Manager Insurance

Sherry Cyrus

**** ******** ***** 972-***-****

Plano, Texas 75025 *****.******@*****.***

Professional Summary

• Experience in managing the business offices of multiple surgical hospitals at the corporate level.

• Expert in medical collections (20+ years); consistently outperformed especially with claim appeals.

• Extensive ASC startup experience, authoring Policy and Procedure Manuals and physician credentialing.

• Extremely knowledgeable in coding practices in order to maximize procedure revenue.

• Experience with insurance contract negotiations and fee schedules.

• Highly experienced in medical management, managing teams up to 12 of both office and clinical staff.

• Supervised surgery scheduling for 100+ physicians in 5 operating rooms (ASC).

• Proficient in state and federal guidelines for the safe and ethical treatment of patients as well as HIPAA.

• Expert in multiple medical software systems.

Professional Experience

Manager – Business Office Services Sep 2010 - Present

Solara Surgical Partners Southlake, TX

• Responsible for all business office processes for Solara’s Ambulatory Surgical Centers and Hospitals.

• Trained business office staff (Reception, Scheduling, Verification, Collections, Business Office Manager).

• Responsible for evaluating center business office staff and ascertaining that corporate policies were being followed.

• Initial point of contact for all ASC business office questions.

• Resident expert on Source Medical’s Vision and AdvantX medical management systems.

• Managed corporate insurance verification, billing and collections for multiple centers.

• Assisted in evaluating and renegotiating insurance managed-care contracts.

• Responsible for regularly scheduled on-site visits to centers to verify procedures were being followed.

• Filled in as needed at centers when key office staff was unavailable for extended periods.

• Responsible for monthly closing process and provided month-end reports to accounting team.

Director of Medical Billing / Business Office Manager Dec 2007 – Aug 2010

Prestonwood Surgery Center Plano, TX

• Responsible for all billing activities from insurance verification to appeals to patient collections; consistently exceeded collection goals.

• Supervised patient scheduling and registration.

• Supervised and mentored billing office staff; hired, reviewed and resolved conflicts as necessary.

• Responsible for all business office startup functions for this new ASC (opened December 2007).

• Heavily involved with AAAHC certification and renewal process and procedures.

• Recruited new physicians in order to boost center revenue.

• Coordinated surgery scheduling for the 100+ credentialed physicians.

• Promoted to Director to oversee billing for future ASC’s in multiple states.

Business Office Manager Aug 2006 – Dec 2007

Pediatric Surgery Center Plano, TX

• Transferred from Frisco surgery center by same management company to enhance billing operations.

• Managed and worked in the areas of scheduling, insurance verification, patient contact and registration, claim submission, insurance follow-up, appeals and collections.

• Responsible for making certain proposed procedures will be profitable for the center and adhere to all internal regulations.

• Recruited new physicians for the purpose of scheduling cases to improve revenue.

• Coordinated surgery schedules for 45+ physicians.

• Supervised staff of 5 - scheduling, hiring, performance reviews, terminating and monitored adherence to center’s Policy and Performance Manual.

• Consistently maintained AR below target levels, setting many center records for collections.

Business Office Manager / Interim Administrator Apr 2005 – Aug 2006

Centennial Surgery Center Frisco, TX

• Setup business office of this new surgery center (opened May 2005).

• Managed team of 12 employees (office as well as clinical).

• Coordinated surgery schedules for 23 physicians.

• Responsible for initial physician credentialing and renewals.

• Responsible for all financial operations of center – AP, AR, third-party payroll.

• Worked directly with Board of Directors and Medical Director to keep investors informed of clinical and business operations.

• Recruited new physicians both for the purpose of scheduling cases and becoming partners with the center. Regularly met with existing physicians to encourage more participation.

• Responsible for hiring, reviewing and terminating office employees as well as weekly work schedules.

• Co-authored Policy and Procedures Manual.

• Managed all business office functions, consistently maintained AR within a range of 10-20 days out.

Patient Accounts Representative Jun 2003 – Apr 2005

Preston Plaza Surgery Center Dallas, TX

• Maintained surgery schedule for 20 physicians’ offices.

• Performed insurance verification and pre-authorization.

• Coded and submitted insurance claims – paper and electronic.

• Entered and posted payments and adjustments to patient accounts.

• Managed all accounts receivable for the center. Center was ranked number one in collections among management company’s group of 25+ ASC’s).

• Managed and maintained all medical records; created patient charts and responsible for all op-reports.

• Trained and supervised new employees in all areas of billing office.

• Communicated with patients, physicians and physicians’ staff to ensure efficient and pleasant patient experiences.

• Heavily involved in operations startup and certification prior to center opening (June 2003).

Owner / Manager 1985 – 2003

Medcomp Physicans’ Services Plano, TX

• Ran a highly successful medical billing company supervising up to three employees.

• Billed claims for Anesthesia, Surgery and DME.

• Managed accounts receivable for 18 physicians or physician groups.

• Handled accounts from initial insurance billing through final pay.

• Performed insurance verification and pre-authorization.

• Filed primary and secondary insurance using both paper and electronic claims.

• Processed adjustments resulting from government, HMO and PPO plans.

• Extensive knowledge of Worker’s Comp. rules and regulations.

• Direct communications with thousands of patients for information and collections.

Education

University of Kentucky Lexington, KY

Majored in Business Administration

References available upon request

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