payment issues and associated receivables management.

Streamlined and enhanced reporting capabilities by managing and tracking IOM technologists.

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CAST (United Surgical Partners) Los Angeles, CA 07/2004-04/2008 Billing Coordinator/Coder

Responsible for all aspects of clean ASC coding and billing.

Increased revenue and reduced AR.

Coordinated and streamlined billing process between doctor’s offices and the surgery center’s business office.

Assisted in front office duty such as scheduling, insurance verification, phone calls, and patients’ admission as needed. PMG Los Angeles, CA 09/2002-07/2004

Medical Charge Coder

Responsible for coding and billing medical procedures and diagnosis for various specialties such as internal medicine, OBGYN, orthopedic surgery, brain and spinal surgery, anesthesiology, pain management, etc. professional, hospital and ASC.

Responsible for medical supplies and medications records.

Worker’s Comp, MediCal, Medicare, PPO, EPO, HMO. BlueKite Company Irvine, CA 06/2001-08/2002

Medical Biller

DMEs coding and billing.

EOBs posted for various insurances.

Data entry operations.

Customer Service.

General accounting duties.

Supplies maintenance.

American Red Cross Los Angeles, CA 03/1999 – 05/2001 CEP Registrar

Data entry operations and provide quality assurance to CNA certificate.

Customer service to all clients and phone callers and visitors, take messages.

Input monthly statistics to generate monthly reports.

Provide computer generated assistance to Supervisor.

Coordinate the processing of all CNA testing registrations.

Type office forms and documents as required.

Assure necessary inventory of office supplies and marketing brochures.

Complete fingerprints and filling out forms BID -7. Translation services Los Angeles, CA 01/1998 - 02/1999 Office clerk

Data Entry.

Filing, Fax, Mail, Answering phones.

Accounts Payable, Payroll.

EDUCATION & TECHNICAL PROFECIENCIES

Certification of Medical Coding

Metropolitan, ICDC Los Angeles, CA 2000-2001

Diploma of Business Computer Operations

Pacific Travel Trade School Los Angeles, CA 1997-1998 B. S. in Information Systems and Electronics

Odessa University Odessa, Ukraine 1986-1991

REFERENCE Excellent references available upon request



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