Post Job Free

Resume

Sign in

Customer Service Manager

Location:
Belleville, NJ
Posted:
January 07, 2024

Contact this candidate

Resume:

Isabel Feliciano

Phone: 973-***-****

Email: ad2i79@r.postjobfree.com

An accomplished and result-oriented professional with robust experience acquired over the years in delivering optimal results & business value coordinating office operations and performing detailed administrative support functions across call centres and medical facilities. Skilled in performing HR responsibilities, QuickBooks, AP, Payroll Specialist, managing office equipment and communications systems, developing office policies, and processing payments as an invoicing specialist. Holds credit for overseeing office activities while implementing new procedures to ensure optimal productivity. Excels in demonstrating a steadfast commitment to providing outstanding administrative management within fast-paced environments while streamlining operations and achieving company success. Articulate communicator with exceptional mentoring skills in transforming a low-performing team into a high-calibre workforce, coupled with proven abilities to work with cross-functional and multidisciplinary teams. Exceptional communication, presentation & interpersonal skills to grasp new concepts quickly and productively utilizing same.

Skill Areas: Project Management, Medical Billing, Scheduling, Solution Selling, invoicing, Accounts Receivables, Performance Management, Process Improvement, Compliance & Regulations, Strategic Planning, Training, Contract Negotiations, Customer Service, Problem-Solving, Leadership, Strong Interpersonal Skills, Analytical Skills, Client Relationship Management, Team Management, Outstanding Communications Skills, Payroll Processes

PROFESSIONAL EXPERIENCE

Freedom Surgical Center, LLC, surg Center, Bloomfield, NJ (Jan. 2021 – Present)

Business Office Manager

Direct a productive and highly focused customer service trained business office team including, surgery scheduling, admissions/registration, insurance verification and authorization, reimbursement approval and monitoring, assisting CBO processes.

Manage all recruiting, hiring, training, performance management, and progression planning of new staff.

Manages daily interaction with CBO processes and all month-end close processes.

Ensures compliance with industry regulatory standards, including Surg Center’s Business Office standards, policies and procedures.

Process quarterly NJ State Use Sales Tax and payment.

Showcase exceptional leadership abilities to help direct, coach and motivate staff.

Oversee performance evaluations for employees supervised and organized departmental meetings.

Integral in maintaining strict confidentiality about account status.

Process and or create purchase orders for all supplies/merchandise ordered and oversee invoices for accounts payables in Quick Books.

Develop a positive working environment to enhance daily output standards in quality and timeliness.

Process payroll for all employees via the ADP Workforce system and Kronos for all employees. In addition to adding new hires and terminating previous employees.

Responsible for managing the front-end activities, including personnel management, customer relations, inbound calls, insurance eligibility, and financial services.

Develop Excel spreadsheets to arrange scheduling statistics, collections billing services, and deliver current financial data to the Board of Directors.

Confirm all claims/invoices are billed by assuring operative reports, and coding is completed are and prompt.

Suburban Endoscopy Center/USPI, Verona, NJ (Oct 2019 – Jan. 2021)

Business Office Manager

Directs a productive and highly focused customer service trained business office team, including surgery scheduling, admissions/registration, insurance verification, monitoring/assisting CBO processes

Involved in recruiting, hiring, training, performance management, and progression planning of new staff.

Manages daily interaction with CBO processes and all month-end close processes.

Ensures compliance with industry regulatory standards, including USPI Business Office standards, policies and procedures.

Showcase exceptional leadership abilities to help direct, coach and motivate staff.

Oversee performance evaluations for employees supervised and organized departmental meetings.

Integral in maintaining strict confidentiality about patient account status.

Processes invoices for accounts payables and payroll for employees.

Develop a positive working environment to enhance daily output standards in quality and timeliness.

Process payroll for all employees via PrimePay and Time Clock.

Garden State Endoscopy, Kenilworth, NJ (2016 - 2019)

Business Manager

Responsible for managing the front-end activities, including personnel management, customer relations, insurance eligibility, and financial services.

Involved in recruiting, hiring, and training new Patient Services staff (PSC) while maintaining employee confidential Human Resources records.

Developed Excel spreadsheets to arrange scheduling statistics, collections billing services, and deliver current financial data to the Board of Directors.

Oversaw inventory and ordered supplies, and drafted all appointments and re-appointment for physician's credentialing.

Processed invoices for accounts payables and payroll for the entire company in the ADP Workforce system.

Key Accomplishments

Instrumental in launching a kiosk registration system resulting in enhanced accuracy of the information and a more efficient registration process.

Evaluated and drafted employee HR and medical record documents to ensure regulatory compliance, leading to the successful passing of state audits.

New Jersey Public School District, Bloomfield/Belleville/Newark, NJ (2012 - 2016)

Substitute Teacher

Followed teacher lesson plans to educate children K-12 within the New Jersey Public School System.

