Customer Service Human Resources
Resume:
Executive Masters:
Healthcare Administration
Florida Atlantic University
FL
Honors: Upsilon Phi Delta Honor
Society
Bachelor Of Science:
Health Services Administration
St. John's University
NY
*********@*****.***
Loxahatchee, FL 33470
Skills
Business Operations
Management
•
• Administrative Support
• Human Resources
Payroll Processing (ADP
Workforce Now, Workday, and
Kronos)
•
• Training and Coaching
• Microsoft Office Suite
Electronic Medical Records (EMR)
Systems (Meditech, Athena,
Point Click Care, and Envision)
•
• ICD 10 Codes
• Accounts Payable/Receivable
• Knowledge of UB-04
• EOB/CPT
• Problem Solving/Staff Training
Education And Training
Certifications
• Six Sigma Green Belt
Motivational Healthcare leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Smoothly administers budgets, trains staff and monitors procedures to maximize efficiency and balance objectives with operational requirements. Lifespace Communities - Business Office Manager
Boca Raton, FL
Baptist Health, BHMG North - Optimization Specialists Boca Raton, FL
Akumin - Clinical Administrator
Palm Beach, FL
Stacy Mais
Summary
Experience
Assist the Executive Director in initiatives to improve customer service and financial outcomes
•
• Oversee the day-to-day financial operations
Manage and train staff to ensure that they are performing their duties in an accurate and timely manner
•
Partner closely with Marketing, Office leaders, and residents, in order to achieve their expectations, while maximizing sales goals
•
• Monitor and analyze financial data to identify potential areas of improvement
• Maintain accurate census data in the healthcare management system Monitored accounts receivable, advising of delinquencies or other account irregularities.
•
Managed and controlled office supply inventory to secure timely ordering or requisition of depleted or low-level stock.
•
Serve as content and workflow expert, while working closely with departments to provide support for existing initiatives that align with EHR documentation, functionality and standardize documentation practices in order to deliver accurate and measurable reporting metrics
•
• Provide revenue cycle training, ins-services and EHR compliance Assist with the operational leadership team in ensuring appropriate resources and methodologies is provided, in order to support through research analysis and recommendation of improvements by achieving operational efficiencies
•
Facilitates organizational efforts and solutions development for business process improvement that is put in place by Boca Care Administration.
•
• Develop and review practice budgets and manage funding
• Oversee staffing needs, including physician and provider recruitment Review all office contracting, including professional staff, insurance/reimbursement contracts, and hospital call/reimbursement contracts
•
• Organize delivery of patient care in multiple office locations Solstice Senior Living - Business Office Director
Palm Beach, FL
Erickson Living, Chatsworth At PGA National - Business Office Manager Palm Beach, FL
• Plan provider and staff scheduling and manage patient medical records Develop, implement, and author office policy, including government compliance within HIPAA, Stark, and OIG regulations
•
• Develop, implement, and author human resource and office procedures Assess practice management computer systems, review new software and hardware products, and develop training schedules for staff
•
Work closely with practice leadership to develop the Office Revenue Cycle policy
•
• Develop billing and collection policies for patient accounts Monitor insurance company reimbursement, look for trends, and attend network meetings to stay up to date on policy changes.
•
Performed Human Resource administrative duties for the property, including payroll, maintenance of personnel files, employee orientation and facilitating general employee issues and inquiries
•
Recruited, hired, evaluated, coordinated, motivated, monitored performance schedule and supervise business office staff in accordance with company policy
•
Responsible for posting new job positions in the property and placing appropriate help-wanted advertisement in newspapers
•
Screened new applicants, conducted backgrounds, arranged for interviews and prepared appropriate documents for the level of interview process
•
Responsible for all aspects of employee's orientation including development and conducting such training
•
Managed employee benefit program including the notification to employees of the eligibility requirements and ensuring proper employee deductions are recouped
•
• Reviewed invoices for accuracy to identify cost savings. Collaborated with other departmental leaders to establish organizational goals, strategic plans, and objectives.
•
Oversaw daily activities in the business office, such as budgeting, forecasting, cash flow management, cost control, and revenue analysis.
