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Medical Billing Customer Service

Location:
Fort Lauderdale, FL
Posted:
April 19, 2023

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Resume:

MARVIN ANDRE SHAW

Fort Lauderdale, FL 954-***-**** adwm1w@r.postjobfree.com

P R O F I L E

Assertive Healthcare Operations Management Professional with proven success in driving Practice Operations, Sales & Marketing Initiatives, Revenue Assurance/Collections, Client Management/Development, Patient Satisfaction, Regulatory Compliance and Financial & Clinical operational functions within the healthcare arena. An entrepreneurial leader with the unique ability to identify and capture unseen opportunities, develop innovative marketing approaches, and achieve revenue growth. Other strengths encompass:

Medical Practice Management & Administration ICD-10, ICD-9, CPT-4, and HCPCS Coding Technology Integration

Medicare, HMO and PPO Insurance JC/HIPAA/OSHA Compliance Practice Licensing/Credentials

Process Improvement/Best Practices Project/Resource Management Staff Management/HR

Change Management/Transition Services Strategic Partnership Development Organizational Development Experienced leader and staff manager/developer who leads by example. Strong business acumen and a practical sense of what works in complex business environments. Meticulous attention to detail and consistent record of overachievement in improving quality, accountability, and efficiency. Superior record of surpassing metrics and delivering bottom-line results through a variety of strategic-level initiatives. Customer-focused and quality-driven with a strong foundation of ethics and high degree of integrity and loyalty. P R OFE S S I O N A L E X P E R I E N C E

DR. IRVING M. BRATT, MD FORT LAUDERDALE, FL 10/2019 - PRESENT

Office Manager

Recruited by the doctor as a critical member of the management team accountable for providing strategic leadership for operations of this primary care office supporting 3 providers. Responsible for patient flow, continuous innovation, marketing, purchasing, vendor relations, billing/coding/reimbursement, budgeting & financial management, medical records, best practices, continuous process improvement, human resources, productivity, and regulatory compliance. Hire, train, and supervise 12 employees in a patient-centric setting. Practice Operations

• Develop and maintain an organizational infrastructure necessary to achieve effective patient flow and capacity expansion. Create the annual strategic plan and perform monthly analysis to ensure the achievement of those goals.

• Implement HIPAA and OSHA compliance standards, and update OSHA manuals and office Policy & Procedures.

• Apply cost effective management and business practices, lead and motivate staff, and instill a teamwork approach to ensure the delivery of exceptional customer service.

• Ensure the development of clinical care services lead to outcomes supportive of the facility and organization’s strategic plan.

• Facilitate the development and implementation of performance improvement plans resulting in improved patient satisfaction. Financial Leadership

• Oversee Billing and Reimbursement for proper ICD9 & ICD10 coding and institute best billing practices, ensuring the highest level of reimbursement. Extensive experience in accounts payable and receivables, as well as with active EMR systems.

• Prepare annual budgets and financial analytics relative to labor, cost management, and revenue cycle management.

• Negotiate and contract with health insurance including HMOs, PPOs, Medicare, and Medicaid. Select Accomplishments

• Revamped the A/R process to address past due accounts resulting in decreasing aged A/R 90-days from 40% to 5%.

• Implemented new system enhancements and automation with MicroMD EMR to modernize the organizational infrastructure necessary to increase effective patient flow and capacity expansion.

• Facilitated the development and implementation of patient portals and text messaging system resulting in improved patient communications and satisfaction.

• Represent and enhance the company image within the medical community to generate referral sources.

• Key contributor to best practices implementation, process improvement initiatives, quality assurance, and cost-effective service delivery that is integral in growing the practice. ENVISION PHYSICIAN SERVICES PLANTATION, FL 07/2017 - 11/2019

Reimbursement Team Lead/Senior Analyst

Responsible for planning, organizing, and managing the activities of, as well as providing leadership, to the medical billing department. Accountable for ensuring cash collections, days in accounts receivables, adherence to corporate compliance and adjustments are within established goals. Hired, trained, and managed a staff of 17 accountable for collections exceeding $30M annually. (Cont. P2) Résumé of Marvin Andre Shaw 954-***-**** adwm1w@r.postjobfree.com Page Two P R O F E S S I O N A L E X P E R I E N C E - ( C O N T I N U E D ) ENVISION PHYSICIAN SERVICES - (CONTINUED)

Billing & Collections

• Implemented all internal billing and collection policies and procedures in order to meet collections goals and objectives of (15) governmental and private entities. Instituted key measurement tools for quality metrics.

• Followed up with insurance companies to ensure payment, evaluate reimbursements and made appeals when appropriate.

• Maintained strict confidentiality in accordance with HIPPA regulations and company policy.

• Identified and resolved outstanding patient accounts as related to decreased outstanding revenue that was beyond the 90-day mark.

• Managed the credentialing status with several insurance groups and negotiating contracts to reduce aged A/R to less 10%. Staff Leadership

• Oversaw team productivity, tracked problematic trends, and compiled statistical data to ensure monthly target of $2.5M were met.

• Held monthly staff meetings to maintain open communication with the staff and create a work environment to foster teamwork.

• Conducted performance evaluations for personnel and ensured proper training on company policies/procedures and best practices related to all collections functions.

THE PRIDE CENTER OF EQUALITY PARK WILTON MANORS, FL 09/2015 - 02/2017

KIKI Project Coordinator

Spearheaded mentorship projects from inception to conclusion advocating awareness and education of HIV in pivotal African American youth communities. Accountable for partner & volunteer recruitment; contract administration; compliance; event management; community outreach; performance management; mobilizing resources; and budget accountability.

• Initiated community outreach efforts regarding organizational services and programs with emphasis on advancing the organizational mission, as well as advocacy and sustainability initiatives.

• Recruited and actively collaborated with Community Partners to leverage opportunities to engage constituents from corporate, hospitals, community centers, HOAs, and non-profits.

• Ensured goal achievement through the effective leadership, engagement, empowerment, and mobilization of keynote speakers.

• Engaged in networking events serving as a liaison for the organization to encourage growth and expansion of the KIKI Project through increasing program awareness.

FIRST CHOICE MARKETING GROUP FORT LAUDERDALE, FL 10/2014 - 09/2015

Recruiter

Responsible for recruiting, screening, hiring, and training newly hired employees while assisting the upper-level management with all necessary administrative processes.

• Developed recruiting strategies and nurtured trusting relationships with potential hires. Fostered a positive candidate experience to ensure engagement throughout the recruitment process.

• Initiated direct candidate engagement through marketing strategies focused on building a pipeline of passive candidates through targeted/personalized email campaigns, cold calling, LinkedIn networking, direct sourcing, and other communication channels.

• Ensured compliance with federal, state, and local hiring practices and labor laws and corporate policies and practices.

• Maintained time-to-fill metrics and exceeded hiring quota every month through robust search strategies to deliver the right talent. E D U C A T I O N + C E R T I F I C A T I O N S

Bachelor of Applied Science Degree in Information Technology, American Intercontinental University, Plantation, FL Certified Professional Biller (CPB), AAPC

Certified Physician Practice Manager (CPPM), AAPC

C O M P U T E R S K I L L S

Microsoft Office (Word, Excel, PowerPoint, and Outlook), Electronic Medical Records (EMRs)



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