Bravo Reimbursement Specialist, LLC, Parsippany, NJ (2012 - 2012)

Manager of Patient Services

Directed 23 Call Center Customer Service Representatives and two Assistant Supervisors, responsible for providing exceptional customer service and exceeding customer expectations.

Managed customer complaints to enhance customer satisfaction and resolved employee issues.

Partnered with Human Resources to ensure compliance with all company policies and procedures and oversaw employee time bank and payroll.

Key Accomplishments

Instrumental in initiating continuous process improvements and strategies to improve organizational efficiency and achieve business objectives.

Determined department and individual targets and implemented targeted training opportunities to meet staff needs and ensure direct reports to achieve goals.

Avenel Iselin Medical Group, LLC, Iselin, NJ (2008 - 2010)

Manager of Billing

Responsible for training four billers to safeguard best collection practices and professionalism while monitoring their performance to maximize efficiency and revenue collection.

Worked closely with the front desk supervisor to address challenges with daily functioning.

Orchestrated accounts receivable, payment posting, collections, and pending charges while ensuring high customer service levels.

Briefed Board Members on reports highlighting the end-of-month close, end-of-year close, patient, Medicare, and commercial ageing.

Oversaw all correspondence from patients and insurance companies, including explaining benefits/payments and patient letters.

Maintained patient confidentiality under HIPPA Regulations while hiring, training, and performing all billing department reviews.

Key Accomplishments

Designed policies and staff training manual to establish best practices and organizational procedures and showcase proper procedures for billing and completing e-charts.

Instrumental in collecting a monthly average of 90% of $1M charged on behalf of 18 physicians or service providers.

Metropolitan Family Health Network /FQHC, Jersey City, NJ (2006 - 2007)

Manager of Patient Billing and Finance (Registration)

Instituted the billing department for new FQHC by recruiting, hiring, and training three billing staff and five registrars.

Oversaw day-to-day operations of the department, annual performance reviews, the staff schedule, and task delegation.

Monitored billing and collections from all payers, including patients, and insurance carriers, billing over $2.5M monthly and receiving $1.25M.

Leveraged insurance carrier incentive programs to enhance revenue.

Transformed nine months of existing invoices to electronic format within three months.

Aided patients in qualifying for federal funds and services to receive treatment while safeguarding patient confidentiality under HIPAA regulations.

Key Accomplishments

Delivered in-depth training presentations to the billing department to demonstrate best practices and accelerate collections recovery resulting in 100% recovery of past Medicare payments of over $350K.

Served as the primary point contact person of the EHS Practice Management System, presenting training on the system to all staff and overseeing the configuration of the software system.

Conducted a denial root cause analysis and introduced streamlined protocols to correct issues, ensuring timely processing of all claims and minimizing denials.

Micro-Tech, Jersey City, NJ (2004 - 2006)

Health Instructor

Educated students on software technology, science, and patient care techniques.

Showcased lab skills and ECG/EKG procedures, emphasizing upon importance of OSHA and HIPAA compliance.

Gastro Surgi Center Of NJ, LLC, Mountainside, NJ (2000 - 2004)

ASC Director

Responsible for managing the billing department's daily operations, evaluating performance, and conducting training for four billing coordinators and three front desk clerks.

Processed reports including patient ageing, commercial/indemnity insurance ageing, Medicare ageing, daily close, end-of-month close, and end-of-year close.

Oversaw all aspects of billing and finance.

Administered correspondence with patients and insurance companies by utilizing Medical Manager Software and Microsoft Office Suite.

Key Accomplishments

Orchestrated billing for nine gastroenterologists, twelve anesthesiologists, and three pathologists, totalling a monthly average of 1.75M and collected over $1M in monthly revenue.

Negotiated fees to maximize receivables from insurance companies and coordinated payment plans with patients to safeguard collections resulting in enhanced revenue.

Instrumental in transforming all paper billing claims to electronic billing claims, consolidating costs, and enhancing billing accuracy.

Previous Experience:

Outsource Rapid Medical Bills, Newark, NJ 1998- 2000

Manager

Aetna/Us Healthcare, Fairfield, NJ 1993 – 1997

Account Manager Supervisor Call Center

Nejat erem, Industrial Clinic, Carlstadt, NJ 1989-1992

Certified Medical Assistant, RMA

Education & Certification

Bachelor of Applied Science in Technical Management 12/2012

DeVry University, Paramus, NJ

Associate of Applied Science in Health Information Management 03/2000

Berkeley University, West Paterson, NJ

Certified Medical Assistant, Lyons Institute, RMA

Technical Skills:

Microsoft Office Suite AdvantX, Medical Manager, Healthstream, Healthnet, EHR, EMR, ProVations MD, ProVation EHR, Clearwave, Transexpress, ADP, Kronos, ENVI, Oracle.

Affiliations:

NJ State Notary Public

BLS American Red Cross

Golden Key International Honor Society

Languages:

English and Spanish



Contact this candidate