David Norat
Revenue Cycle Executive
Miami,FL
Summary
Career Objective: Utilize all acquired skills and knowledge through work and educational experience, and to achieve a higher level of expertise and continuous career development in the field of medical revenue cycle. Become an asset to any hiring organization. Achievements / Skills: Revenue Cycle Expert Expertise in all aspects of medical billing and coding Proven effective insurance contract negotiator Successful Collector
Overview
32
32
years of professional experience
4
4
years of post-secondary education
2
2
Languages
Work History
Medical Billing Administrator
First Class OBGYN PA
Weston, FL
05.2020 - Current
- Successful billing administrator on all matters related to billing and collections, and complicated aged claims and payer issues.
- Significantly decreased the AR on the 90+ and 120+ days by 60% on my first three months of employment.
- Oversee all revenue cycle operations for the large volume medical group.
- Conduct internal medical billing and coding audits to maintain a HIPAA and government mandated environment.
- Monitor all billing activities and provide support and education to all staff when necessary.
- If need be, perform insurance eligibility and benefits verification on complex insurance or private payers.
- Oversee insurance authorizations for complex cases and out of network payers.
- Communicate with existing and new contracted payers in reference to contract reviews and renegotiation activities.
- Overseeing that contract and fee schedules are properly implemented.
- Represent the medical group in all matters related to insurance billing, collections, medical audits, and insurance contract negotiation and renegotiations.
- Oversee all activities of the contracted billing company by identifying billing errors, promoting best practices in proper billing and collections.
- Provide education to all providers and ancillary staff in proper clinical documentation and appropriateness in coding selection, in compliance to CMS, CPT, and payer guidelines.
- Prepare customized aging reports for revenue cycle analysis and trending.
- Perform claim corrections, resubmissions, and appeals when necessary.
- Perform monthly billing audits related to hospital surgical procedures and notify the billing company of any billing mistakes.
- Conduct and participate on biweekly meetings with Billing Company and our VP of Operations for quality improvement purposes.
- Monitor daily or weekly revenue activities to ensure timely postings are performed, and identify any decrease in cash flow.
- Provide account review and training to all staff including the managers as needed.
- Communicate with patients on complex billing matters as requested.
Adjunct Faculty
CBT College
Miami, FL
03.2020 - Current
- Teaching various courses related to Revenue Cycle (Medical Insurance, Billing, Coding, Quality).
Revenue Cycle Consultant
02.2008 - Current
- Provide consulting services to healthcare professionals in practice management and revenue cycle management (medical coding, billing, collections, credentialing, EMR, billing systems, contract negotiations, HR, Compliance).
- Athena, Intergy, Greenway, EPIC, and ECW Systems.
- Director of Revenue Cycle and Centralized Billing Office.
Instructor, Site
Auburn University
Miami
02.2020 - 04.2020
- Taught Medical Terminology, Medical Billing and Coding, and Medical Office Administration at Miami Teaching Site.
- Large group of 36 students.
- COVID19 – furlough/laid off.
Director Revenue Cycle and CBO
Borinquen Medical Centers of Miami
Miami, Florida
11.2015 - 04.2017
- Dade.
- Oversaw and directed all operations related to revenue cycle management and the CBO including credentialing, medical coding, billing, collections, Practice Management and EMR systems.
- Supervised over 50 staff directly or indirectly.
- Developed and implemented best practices for revenue cycle management for the entire organization.
- Updated fee schedules and monitored billing system deficiencies.
- (Athena).
- Escalated and resolved issues directly with payer CEO, CFO, and other executives as needed.
- Financial analysis and reporting to CFO, CEO and external auditors.
- Monitor KPI’s and identify deficiencies requiring improvement.
Practice Administrator
Florida Woman Care
Aventura, Florida
01.2008 - 11.2015
- Managed and supervised all operations of the medical practice including Front Desk, Insurance verifications, medical coding, billing, collections, provider credentialing, HR, AR/AP, OSHA, HIPAA compliance, PMP and EMR system support, compliance officer, training, marketing strategies.
- Medical Manager, Athenanet/ Athenahealth systems.
- Implemented best practices and executed conversion from paper records to EMR and upgraded the Practice Management systems.
- Successful results bringing substantial revenue to the medical group practice.
Supervisor Accounts Receivable Finance / Revenue Cycle
Miami Beach Community Health Center
07.2004 - 12.2007
- Managed and supervised all Revenue Cycle activities at the care centers including registration, insurance verification, medical billing, medical collections.
- FQHC Setting.
- Supervised daily cash collections, bank deposits.
- Financial reporting for accounting/finance department reconciliation.
- Grant reporting and support to CFO and CEO.
Billing Supervisor
Health Choice Network of Florida
Miami, Florida
03.2002 - 06.2004
- Network for Various FQHC organizations in Florida.
- Supervised and managed all operations related to patient account billing and collections.
- Significant team efforts achieved decrease in AR and delinquent accounts for over 60 days.
- Revenue Cycle management oversight on all Care Centers in South Florida.
Education
Bachelor Degree - Business Administration And Management
COLUMBIA COLLEGE
Columbia, MO 08.1987 - 07.1990
Certification – Medical Billing and Coding Columbia Career Center - Medical Diagnosis And Procedural Coding
Columbia Area Career Center
Columbia, MO 03.1992 - 11.1992
Skills
Process implementation
Revenue Generation
Strategic and financial planning
Medical Billing and Coding
Contract Negotiation
Revenue Cycle Management Expert
Physician or Facility Operations Management
Trainer and Educator
Team Builder and Team Player
Bilingual
Spanish and English
Fully bilingual - Proficient on both
Timeline
Medical Billing Administrator
First Class OBGYN PA
05.2020 - Current
Adjunct Faculty
CBT College
03.2020 - Current
Instructor, Site
Auburn University
02.2020 - 04.2020
Director Revenue Cycle and CBO
Borinquen Medical Centers of Miami
11.2015 - 04.2017
Revenue Cycle Consultant
02.2008 - Current
Practice Administrator
Florida Woman Care
01.2008 - 11.2015
Supervisor Accounts Receivable Finance / Revenue Cycle
Miami Beach Community Health Center
07.2004 - 12.2007
Billing Supervisor
Health Choice Network of Florida
03.2002 - 06.2004
Certification – Medical Billing and Coding Columbia Career Center - Medical Diagnosis And Procedural Coding
Columbia Area Career Center
03.1992 - 11.1992
Bachelor Degree - Business Administration And Management
COLUMBIA COLLEGE
08.1987 - 07.1990