Medical Billing Revenue Cycle

PROFILE

Accomplished Director of Billing Operations with nearly 25 years of experience building

and managing medical billing organizations. Strategic decision-maker optimizing revenue cycle management for multiple medical specialties including anesthesia, pain management, vascular surgery, internal medicine, gastroenterology and OB Gyn, among others.

EXPERIENCE

ASST. DIRECTOR, NYU LANGONE HEALTH; BETHPAGE, NY

FEB 2024 - JUL 2024

• Transition position to assist with the on-boarding of a large anesthesia practice working out of three different hospital EMR systems.

DIRECTOR OF BILLING OPERATIONS, IHM; ROCKY POINT, NY FEB 2004 - JAN 2024

• Recruit, train and manage a staff of more than 25 people engaged in medical billing, coding, payment reconciliation, insurance follow up, patient collections/services and independent dispute resolution.

• Maintain key relationships with all major managed care insurance companies and participate in negotiations for all new revenue contracts and renewals.

• Lead Strategic initiatives to improve scalability, agility and efficiency of operations with new and improved policies and procedures targeting underperforming areas and systematic weaknesses.

• Prepare routine and special reports for senior management regarding revenue realization, accounts receivable, collections, provider productivity and other revenue cycle metrics.

• Developed and implemented guidelines for employee evaluations, recruitment, promotion and conducted periodic performance reviews to assess and improve employee performance.

• Established clear expectations and objectives for team members helping each achieve goals and tackle daily workloads with confidence through empowered training and motivational strategies.

4 Wiigs Rd, Nesconset, NY 11767 631-***-**** *******@*******.*** FREDERICK W ERICKSON JR.

• Project manager for implementation of a new billing system resulting in significant improvements in employee productivity and revenue realization.

• Maintain key relationships with billing clients; meeting with and reporting to them on a monthly basis regarding billing results and improvement ideas.

• Manage vendor relationships with software, IT, telecommunications, and other vendors

• Oversee all external legal collection activities with attorneys and routinely attend court proceedings as the plaintiff representative.

MEDICAL BILLING MANAGER, MEDICAL DATA RESOURCES; NESCONSET, NY SEPT 1999 - FEB 2004

• Promoted a culture of accountability, teamwork and collaboration.

• Coordinated electronic billing on-time each month and helped to quickly resolve problems.

• Trained and managed the billing operations staff for multiple specialties such as radiology, urology, internal medicine, vascular surgery, among others in areas including charge entry, denial management and payment reconciliation. MEDICAL BILLER, MERCY MEDICAL CENTER; ROCKVILLE CENTRE, NY JAN 1996 - SEPT 1999

• Reviewed claim denials and payer requirements for corrective action.

• Followed up and collected outstanding balances and receivables.

• Researched and replied to insurance, patient and internal client inquiries.

• Maintained and updated information on insurance coverage of diagnosis, procedures and fees.

• Investigated and resolved denials and rejections within the standard billing cycle timeframe.

• Assisted in the Y2K readiness program to convert and train the billing department staff on a new Practice Management System.

EDUCATION

ARIZONA STATE UNIVERSITY, TEMPE, AZ

Bachelor of Science (B.S.) - Computer Information Systems. June 1992 L.A. WILSON TECHNOLOGICAL CENTER, DIX HILLS, NY

Intro to Medical Coding Training - Medical Coding. January 2000 SKILLS

* Process Improvements * Assignment Delegation * Teamwork and Collaboration

* Staff Hiring * Multitasking * Operations Management

* Logistics * Problem Solving * Client Account Management REFERENCES

References are available upon request

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