ANDRE DUJON BAILEY
Brooklyn,NY
Summary
Seasoned healthcare finance professional with over 6 years of experience in revenue cycle operations and managed care. Skilled in insurance verification, prior authorizations, and denials prevention using Epic systems. Led teams to optimize workflows and ensure compliance, improving reimbursement outcomes and enhancing patient financial services.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Assistant Coordinator Manager – Managed Care Finance
NYC Health + Hospitals Elmhurst
Brooklyn, USA
01.2018 - Current
- Lead revenue cycle operations ensuring maximum reimbursement and financial performance across departments
- Managed high-volume insurance authorizations for radiology, chemotherapy, infusion, and specialty services, ensuring timely patient access and reimbursement
- Implement denial prevention strategies significantly reducing claim rejections
- Conducted daily interdisciplinary huddles to review patient needs, approvals, and scheduling, facilitating coordinated care and efficient operations
- Utilized EPIC systems for billing and tracking J-codes, improving accuracy in financial reporting and streamlining revenue cycle processes
- Supervise staff, conduct evaluations, and enforce compliance standards
Program Director
DHS Shelter Program
01.2015 - 01.2018
- Directed program development for shelter operations and community outreach initiatives.
- Led strategic planning sessions to identify goals and prioritize program objectives.
- Managed budget allocations for program activities and resource distribution to optimize resource utilization.
- Directed staffing and compliance efforts for large-scale social services programs to ensure quality service delivery.
- Conducted staff evaluations and facilitated onboarding and training processes.
- Enhanced workflow systems to increase reporting accuracy and streamline documentation processes.
Director of Social Services
Community Housing Program
01.2012 - 01.2015
- Managed case management teams and program operations to enhance service delivery and client support.
- Ensured compliance with city and state regulations
- Led program development and community outreach initiatives
- Oversaw staff training programs to elevate service quality and ensure compliance with standards.
- Implemented policies that promoted client engagement and support services accessibility.
- Facilitated workshops on housing rights and resources for vulnerable populations to empower clients and increase awareness.
- Supervised case management teams to ensure coordinated client support efforts.
- Coordinated with other departments to ensure efficient delivery of services.
- Provided leadership in developing policies, procedures, and protocols for social service programs.
Education
Ph.D. - Health Administration & Management
University of Arizona Global Campus Online
Chandler, AZ04-2029
M.ED - Education
Western Governors University
Salt Lake City, UT06-2020
Master of Science - Psychology
Western Governors University
Salt Lake City, UT06-2020
Bachelor of Science - Education & Psychology
Touro College
New York, NY05-2015
Skills
- Managed Care
- Revenue Cycle Management
- Authorizations
- Denials Prevention
- Appeals
- Patient Accounts
- Financial Optimization
- Financial Analysis
- Financial Reporting
- Regulatory Compliance
- EPIC Systems
- Data analysis
- Cost-Benefit Analysis
- Performance tracking
- Health administration
- Staff Supervision
- Team leadership
- Staff training
- Training
- Effective communication
- Administrative experience
Certification
- EPIC Systems Training – Revenue Cycle & Patient Access
- Revenue Cycle & Billing Compliance (Webex)
- HIPAA Certification (Annual)
- LGBTQIA+ Cultural Competency Training
- Corporate Compliance Training
- Diversity, Equity & Inclusion Training
- CPR & First Aid Certification
- NYC Health + Hospitals Stock/Inventory Training
- NYC Health + Hospital EPIC Stork (L&D) Training
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Assistant Coordinator Manager – Managed Care Finance
NYC Health + Hospitals Elmhurst
01.2018 - Current
Program Director
DHS Shelter Program
01.2015 - 01.2018
Director of Social Services
Community Housing Program
01.2012 - 01.2015
Ph.D. - Health Administration & Management
University of Arizona Global Campus Online
M.ED - Education
Western Governors University
Master of Science - Psychology
Western Governors University
Bachelor of Science - Education & Psychology
Touro College