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Medical Billing Front Desk

Location:
Flushing, NY
Posted:
February 27, 2023

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Professional Summary

Highly accomplished Human Resource/Operations/Project Management professional with proven success in the Private Sector, Pharmaceutical and the Healthcare industries. Providing innovative solutions/ideas that enhance efficiency and produce revenue opportunities for an organization. Adroit at improving healthcare projects in addition to providing consultative services for healthcare systems.

Education and Training

B.S Finance, 1990

Norfolk State University, Norfolk, Virginia

Project Management Certification Program, 2015

Stony Brook University, Stony Brook, New York

Professional Experience

Director of People Operations, FemmPro OB/GYN, Garden City, NY

(March 2022-Present)

Full Cycle Human Resource performance.

Employee performance management.

Managerial and labor relations.

Employee engagement and communication.

Creating a strong cross-office “one” team culture with a focus on teamwork and collaboration.

Oversee the scheduling, assignments, and daily workflow of providers and subordinate staff in each office.

Monitor the daily work activities of the office with assistance from the designated Office Assistants.

Lead the discipline and termination of employees in accordance with company policy.

Process and administer payroll to FemmPro Accounting Department and use of online HR platform, Rippling.

Developing and administering human resources plans and procedures that relate to company personnel.

Planning, organizing, and controlling the activities and actions of the Human Resources department.

Contributing to the development of Human Resources department goals, objectives, and systems.

Actively lead and engage in recruitment for practice positions including but not limited to provider as needs evolve.

Primary responsibility for the hiring and termination of front desk staff, medical assistants, and other staff.

Evaluating and implementing a scalable HRIS system.

Embrace new technologies, new platforms and be a change agent/early adopter for the practice, leading by example for all employees.

Developing functional successful profiles by department with related organizational development paths.

Creating and revising job descriptions, maintaining online job boards, conduct background checks, and reference checks.

Primary POC for recruiting and staffing agency.

Creating materials and conducting new employee handbook, coordinating with the company’s employment lawyer to revise as needed.

Performing benefits administration.

Developing, administering, analyzing, and updating the company’s performance evaluation program.

Maintaining and revising the company’s policies and procedures.

Maintaining employee records and reports.

Maintaining compliance with federal, state, and local employment laws and regulations, and recommended best practices; reviews policies and practices to maintain compliance human resources, talent management, and employment law.

Clinical Care Manager, Advance Care Alliance, Queens County, NY

(June 2019 – March 2022)

Provide patient needs by matching appropriate services for care

Responsible for maintaining and updating patient records.

Oversee patient care at clinics, hospitals, nursing homes, and other health care facilities.

Consult with health professionals to decide appropriated services for client base.

Communicate with insurance companies to determine a patient's needs in plan coverage.

Inform client base of general preventative care practices as well as individualized care plans.

Track patient’s electronic records, security measures, and legislation regarding patient privacy and other issues.

Streamline business operations and instituting measures to improve care.

Analyzing business processes.

Creating and reviewing budgets, coordinating with plan teams.

Assessing business performance.

Utilize technological advancements to improve business operations and streamline processes.

Director of Human Resources, HALDEY Pharmaceutical Compounding, New York, NY

(July 2016 – June 2019)

Working knowledge of multiple HR disciplines to include compensation practices, organizational diagnosis, employee and labor relations, diversity, performance management, and Federal/State employment laws.

Design, plan, develop, implement, and maintain strategy and programs to recruit and retain top talented individuals from within the pharmaceutical industry worldwide.

Develops procedures and supplements that allow human resources staff to function efficiently and that are easy for hospital staff to access and implement.

Develop and implement human resource management policies and procedures which support the company's objectives and comply with applicable laws and regulations.

Design and direct programs to enhance employee morale to promote positive employee relations and to create and sustain a positive culture and climate.

Participate in strategic planning, provide guidance on human resource issues, and work closely with senior staff to accomplish company objectives.

Partner with a cross-functional group of subject matter experts within HALDEY Human Resource centers of excellence to design and execute strategies for how the business staffs, onboards, develops, motivates, retains, and organizes work.

Senior Human Resource Manager, HALDEY Pharmaceutical Compounding, New York, NY

(February 2015 – July 2016)

Implement corporate hiring processes to improve quality of hire and work towards reducing costs of hire

Oversee the bi-weekly payroll & Benefits Administration.

Administer annual performance management process for employees, liaising with employees and managers to ensure compliance within required timeframes.

Enhance employee engagement and organizational effectiveness through the administration of reward and recognition schemes, employee events, benefits programs, employee surveys, etc.

Oversee and generate HR related documents in recruitment, such as job descriptions, employment contracts, etc. and ensure quality control.

Participate in strategic planning, provide guidance on human resource issues, and work closely with senior staff to accomplish company objectives.

Provide constructive performance feedback on all recruiting sources and tools to better improve the recruiting process for operating companies

Practice Administrator of Special Surgeries, Mount Sinai Health System, New York, NY

(October 2010 – February 2015)

Implemented and monitored the Special Surgery's annual budget, including medical and office operating expenses, purchase orders, capital budget, annual bonuses, and salaries.

Ensured regulatory compliance according to Federal guidelines including, HIPAA, OSHA, the Department of Health, the Joint Commission and CMS.

Responsible for Procurement, physician reimbursements, A/P and A/R.

Approved payroll and PTO balance for all departmental employees.

Oversaw and processed all medical billing and coding.

Hired and supervised all office and Union personnel.

Preformed all Human Resource functions for the Department of Special Surgery.

Provided health advocacy and for patients in need.

Utilized and oversaw various hospital systems such as Eagle, IDX, Outlook, Oracle, ECW and MDe, for outpatient surgery coding, scheduling of appointments, surgeries, including pre and post-operative testing, authorizations, insurance verifications and pre-certification for procedures, collection of co-payments and keeping track of no shows.

Senior Human Resource Manager, CUNY Research Foundation (BEGIN Managed Programs), New York, NY

(October 2005 – October 2010)

Preformed employee relations, trained and developed training modules, created benefits and compensation packages, authored organizational development projects and employment.

Trained and assisted managers make a smooth transition to the programs in the five boroughs.

Recruited HRA union and non-HRA employees.

Verified documents, helped negotiate salaries and resolved program employment issues.

Audited partnering programs to ensure compliance.

Managed human resources for programs under the HRA/BMP/FIA banner in all boroughs.

Identified qualified employers by networking with businesses and organizations in designated industries throughout New York City to become worksite partners.

Performed full cycle Human Resource functions for three programs in Upper Manhattan, Queens and Bronx regions.

Negotiated compensation packages for new employees.

Insured Memorandum of Understanding (MOU) agreements between HRA/BMP and Worksite Partners were up to date and distributed to the appropriate parties.

Human Resource Manager, CUNY Research Foundation (BEGIN Managed Programs), New York, NY

(April 1997 – October 2005)

Met regularly with site-based staff to prioritize training and development needs.

Developed site allocations for partnering organizations.

Acted as team leader to resolve issues involving participating agencies and BMP sites.

Designed and facilitated staff development activities for unit and site-based staff.

Interpreted Federal, State, City, and HRA policies and made recommendations consistent with BMP program standards to improve Worksite Management Unit services.

Oversaw the maintenance of over five hundred worksites in the BMP Office database.

Prepared yearly reports for Workers Compensation coverage, monthly narrative, and statistical reports as well as yearly State audits.

Collaborated with MIS unit to streamline, create and address problematic issues with the database.

Evaluated worksite partners and facilities to ensure that site met HRA/ OSHA standards and guidelines.



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