Post Job Free

Resume

Sign in

Patient Service Revenue Cycle

Location:
White Plains, NY
Posted:
May 30, 2023

Contact this candidate

Resume:

Edward Kerner

** **** ********* ****** *** *S

Hartsdale, NY 10530

(Cell) 917-***-****

adxeto@r.postjobfree.com

1

BUSINESS EXPERIENCE

****- *******

Grant Coordinator

Harlem Commonwealth Council, Inc.

New York, NY 10027

Major Responsibilities

• Responsible for the management and coordination of all aspects of the grant process for this 501(c) (3) nonprofit organization in Harlem. This includes writing, reviewing, and submitting grant proposals, as well as managing and reporting on the progress of funded projects.

• Conducts extensive research via search platforms such as GuideStar, Candid Foundation, Google, Grant Watch, Grant Gopher, Grants.gov, NYC Passport, to locate opportunities that match programs that are operational and in need of additional funding and support.

• Conduct research to identify potential funding opportunities from government agencies, foundations, and corporations.

• Write grant proposals, including budgets and supporting materials, that effectively communicate the organization's goals and objectives.

• Collaborate with team members to gather information and create comprehensive grant applications.

• Maintain accurate records of all grant submissions and follow-up activities.

• Develop and maintain relationships with funding organizations to increase the likelihood of successful grant awards.

• Keep up to date on trends and changes in the funding landscape to identify new opportunities for funding.

Major Accomplishments

• Submitted more than 200+ proposals and Letter of Interest (LOI)

• Obtained funding for Adult Basic Education (ABE) program for core curriculum material.

• Created name recognition and awareness of Youth Development Programs.

• Designed and implemented enhancement to database reporting and tracking. Edward Kerner

50 East Hartsdale Avenue Apt 3S

Hartsdale, NY 10530

(Cell) 917-***-****

adxeto@r.postjobfree.com

2

Sr. Director Revenue Cycle Management and Operations Urban Health Plan Inc. (FQHC)

Bronx, NY 10459

Major Responsibilities

• Led a strong effective staff to implement changes and best practices, as well as the development of planning initiatives, monitoring of processes and education of staff.

• Maximized the revenue cycle throughout the organization, including cash flow management and administrative functions that capture management and collection of patient service revenue.

• Direct oversight of billing, collection, registration/pre- certification, charge description master maintenance, denial management and managed care credentialing.

• Provided ongoing support to Urban Health Plan practices and assisted the organization in meeting its overall strategic goals.

• Actively promoted revenue management strategies and commitments to internal business partners and participates in financial results analysis, ensuring operation plans and practices appropriately address revenue recognition.

• Compiled and prepared statistics for managed care contract negotiation and decision support.

• Oversaw the credentialing of providers with managed care organizations and ensure billing system is reflective of currently credentialed providers. Major Accomplishments

• Increased cash collections by 10%.

• Reduced denials by 25%.

• Implemented advanced Revenue Cycle Reporting and meaningful Key Performance Indicators (KPI’s).

• Conducted training and leadership/ mentoring programs for newly appointed coordinators.

Edward Kerner

50 East Hartsdale Avenue Apt 3S

Hartsdale, NY 10530

(Cell) 917-***-****

adxeto@r.postjobfree.com

3

Sr. Director Revenue Cycle Operations

Montefiore Medical Center

Bronx, NY 10467

Major Responsibilities

• Managed a department that was responsible for facilitating projects within Revenue Cycle that led to operation improvements and revenue enhancements.

• Assisted and facilitated project management with the implementation of new systems and practices.

• Prepared revenue cycle budget for medical center at all site locations and worked with all clinical areas in assisting with project design and result tracking.

• Responsible for the maintenance of the medical center’s charge description master price listing.

• Provided senior leadership with metrics to facilitate strategic planning and ongoing project implementation.

Major Accomplishments

• Assisted in generating more than $400 million of incremental revenue to the bottom- line margin.

• Created monthly monitoring tool to supply clinical areas with metrics to assist them in improving the charge capture and daily reconciliation of patient visits.

• Created medical necessity tracking process which had contributed to reduction of bad debts and denials by 50% over a three-year period. Director, Business Advisory Services

KPMG LLP

Melville, NY 11747

Major Responsibilities

• Identified opportunities in assessing business needs for Revenue Cycle System and process improvement for major medical centers and physician practices throughout the county.

• Served as interim site facilitator for a large integrated delivery service provider.

• Directed projects ensuing those deliverables were met and time frames adhered to.

• Contributed to practice growth via Marketing and proposal submission. Edward Kerner

50 East Hartsdale Avenue Apt 3S

Hartsdale, NY 10530

(Cell) 917-***-****

adxeto@r.postjobfree.com

4

Major Accomplishments

• Performed diagnostic operational reviews for hospitals, academic medical centers, freestanding clinics, practice plans and long-term care facilities. Identified areas of opportunity/improvement and provided recommended solutions.

• Developed and implemented revised operational processes within Revenue Cycle Management for major medical centers, specialty hospitals, physician practices and freestanding clinics. The re-engineering programs included the integration of data, technology, and forms within the revised workflow processes.

• Directed Cash Acceleration/Accounts Receivable Reduction Programs. The projects facilitated increased cash flows into the hospitals along with an average 70% - 80% reduction in the accounts receivable file.

• Represented hospitals in third party audits that resulted in a significant reduction of the institutions’ liabilities.

• Developed and implemented multi-level financial operational management/financial reporting programs to support proactive monitoring and issue identification within Revenue Cycle Management.

• Assisted in the design and implementation of Consolidated Business Office (CBO) for major West Coast integrated health care delivery system, significantly reducing cost of services.

• Developed an RFP process for collection services, resulting in significant reductions in annual collection agency expenses and improved agency service levels.

• Initiated pro-active marketing techniques to sell new products/business.

• Developed and implemented an in-house offline system to track accounts receivable trends for reporting to senior administration.

EDUCATION

• Bachelor of Arts, Brooklyn College (Major English, Minor Accounting) ADVANCED TECHNICAL SKILLS

• Microsoft Word, PowerPoint, Excel, Access, Project, Visio, Salesforce, Quick Base VOLUNTEER

• Fundraising at American Red Cross, Greater New York TRIATHELETE

• Participated and competed in 20+ triathlons.



Contact this candidate