ADMER O. OSORIO

** ********* *** ********** ** **758 Telephone: 347-***-**** Email: ad3r5a@r.postjobfree.com

Objective:

To obtain a Management position where I can continue to utilize my skills and ideas to ensure the highest level of productivity and cash flow

Experience:

Nassau University Medical Center April 2023- Present

Patient Navigator

Assist patients and clients with navigating healthcare, health education and insurance systems.

Ensure clients remain engaged with support services, provide referrals and follow ups, as necessary.

Document services provided, maintain documentation for eligibility screens, assessments, action plans and case closings.

Act as the liaison between departments to ensure smooth process patients during their appointments.

Maintained effective communication with registration department and patient accounts to ensure accounts are accurate for timely billing.

Fostered great customer service to all.

Navigated insurance websites to obtain authorizations and referrals, and communicated such to Patients/Representatives and Providers.

Tuff Cuts Barbershop

Self-employed/ Master Barber January 2011- Present

Monitor staff performance to ensure complete customer satisfaction

Responsible for interviewing, hiring and dismissal of employees upon multiple customer complain

Fully responsible for all cash flow and business

Winthrop University Hospital

Outpatient Accounts Manager April, 2008– September 2010 Financial Control Manager April, 2005 – April, 2008

Outpatient Patient Coordinator May, 1998 – April, 2005

Monitored staff performance to ensure timely billing and follow up of accounts; developed new ideas for increased cash collection to reduce account receivables; and addressed Third party audits as well as State and Federal audits with a timely response

Reported and responded to incorrect payments and denials by creating new policies and procedures to ensure that all Federal, State and Hospital Corporate Compliance regulations are adhered to

Conducted staff meetings when needed to review new policies and procedures; and trained new employees on policy & procedures of the department and hospital

Prepared the general ledgers cash journal entries; and balanced bad debt referrals and cash collected, from outside agencies; and updated the daily cash reconciliation status report; and verified that cash deposited is posted to accounts receivable and/or the general ledger

Responsible to guide the financial control staff on new posting procedures and HIPPA compliance guidelines

Reviewed and corrected electronic postings and kick-outs on TCE’s and posted IME allowances to appropriate accounts

HIPAA trouble shooter for Out Patient Billing; and also monitor hi volume service codes and Quarterly CMS updates of the Hospital Outpatient Prospective Payment System (OPPS) in order to recommend HCPCS/CPT and revenue code adjustments

Responsible for the weekly distribution to ancillary departments of the Out-Patient Exception Report and follow up with corrective actions; and delegated and respond to patient complaints regarding registration and demographic information; and responsible to in-service outpatient staff of all registration and HMO contract updates

Oversaw the implementation of procedures that are instituted by the facility or outside organization to facilitate payment, (i.e. CMS, internal policy and procedure changes, HMO contracts) and monitored the OMNI Pro Medicare claims correction

Education:

John Bowne High School High School Diploma Queens, NY

Queensborough Community College Certification Biller/Coder Queens, NY

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