Summary
Overview
Work History
Education
Skills
Certification
Related Experience
Languages
Timeline
Generic

David Lermer

Woodmere,NY

Summary

Professional with strong foundation in financial management and billing operations. Adept at implementing efficient billing systems and ensuring accuracy in financial reporting. Known for fostering team collaboration and adapting to evolving business needs. Skilled in financial analysis, regulatory compliance, and process improvement.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Director of Billing

Caring Professionals Homecare
09.2023 - Current
  • Guide the entire billing process, including claims submission, payment posting, accounts receivable management, and collections
  • Lead, train, and direct a team of three billers and three collections representatives to ensure accuracy and efficiency
  • Ensure strict compliance with Medicare, Medicaid, private insurers, and other payer regulations
  • Develop and implement key strategies to optimize reimbursement and minimize claim denials
  • Investigate, examine, and resolve billing errors, denials, and appeals efficiently
  • Track and assess key performance indicators (KPIs) related to revenue cycle management
  • Keep abreast of industry regulations and payer policies to ensure compliance
  • Establish and enforce best practices for billing in alignment with state and federal guidelines
  • Formulate and standardize clear workflows and procedures for the billing department
  • Collaborate with cross-functional teams to streamline billing operations and enhance efficiency
  • Compiled and delivered financial reports on billing performance, outstanding receivables, and revenue trends

Director of Revenue Cycle

Ultimate Care Homecare
02.2023 - 08.2023
  • Reviewed, analyzed, and recovered outstanding accounts receivable (A/R) while managing accurate cash receipts posting
  • Supervised and mentored a team of three representatives to optimize performance and efficiency
  • Collaborated with senior management weekly to provide reports and develop strategic collection initiatives
  • Developed and implemented processes to enhance timely collections and reduce outstanding balances
  • Assisted in evaluating, selecting, and transitioning to new software solutions to streamline A/R and billing operations

Supervisor

Northwell Health System
04.2014 - 01.2023
  • Company Overview: 23 Hospitals/5,600+ Providers
  • Managed a team of 10 representatives, including one senior representative, ensuring expectations and goals were met
  • Performed data analysis to assess department priorities and allocate work efficiently
  • Led team meetings and collaborated with cross-functional departments to enhance operations
  • Evaluated employee performance and provided constructive feedback for development
  • Maintained attendance records, processed payroll, and managed time-off requests using Kronos
  • 23 Hospitals/5,600+ Providers

Senior Physician Account Representative

Northwell Health System
04.2014 - 01.2023
  • Company Overview: 23 Hospitals/5,600+ Providers
  • Reviewed complex pre-billing edits to resolve issues and submit claims to payers
  • Corrected and resubmitted challenging claims to ensure accurate processing
  • Collaborated with management to develop and implement policies and procedures
  • Assisted team members with resolving difficult claim edits and account issues
  • Trained new employees on systems and job functions
  • Prepared instructional materials and trained employees for special projects
  • Contributed to the development and presentation of topics in team meetings
  • 23 Hospitals/5,600+ Providers

Clinical Practice Plan Representative CBO Westbury

Northwell Health System
04.2014 - 01.2023
  • Company Overview: 23 Hospitals/5,600+ Providers
  • Conducted A/R follow up for physician billing
  • Identified trends and systems issues and escalated them to management to be corrected on a larger scale
  • Worked with supervisor to manage psychiatry division edits and trained other representatives that joined the team
  • Managed international patient accounts
  • 23 Hospitals/5,600+ Providers

Director of Support Services

United Guardianship Services
09.2012 - 02.2013
  • Updated client database using Microsoft Office to ensure accurate record-keeping
  • Filed Supreme Court documentation related to each AIP
  • Assisted in marshalling accounts and assets of AIP
  • Coordinated with NYC Marshals on eviction proceedings
  • Oversaw property cleanups and maintenance operations

Research Assistant

Synergy First LLC
05.2011 - 09.2011
  • Assisted in recruiting patients for clinical trials across various therapeutic areas
  • Conducted interviews to obtain medical history and assess study eligibility
  • Documented study data points and maintained accurate research records
  • Prepared blood samples for shipment and analysis by the Central Laboratory
  • Assisted with blood draws and centrifugation procedures
  • Assisted with electrode placement for ECGs
  • Observed and supported patient visits, including administering rating scales, collecting vitals, and performing study procedures

Education

Master of Business Administration (MBA) - Finance & Health Administration Management

