Revenue Cycle Manager
Resume:
Maureen Falcone
Pound Ridge, NY 10576
E-mail: ***************@*****.***
Cell: 914-***-****
Summary: Goal-oriented, performance driven leader who uses an analytical approach to identify inefficiencies and implement improved processes through communication, teamwork, and an innovative approach
Skills: Recognized subject expert on revenue cycle reorganization, implementation of billing office and staff development. Knowledge of Regulatory Compliance Government programs, managed care and third party contracts, hospital rate structures and reimbursement. Proficiency in Microsoft Office, Allscripts, Cyberquery report writing, Advisory Board Compass, E-Premise, SSI, Omnipro, Siemens and Stockamp TRAC IT software
Experience: The Outsource Group Partners for Profit Recovery Bellmore, NY
2008 -Present Engagement Director – Bronx Lebanon Hospital Patient Financial Services
Responsible for implementing, planning, staffing, managing, coordinating and evaluating all activities of the Managed Care OP business office on site and off site. (TOTAL 16 employees )
Increased Cash Collections for OP Managed Care Payers by 64% for Bronx Lebanon Hospital and 90% for the Dr. Martin Luther King Facility Outpatient Units.
Ensure maintenance of revenue cycle reporting including the upkeep of a revenue cycle dashboard, creating ad hoc month-end financial reporting, receivable performance, short-term and long-range strategic planning.
Works directly with client
1990-2007 Westchester Medical Center Valhalla, NY
2003-2007 Revenue Cycle Analyst
Participated with executive management in assessment and analysis of operational processes related to revenue cycle
Key player in implementing Stockamp and Associates integrated revenue cycle system
Coordinated the operational function of the AR software responsible for revenue cycle performance by producing work drivers, reports and day-to-day maintenance of system.
Identified additional areas of opportunities for system and “best-practice” improvements
Worked closely with all levels of management and billing staff.
1999-2003 Accounts Receivable Staff Development Coordinator
Initiated and administered educational programs for staff development and training in the Patient Access Dept to broaden their skills for maximum reimbursement.
Implemented policy and procedure manuals and prepared daily analysis report to review performance and productivity for registration areas approximately 70 registrations clerks.
Ensured compliance with patient privacy by executing the HIPPA regulations through extensive education and training courses.
1997-1999 Accounts Receivable Pre-Certification Unit Manager
Supervised and coordinated the activities of Pre-Certification and Verification Unit.
Monitored inpatient, outpatient and client services through the analysis of contracted negotiated payers.
Reviewed billing, registration, policies and procedures in the unit.
Extensive interaction with other department heads to ensure objectives were met.
Education: MERCY COLLEGE Dobbs Ferry, NY
Bachelor of Business Administration, Summa Cum Laude
Major: Business Management
STATE UNIVERSITY OF NY AT FARMINGDALE Farmingdale, NY
Associates in Science, Summa Cum Laude
Major: Medical Laboratory Technology
* HIPPA V5010 Certification * Management Training Certification
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