Experienced healthcare and finance professional with strong organizational skills and leadership experience seeking a position that allows for growth in my career.
Overview
19
19
years of professional experience
Work History
Authorization Specialist
Pinnacle Vein and Vascular
01.2025 - 01.2026
Obtained authorizations for in office, surgical and hospital procedures
Reviewed documents to submit to insurances via portal
Assisted and scheduled peer to peer appointments
Completed cost analysis/estimates
Documented authorizations in patient charts
Communicated effectively with physicians, patients and coworkers
Assisted surgery scheduler with stat authorizations
Managed appeals and denials
Obtained copay information for ultrasound appointments and verified benefits
Worked patient collection accounts
Billing/Collection Specialist
Sunrise Medical
09.2023 - 09.2024
Working hospital a/r, denials, and claim rejections
Obtaining updated referrals and authorizations
Assisting at the front desk when needed.
Revenue Cycle Specialist
MD Home Health
04.2023 - 09.2023
Worked current and old a/r
Remit/Payment posting
Appeals and denials
Manager of Patient Accounts
Midwestern University Eye Institute
03.2015 - 11.2020
Partnered with the Clinic Manager and Administrative team in running the Eye Clinic daily and streamlining processes
Regularly interacted with the Finance Director, Sr
A member of several committees: Best Practices, Policies and Procedures, and Operations
Managed our Patient Assistance Program (Hardship)
Processed payments to vendors
Compliance and HIPPA knowledge
Interacted with our Deans, Doctors, and students everyday
Partnered with the credentialing specialist guaranteeing our doctors were credentialed
Worked with the University’s grant specialist as well as nonprofit, 501c3 community organizations to maintain grants and scholarships administered to the clinic
Assured grant funds were allocated, guidelines/policies and compliance were followed, ran reports
Worked with my Administration colleagues implementing a new software system as well as a kiosk program.
Billing Manager
Sun Valley Medical
10.2011 - 09.2014
Medicare and Commercial Insurance collections
Hired to clean up the company’s billing department and held revenue
Assisted with adding a new billing software system to the company
Extremely proficient with Medicare guidelines, filing appeals, and working denials
Implemented Medicare procedures and guidelines within the company
Responsible for hiring, terminating and evaluations of employees
Conducted classes on insurance guidelines, as well as teaching employees
Assisted with CMN cleanup and working hold reports
Insurance posting
Reviewed new setups prior to billing
Collections Specialist (Rehab Chairs)
Symbius Medical
05.2010 - 10.2011
Job Description By Request
Billing Manager
Valley Respiratory
03.2007 - 05.2010
Job Description By Request
Education
BA - Art/Graphic Design
Felician College
NJ
05-1993
Art/Athletics
Wayne Valley High School
Wayne, NJ
06-1989
Emergency Medical Technician -
Bergen County EMS Academy
Skills
Healthcare/Finance experience for 25 yrs
Leadership and management experience
Team Player
Strong written and verbal communication
Detail oriented
Multitasking skills
Medical Software: Brightree, Fastrack, Pacwin, Compulink, and Next Gen
Office 365
Compliance and HIPPA knowledge
Interpersonal skills
Team building skills
Strong customer service skills
Problem solving skills
Volunteer Experience
Little Falls Fire Department, Emergency Medical Technician, Responded to medical emergency calls