Finance Insurance Practice Administrator

Alexander Marc Luciani

cell: 267-***-****

adn18l@r.postjobfree.com

STATEMENT

Key Skills

Practice Operations and Management Report and Document Preparation

Accounts Payable/Receivable Human Resource

Quality Initiative Physician Relations

Healthcare Finance Insurance Credentialing

Practice Marketing Clinician / Resident Schedules

Customer Service Employee Mentoring Coach

Experience

Toporcer Dermatology 2020 -Present

Responsible for overseeing and implementing polices for the medical practice.

Oversee front desk staff, clinical and medial biller. Review billing and collection reports. Educate biller on new rules and guidelines. Manage the practice finances. Run monthly cost analysis comparisons, review with doctor what the practice goals are in present and future. Responsible for interviewing and hiring of new employees. Other duties include credentialing doctor with new insurance companies or recredentialing doctor with current insurances doctor participates with. Responsible for negotiating contracts with suppliers and salespersons.

other duties included collecting outstanding balances from patients, taking inventory of office supplies.

2019 – 2020 Heart Consultants

Director of Operations

Responsible for the operational and financial success of an 11 Physician 1 Nurse Practitioner

Cardiology and Internal/ Family medical practice (s).

Oversee 5 Managers and 50 employees

Reported to the Lead Physician

Practice site visits, holds manager and clinician meetings. Administers, directs, and oversees practice marketing, reviews yearly budget, meets with vendors to review and renegotiate yearly contracts and quality lab measures.

2015 – 2019 Pain Management

Practice Administrator

Managed an office of 6 providers and 25 staff members. Oversaw schedules, call center.

and OTHER. Implementation

Reported to the practice board.

Developed efficiency-enhancing workflow/process improvements that made

it possible to accommodate increasing responsibilities necessitated by staff

reductions.

Decreased office expenditures by implementing needed controls on

stock/supplies and standardizing ordering procedures.

Decreased overhead cost by evaluation staff schedules and developing a new

staff schedule template

2010- 2015 Aesthetic Dermatology-

Practice Administrator

Responsible for overseeing and organizing practice move.

Held weekly meetings with contractors, space planners and architect in relocating to new practice location and served as an integral part in the layout of the new practice.

Oversees the following areas: Office Manager, Administrative assistant, Insurance Billing Department, Cosmetic Marketing, front desk receptionist, medical assistants, laboratory, and medical records department. Monitors the smooth operation of patient care areas and physician needs in delivering such care. Supervise all staff and oversee all office and patient care functions. Monitors practice expense and review monthly financial reports. Ensure that impressive customer service is always practiced. Oversee the training of all staff. Perform employee yearly evaluations, medical leave as well as all human resource functions.

2007-2010 Albert Einstein Hospital-

Practice Manager

I oversaw 3 locations and 5 clinicians and a nurse practitioner.

Pilot site for Weight management.

Worked with Regional Directors on special project assignments when a director was on medical leave.

Oversees pediatric and internal medicine departments.

Worked with the smooth transition of medical residents into the practice as well as coordinating schedules.

Served as a mentor for new office managers.

Reviewed rvu’s with clinicians so they stayed on target for yearly financial structure.

2005-2007 Children’s Hospital – Kids First Chestnut Hill –

Office Manager

Responsible for the day-to-day operations of a 6-clinician pediatric practice, nurse call center and 45 staff medical practice.

Reviews and prepares office to make sure office is JCAHO compliant for unannounced surveys.

Monitor and reviewed vaccine inventory to previous year totals and billables.

Acts as liaison between physicians and hospital management.

Responsible for preparing and processing purchase orders and office supply requests.

Held interviewing and hiring of new employees Responsible for reviewing clinician master schedule and daily edits to schedule, as necessary.

Collaborates with the central billing office to resolve outstanding billing issues.

2002-2005 Elizabeth M. Spiers, M.D. P.C. Doylestown, Pa-

Practice Administrator

Created HIPPA manual for practice. Educated staff on HIPAA rules and guidelines that need to be followed for patient privacy.

Quarterly meetings with accountant and reviewing financials and year’s close.

Responsible for overseeing and implementing polices for the medical practice.

Marketing the doctor’s practice and creating new means of capital for office.

Attend monthly meetings at hospital and relaying to doctor any new rules and regulations.

Audit of medical charts and review to see if proper codes were used. Oversee medial biller and review billing and collection reports. Educate biller on new rules and guidelines. Manage the practice finances. Run monthly cost analysis comparisons, review with doctor what the practice goals are in present and future. Responsible for interviewing and hiring of new employees. Other duties include credentialing doctor with new insurance companies or recredentialing doctor with current insurances doctor participates with. Responsible for negotiating contracts with suppliers and salespersons.

1999-2002 Eric I Mitchell, M.D. P.C. Philadelphia, Pa.

Office Manager/Billing Manager

Credentialing doctor with new insurance companies or recredentialing doctor with current insurances doctor participates with Responsible for interviewing and hiring of new employee’s, meeting with employees for their yearly evaluation. Responsible for reviewing updating and implementing office protocol manual. Making daily bank deposits. Responsible for upholding and understanding compliance regulations. Responsible for submitting medical bills to insurance companies (Medicare, Blue Shield, Keystone, etc.) Other duties include collecting outstanding balances from patients, calls to insurance companies to check status of claims and posting of insurance checks.

July 1994- 1999 Assoc. In Med. And Cosmetic. Dermatology Springfield, Pa.

Billing Coordinator

In charge of the billing department of multi doctor practice. Responsible for submitting medical bills to insurance companies (Medicare, Blue Shield, Keystone, etc.) other duties included collecting outstanding balances from patients, taking inventory of office supplies and sales products. Handling all insurance rejections. Calling insurance companies to check the status of claims. Posting of insurance checks. Running monthly payer codes to check the outstanding balances that are due from insurance companies over 90 days or more. Trained receptionist with medical management software on how to schedule and cancel appointments, enter charges.

EDUCATION

1994 Temple University, Philadelphia, Pa.

Major: Human Resource Administration

Bachelor of Business Administration

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