ADRIANA RICCI
Cedarhurst,NY
Summary
Healthcare Director with Master’s Degree in Healthcare Administration and a B.S. in Pharmacology along with a Paralegal Certification who creates strategic alliances with staff, patients and insurance leaders to effectively align with and support key issues such as office policies and procedures. While keeping patient areas prime focus. Builds and retains higher performance teams by motivating skilled professionals. Nursing home background in marketing and admissions.
Overview
24
24
years of professional experience
Work History
Senior Managing Marketer
Brooklyn Based Home-Care Company
Brooklyn, NY
12.2018 - Current
- Obtain 30 to 50 MLT C referrals monthly
- Personal relationships with all NY C health home agencies with over 100 case managers referring to me
- Territories for borough of Brooklyn, Harlem, South Bronx and South Queens
- Obtain CFEE forms and MLQ when needed
- Conduct presentations at community health fairs
- Several hospital affiliations in Brooklyn and NYC
- Nursing home affiliations. Procedures such as PRIs and admission procedures known
- Conduct bi-weekly meetings with staff
- Scheduling of Maximum and UAS assessments for patients
- Use of house call doctors to obtain necessary forms when PCFs unavailable or uncooperative
- CDPAP
- Visiting of patients when needed for proper forms to be filled out and signed
Director of Intake and Referral Manager
White Glove Home Care
Brooklyn, NY
12.2017 - 12.2018
- Marketing and promotion of home care services
- Liaison for obtaining M11Q
- Referrals to MLTCs
- Presentations at NYC agencies
- Worked with SNFs in conjunction with community
- Working in conjunction with case managers in referral and follow up processes
- Medicare short-term services
- Working with all CASA locations
- Surmounted referral quotas by 60%
- Development of team through creation and implementation of policies and procedures
Physician Director of Surgical Services
NYU Winthrop University Medical Cntr
Mineola, NY
12.2016 - 12.2017
- Hired to institute new program using outside equipment company UHS
- Developed policies and procedures in conjunction with hospital administration
- Hiring and training of new employees
- Sterilization, maintenance and overall operations of all medical emergency equipment
- Feeding pumps
- Kangaroo pumps
- Respirators
- Worked closely with hospital staff in keeping entire hospital fully stocked with sterilized medical equipment
Operations Manager
Central Medical Associates of Westrock
Queens, NY
02.2015 - 12.2016
- Complete operations of Worker’s Compensation Practice including management of physician’s and schedules, policies and procedures
- Adherence to NYS Labor Law Guidelines, payroll, management of supplies
- DME equipment ordering and management
- Management of 4 offices and 50 employees
- Including hiring of staff
- Training
- Quarterly evaluations
- Staff scheduling
- Compliance enforcement
- Shift management
- Focus on MTG guidelines
- Management of billing and collections
- A/R specialty
- Management of billing company and collections staff
- Monthly report submissions
- Troubleshooting of accounts
- Surgical coordination
- Obtaining authorizations
- Sending patients for proper surgical clearances
- Coordination between surgeons and hospitals
- Interaction with WCB and carriers
- Heavy contact volume as a liaison
- IME adherence with patients and therapists and physicians
- Court document preparations
- Preparation of all necessary court documents for patients going to court for WCB cases
Practice Manager
Citimedical PLLC
Queens, NY
12.2012 - 01.2015
- Overall run and maintenance of facility including patient coordination
- Employee supervision
- Physician scheduling
- Patient referrals
- Schedule and supervise surgical schedules
- Employee timekeeping
- Labor Law enforcement
- HIPAA training sessions conducted
- Supervision of billing and collections
- Created new revenue streams through restructuring procedures to reflect organization and compliance with NYS Guidelines resulting in a 75% increase in revenue
- Strengthened company’s business by working with attorney and carriers to demonstrate high level of professionalism and providing outstanding services to clients
- All state forms filled and filed for submission
- Final narrative reports compiled and typed per attorney request
- Surgical authorization requests (MG2, C4 forms) obtained
- Bills submission to carriers and state agencies
- Collections procedures (HP1; HPJ1)
Worker’s Compensation Paralegal/Office Manager
Law Firm of S. Barkatt Esq.
New York, NY
06.2007 - 10.2012
- Generated new business to firm by beginning Worker’s Compensation division
- Managed staff of 20 including attorneys
- Payroll and overall office procedures
- Court Calendar Organization
- Paying of bills through QuickBooks
Worker’s Compensation Paralegal/Office Manager
Liberty Medical
Richmond Hill, NY
03.2002 - 05.2007
- Generated new business through working with referral sources and providing optimal insurance experience and protocol
- Managed entire office operations, maintaining adherence to NYS Laws
- HR Management of employees 25
- Patient coordination & submission and collections of Insurance Claims, prescription control
Education
Paralegal Certification - undefined
ASA College
01.2002
B.S. - Pharmacology
St. John’s University
01.1986
Skills
Small Business development concerning all phases of office management
Patient care upkeep through following of protocol
Client Account Management
Self-motivated
Insurance Negotiator
Liaison between insurance carriers and patients
Strategic planning
Client relations
Managed entire caseload of three facilities simultaneously
Surgical coordination
All Phases of Insurance Cases
Staff Development
Mentored and coached employees resulting in higher patient visits
Practice development through social media
HR functions, benefits administration, payroll, timekeeping
Timeline
Senior Managing Marketer
Brooklyn Based Home-Care Company
12.2018 - Current
Director of Intake and Referral Manager
White Glove Home Care
12.2017 - 12.2018
Physician Director of Surgical Services
NYU Winthrop University Medical Cntr
12.2016 - 12.2017
Operations Manager
Central Medical Associates of Westrock
02.2015 - 12.2016
Practice Manager
Citimedical PLLC
12.2012 - 01.2015
Worker’s Compensation Paralegal/Office Manager
Law Firm of S. Barkatt Esq.
06.2007 - 10.2012
Worker’s Compensation Paralegal/Office Manager
Liberty Medical
03.2002 - 05.2007
Paralegal Certification - undefined
ASA College
B.S. - Pharmacology
St. John’s University