Astrid Caro
Pompano Beach,FL
Summary
Meticulous Revenue Cycle Manager with strong background in continuous improvement and revenue performance analysis. Focused and organized with demonstrated success in achieving company goals through increased efficiency initiatives illustrated over 25 years of Revenue Cycle Management success.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Billing Manager
Memorial Hospital – Memorial Physician's Group
11.2022 - 04.2024
- Managed 22 Billing Representative
- Implemented a project to re-train all practices on Registration to lower Denials
- Responsible for Weekly and Monthly Reporting
- Met with all teams on weekly/monthly forecast projections
- Reviewed billing problems, researched issues, and resolved concerns.
- Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
- Developed comprehensive training materials for new hires to quickly acclimate them to company procedures and software systems.
Supervisor for Payment Posting, Credit Balances, Call Center and Support Departments
Memorial Hospital – Memorial Physician's Group
11.2017 - 11.2022
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Responsible for Monthly KPI Reporting for approximately 50 departments
- Responsible for Monthly Cash Reporting for approximately 50 departments
- Handled customer complaints, resolved issues, and adjusted policies to minimize errors.
- Daily communication with Practices
Client Services Rep. & Account Mgr.
PRRS
03.2016 - 10.2017
- Performed daily client account tasks for 15 practices
- Managed and reviewed forecast on weekly or daily basis, as requested
- Oversaw analysis and recreation of billing/payment posting and collection discrepancies
- Regularly conducted performance audits as needed
- Oversaw maintenance and updating of client communication logs.
Director of Operations
Avisena/Medusin Inc.
01.2009 - 01.2015
- Oversaw 4 operations departments, managing approximately 50-60 employees
- Provided exceptional service to clients
- Worked with physician groups, managed care, doctors and hospital administrators on performance compliance, practice IT and denial issues
- Handled billing, coding, payment posting, call center and customer support departments
- Attended practice reviews and sales calls in collaboration with sales and marketing teams
- Worked with Senior Executive on the development and implementation of short and long term business objectives and opportunities
- Improved client satisfaction and revenue by decreasing the turnover time for client resolution by 200%, quality of work revise by 75% and increased client retention from 78% to 90%.
Operations & Payment Posting Manager
Caledonia
01.2005 - 01.2008
- Managed 12-15 employees
- Responsible for 150 clients
- Weekly and monthly balancing for each client
- Managed all refunds
- Assisted collections and call center teams
- Met with all teams on weekly/monthly forecast projections
- Trained, coached and empowered employees.
Billing & Collections, Surgical Coordinator
Center for Advanced Cardiology
01.2000 - 01.2005
- Daily coding and billing
- Posting of all payments
- Daily and weekly balancing
- Obtaining authorization for insurance benefits
- Scheduling of all surgeries for 12 physicians.
Surgical Coordinator
Mount Sinai Hospital / Ortho Rehab Associates
01.1996 - 01.2000
- Scheduling surgeries
- Obtaining benefits and authorization
- Provided Utilization Review
- Insurance Credentialing
- Kept Physician's schedules for Depositions, Court Appearances & Hospital Meetings
- Assisted transcription when needed
- Implemented process for Medicare Collections.
Assistant Office Manager
Dr. David G. Lehrman
01.1989 - 01.1996
- Scheduling
- Billing, Payment Posting & Collections
- Handled Legal Cases
- Insurance Credentialing
- Transcription.
Education
Skills
- Excellent Management experience
- Revenue Cycle Management
- HIPAA knowledge
- Exceptional understanding of practice's needs
- Effective communication with management
- Skilled in motivating and empowering employees while maintaining exemplary staff performance
- Able to create a positive learning environment to maximize staff capacity
- Driven to inspire pride in organizational values and mission
Certification
- AAPC Certified Professional Coder (CPC)
- Six Sigma Yellow Belt Certificate
References
Professional References upon request.
Timeline
Billing Manager
Memorial Hospital – Memorial Physician's Group
11.2022 - 04.2024
Supervisor for Payment Posting, Credit Balances, Call Center and Support Departments
Memorial Hospital – Memorial Physician's Group
11.2017 - 11.2022
Client Services Rep. & Account Mgr.
PRRS
03.2016 - 10.2017
Director of Operations
Avisena/Medusin Inc.
01.2009 - 01.2015
Operations & Payment Posting Manager
Caledonia
01.2005 - 01.2008
Billing & Collections, Surgical Coordinator
Center for Advanced Cardiology
01.2000 - 01.2005
Surgical Coordinator
Mount Sinai Hospital / Ortho Rehab Associates
01.1996 - 01.2000
Assistant Office Manager
Dr. David G. Lehrman
01.1989 - 01.1996
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