Sheena Daisy Geran
*** ******* *** #** *****, NY 10451 646-***-**** adhjef@r.postjobfree.com
PROFESSIONAL PROFILE
Well qualified, results driven, proactive and resourceful medical professional with more than 22 years experience seeking to continue my career with an organization that will utilize my supervision and administrative skills to benefit mutual growth and success. Strong leadership and interpersonal skills to direct work, develop talent and drive engagement. Top performer with track record of consistently meeting or exceeding goals and customer expectations. Team player with polished communication skills: verbal, written, presentations and rapport building. EDUCATION
Metropolitan College of New York New York, NY
Master of Business Administration/ Health Services and Risk Management 2018 The College of New Rochelle New Rochelle, NY
Bachelor of Arts in Liberal Arts/ Psychology 2015
EXPERIENCE
New York Presbyterian: Weill Cornell Medical Center New York, NY Financial Coordinator: Kidney and Pancreas Transplant Program 2016 – Present
Identify issues in the process-flow and departmental structure that impedes financial outcomes, proposes solutions, and collaborates with the department to implement corrective action
Coordinate and clarify patient specific financial aspects of care for transplant patients and their families for all initial evaluation and recurrent patients in order to help facilitate access and provide continuity of care in the transplant program; Collaborating with the transplant team, patients, and their families to advise patients on procedure costs and alternate source of funding
Educate and train the front-end staff and related divisions within NYP to key revenue cycle functions
Obtaining authorizations for transplant evaluations, listings, and surgeries
Liaise with the contracting department to initiate Single Case Agreements for potential new patients
Assisting in the advisory and development of the departments Hepatitis C Transplant Financial Agreement and policies for transplant listing and financial clearance Mount Sinai Health System/ Beth Israel Medical Center New York, NY Data Specialist: Professional Billing 2013 - 2016
Provided Medicare Part B billing and additional commercial insurances for correct coding initiatives for multiple hospital locations and practices for collection of current, past and lost revenue cycles
Assisted manager with error reports, claim processing reports, accounts receivables and pertinent ad hoc reports
Initiated insurance eligibility, benefits and verification for electronic and paper claims and communication with patients for specific details required on insufficient accounts
Trained and assisted staff and new employees on Medicare guidelines and policies for daily operations
Acted as a liaison with Managed Care division for Medicare credentialing of medical providers and updates based on claim denials, rejections and reports for four hospital systems Beth Israel Medical Center: Spine Institute of New York New York, NY Senior Administrative Assistant 2002 - 2012
Created, organized, implemented, and obtained online precertification/authorizations for radiology testing, surgical procedures and specialty medication for outpatient and in-office procedures, and other specialty services with outside pharmaceutical companies as well as in-house pharmacy department
Served as a liaison between physicians and law offices for edits of narrative reports and Independent Medical Examinations evaluations for all legal cases which also includes medical record processing
Developed a system to train new and temporary employees on office systems and daily operations
Arranged communication efficiency between departments, patients, and vendors for outpatient surgical procedures and non-chemotherapy infusion procedures SKILLS
Proficient in Presidio, EPIC, Eagle, Tableau, Telehealth, UNET/UNOS, PeopleSoft, CPT and ICD-10 codes, E-Clinical Works, C-Bay transcription, Lab-query, Soft, Profee/Stockamp, Oracle, Medicare NGS Connex, and Microsoft Office.