Touro University Worldwide
07.2020

Bachelor of Science - Business Management & Marketing, Minor in Biology

Touro College School of Business – Landers Division
Queens, NY
06.2014

Skills

  • Microsoft Office
  • GECB
  • Soarian
  • IDX
  • Sunrise Clinical
  • Invision
  • Allscripts
  • Axxess
  • HHA exchange
  • Tellis
  • Medical billing
  • Denial resolution
  • Goal oriented
  • Advanced life support

Certification

  • CPR
  • EMT-B

Related Experience

  • Caring Professionals Homecare, Director of Billing, 09/23, Present, Guide the entire billing process, including claims submission, payment posting, accounts receivable management, and collections., Lead, train, and direct a team of three billers and three collections representatives to ensure accuracy and efficiency., Ensure strict compliance with Medicare, Medicaid, private insurers, and other payer regulations., Develop and implement key strategies to optimize reimbursement and minimize claim denials., Investigate, examine, and resolve billing errors, denials, and appeals efficiently., Track and assess key performance indicators (KPIs) related to revenue cycle management., Keep abreast of industry regulations and payer policies to ensure compliance., Establish and enforce best practices for billing in alignment with state and federal guidelines., Formulate and standardize clear workflows and procedures for the billing department., Collaborate with cross-functional teams to streamline billing operations and enhance efficiency., Compiled and delivered financial reports on billing performance, outstanding receivables, and revenue trends.
  • Ultimate Care Homecare, Director of Revenue Cycle, 02/23, 08/23, Reviewed, analyzed, and recovered outstanding accounts receivable (A/R) while managing accurate cash receipts posting., Supervised and mentored a team of three representatives to optimize performance and efficiency., Collaborated with senior management weekly to provide reports and develop strategic collection initiatives., Developed and implemented processes to enhance timely collections and reduce outstanding balances., Assisted in evaluating, selecting, and transitioning to new software solutions to streamline A/R and billing operations.
  • Northwell Health System (23 Hospitals/5,600+ Providers), Supervisor, 04/14, 01/23, Managed a team of 10 representatives, including one senior representative, ensuring expectations and goals were met., Performed data analysis to assess department priorities and allocate work efficiently., Led team meetings and collaborated with cross-functional departments to enhance operations., Evaluated employee performance and provided constructive feedback for development., Maintained attendance records, processed payroll, and managed time-off requests using Kronos.
  • Northwell Health System, Senior Physician Account Representative, Reviewed complex pre-billing edits to resolve issues and submit claims to payers., Corrected and resubmitted challenging claims to ensure accurate processing., Collaborated with management to develop and implement policies and procedures., Assisted team members with resolving difficult claim edits and account issues., Trained new employees on systems and job functions., Prepared instructional materials and trained employees for special projects., Contributed to the development and presentation of topics in team meetings.
  • Clinical Practice Plan Representative CBO Westbury, Conducted A/R follow up for physician billing., Identified trends and systems issues and escalated them to management to be corrected on a larger scale., Worked with supervisor to manage psychiatry division edits and trained other representatives that joined the team., Managed international patient accounts.
  • United Guardianship Services, Director of Support Services, Brooklyn, NY, 09/12, 02/13, Updated client database using Microsoft Office to ensure accurate record-keeping., Filed Supreme Court documentation related to each AIP., Assisted in marshalling accounts and assets of AIP., Coordinated with NYC Marshals on eviction proceedings., Oversaw property cleanups and maintenance operations.
  • Synergy First LLC, Research Assistant, Brooklyn, NY, 05/11, 09/11, Assisted in recruiting patients for clinical trials across various therapeutic areas., Conducted interviews to obtain medical history and assess study eligibility., Documented study data points and maintained accurate research records., Prepared blood samples for shipment and analysis by the Central Laboratory., Assisted with blood draws and centrifugation procedures., Assisted with electrode placement for ECGs., Observed and supported patient visits, including administering rating scales, collecting vitals, and performing study procedures.

Languages

English
Native or Bilingual

Timeline

Director of Billing

Caring Professionals Homecare
09.2023 - Current

Director of Revenue Cycle

Ultimate Care Homecare
02.2023 - 08.2023

Supervisor

Northwell Health System
04.2014 - 01.2023

Senior Physician Account Representative

Northwell Health System
04.2014 - 01.2023

Clinical Practice Plan Representative CBO Westbury

Northwell Health System
04.2014 - 01.2023

Director of Support Services

United Guardianship Services
09.2012 - 02.2013

Research Assistant

Synergy First LLC
05.2011 - 09.2011

Bachelor of Science - Business Management & Marketing, Minor in Biology

Touro College School of Business – Landers Division

Master of Business Administration (MBA) - Finance & Health Administration Management

Touro University Worldwide
David Lermer