•
Performed, administered, and oversaw the activities of the accounting functions including but not limited to the daily deposit, daily census, accounts receivable/collections, accounts payable and management reports
•
Understood and ensured compliance with all Federal (Title 22) and state regulations concerning department.
•
• Maintained up-to-date records of all financial transactions. Completed daily and monthly reconciliation of Continuing Care census, to include payer table, level of care and authorizations with admissions (HCC or HCSD) to ensure proper insurance information is pre- authorizations was captured
•
Assisted in the day-to-day accounting functions of the facility in accordance with current acceptable accounting and cost reimbursement principles relating to the nursing facility operations with the Nursing Home Administrator
•
Supervised up to 30 staff (CNA's, RN's, Receptionist, Rehabilitation, Culinary Department and Housekeeping)
•
• Managed and oversaw bookkeeping functions to include monthly review of JFK Medical Center - Patient Experience Concierge
Palm Beach, FL
JFK Medical Center - Patient Access Representative Palm Beach, FL
Northshore LIJ - Accounts Receivable/Lead Patient Access Representative Long Island, New York
care center aged accounts from the Accounts Receivable department Posted payments and charges to patient ledgers, balance daily receipts; collected on 300-600 delinquent accounts while accessing level of bad depth reserves
•
Reviewed and recommended write off, caveat, or collection to the Nursing Home Administrator or Finance Director
•
Reconciled and maintained continue Care Resident funds in accordance with Federal and State regulations
•
Participated in monthly financial review with Nursing Home Administrator, Finance Director; Director of Accounts Receivable; Regional Finance Director, and Accounts Payable or Receivable.
•
• Oversaw the daily activities of the front desk
Navigated patient/guest flow in registration areas to ensure an overall positive customer service experience
•
• Provided patient flow updates to PTAC leadership Explained policies regarding service charges, insurance billing and payment of accounts
•
Interviewed incoming patients and relatives, or other individuals to obtain demographic information
•
• Coached employees with customer service opportunities. Communicated with patients, physicians, and insurance organizations in order to facilitate patient registration and ensure the accurate scheduling of medical appointments, procedure, and tests were recorded while maintaining patient confidentiality
•
Established and maintained long-term customer relationships by building patients trust and respect
•
• Met and exceeded HCA expectations
• Trained new personnel
Explained policies, procedures, or services to patients using medical or administrative knowledge
•
Investigated and directed patient inquiries or complaints to appropriate medical staff members and follow up to ensure satisfactory resolution.
•
Knowledge of Reimbursement procedures for private pay, private insurance, Medicaid, and Medicare Parts A & B, in order to manage all accounts receivable functions including collections, denials, patient responsibility letters, Medicaid Approval letters and write offs
•
Developed and implemented reimbursement and billing procedures to ensure both are following compliance with applicable state and federal regulations as well as generally accepted accounting practices, maximization of accounts receivables effectiveness as measured by increased collections and decreased accounts receivable aging and bad debt write offs
•
Supervised the daily work of designated fiscal service department employees to ensure that billing is available and reported accurately
•
• Streamlined operations to achieve new efficiencies, improve on-time collections and reduce invoice processing time by 90%.
• Provide in-service departmental staff training on a regular basis
• Reviewed claims to ensure that payer specific billing requirements were met Assisted with discrepancies in payments and adjustments and followed-up on rebilling and updating accounts as necessary
•
Daily expediting of requisitions for end users as well as created requisition on PeopleSoft
•
Conducted interviews to obtain patient demographics and insurance information
•
Served as a liaison between patients, doctors, and managed care organizations
•
Initiated pre-authorizations and referrals necessary for outpatient and inpatient procedures
•
Incorporating 6 hospitals, utilizing 5 billing and registration systems
(coordination of benefits, benefit coverage/ limits, copays, authorizations, precertification and referral requirements)
•
Performed financial assessments, counseling and sliding Fee Scale Assessments for patients who are uninsured and/ or unable to meet their financial obligations
•
Participated in periodic audits conducted by external auditors related to Accounts Receivables processes.
•
• Registered both inpatient and outpatients through Envision Checked account balances when requested, and advised patients of all financial obligations.
•
Contact this candidate