JOSEPH PETRUS

Northridge, CA 818-***-****

adznlz@r.postjobfree.com

A talented professional with profound knowledge of resources in the operations, medical billing & collections community, laws, regulations, methods, principles, supervision, and training. Passionate, motivated, and driven with an entrepreneurial mind set. Resourceful, innovative, forward thinking and committed.

Extensive knowledge of operations, insurance medical billing & coding work principals, techniques, practices, application to complex billing assignments, group work, and community issues. Easy going by nature, able to get along with colleagues and senior managers.

CORE COMPETENCIES

• NCQA Business Operations & Project Management • Team Building Development

• Performance Monitoring KPI Tracking • Accounts Receivable Collections

• Process Innovation Improvements • Cash Flow Optimization • Full Revenue Cycle Management • ICD-9, ICD-10, CPT-4 Coding

• Influencing & Negotiations • Exceptional Customer Service

PROFESSIONAL EXPERIENCE

Mod MD April 2022 – April 2023

Financial Operations Manager

Designed unique A/R strategies and successfully recovered $250,000 in revenue.

Directed finance team members creatively to reclaim out of network revenue, $90,000, from Blue Cross Blue Shield.

Managed day to day; Identified, analyzed, and addressed challenges and/or breakdowns in the revenue cycle process.

Ensured business tasks in accounts payable, receivables, bank reconciliation are processed and completed in a correctly,

and timely manner.

Developed operational workflows that bridge technical and business needs, with emphasis on the business.

Analyzed actual vs budget/forecast variance and prepare variance review as part of the monthly close process.

Collaborated closely with Accounting Department to contribute to cash reconciliation actives.

Assisted in the assessment of accounts receivable collectability and validation, including the writing off, of bad debts.

Performed ongoing trend analysis of payer rejections and denials. Achieved proactive audits on all

recommended A/R write offs and present audit results to Executive Management.

Steven B. Richlin OD Inc. December 2021 – March 2022

Practice Manager

Maintained an office environment that ensures optimal patient care and customer service.

Oversaw and supervise front and back office staff.

Evaluated and review office production and procedures to develop new ways to improve efficiency with office operations, patient retention and profitability.

Analyzed and organized office operations and procedures, including but not limited to, bookkeeping, invoice processing, cash control, preparation of payrolls and other administrative duties.

Developed and implemented office budgets and managed the procurement of general office supplies and equipment.

Recruited, counseled and terminated of staff, assisted HR to assess, investigate and resolve employee issues.

Maintained advanced knowledge of software systems to compile, store and retrieve data for managerial reporting.

Mystique Information Systems Inc. January 2017 – December 2021

Chief Operations Manager

Endeavored with CEO to strategically evaluate the existing operational infrastructure by assessing current performance,

processes to recommend and implement improvements to enable scalability, cross-functional integration, and efficiency.

Performed day to day operations of Revenue Cycle Management processes assuring compliance with State Laws.

• Directed staff from various departments and offered constructive feedback.

• Regularly evaluated the efficiency of business procedures to align with organizational objectives to implement

improvements.

• Managed changes to the project scope, project schedule and project costs using appropriate verification techniques.

• Achieved financial objectives by preparing an annual budget; scheduling expenditures; analyzing variances; initiating

corrective actions.

• Provided exemplary leadership to team members, including opportunities for coaching and development, to maximize

work output and work quality.

• Produced accurate P&L projections by managing the cost forecast process, together with detailed analysis and KPI

reporting.

Medical Solutions & Recovery March 2015 – December 2016

Sr. Billing & Collections Manager

• Managed day-to-day operations, introducing billing and collections metrics, yielding optimum results.

• Governed staff payroll creatively to maximize productivity and minimize overtime.

• Consistently monitored the aging report and account receivables to maintain positive cash flow.

• Collaborated with a designated web hosting carrier to update the company’s website, Facebook, and Twitter.

Assured employee evaluations are completed in a timely manner and appropriate goals are set for all staff.

supervised. Makes recommendations for salary adjustments.

Facilitated with leadership to identify opportunities and problems and initiates plans for decision-making and problem solving in the organization, and specifically with regards to the practices in a positive manner

Directly supervised practice staff to include MA’s and Patient Specialists assuring adequate coverage for all position and arranging for coverage for sick and vacation time.

Pacific Child Family & Associate June 2014 – March 2015

Billing Manager

• Managed the operations of the billing department, encompassing medical coding, charge entry, claims submissions,

payment posting, accounts receivable follow-up, and reimbursement management.

• Spear headed collection projects and recovered over $500,000 dollars in revenue.

• Planed and directed patient insurance documentation, workload coding, billing and collections, and data processing to

ensure accurate billing and efficient account collection.

• Monthly closing of financial records and posting of month-end information; ensures accuracy of financial statements.

• Analyzed trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff

Collaborated with Quality to assess improvements made in systems or processes, system efficiency, innovation, and creativity as well as commitment to generating new solutions and ideas.

Kids & Teens Medical Group May 2011 – June 2014

Billing Collections and Access Manager

• Managed Access, Billing & Collections day-to-day operations.

• Directly Influenced up to 25 team members to meet & exceed expectations.

• Understanding of all PPO, HMO, Medi-Cal Affiliated Plans, School Districts, and Regional Center Billing Guidelines.

• Reviewed, trained, and motivated staff members with their productivity.

Stephen Mikita R.P.T September 2001 – May 2011

Practice Manager

• Performed electronic billing and collections tasks as assigned, such as contacted customers and pursued outstanding

balances, conduct detailed research, reconciliation and analysis required to resolve all nonpayment or account disputes.

• Supervised fast paced team, hiring, mentoring, training, creating goals and milestones.

• Planned and managed daily tasks, analyzed, provided results, and recommended solutions to management.

EDUCATION

• Everest College

• Glendale Community College

• Glendale High School (graduated with Honors 4.0 GPA)

COMPUTER SKILLS

• PC Platform: Microsoft word, Advance Excel, Outlook, Power Point, ERP, Office Practicum, TSI, Instamed, Office Ally,

QuickBooks, All Scripts, Advanced MD, and Data Soft Logic, Prognosis and NextGen.

FOREIGN LANGUAGES

Armenian

Arabic

Italian

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