Results-oriented Supervisor with a diverse background in retail and healthcare management, insurance, medical billing and customer relations. Strong ability to communicate clearly and effectively with doctors, customers and staff. Dedicated to providing excellent customer service, fostering an environment based on collaboration, support and constructive communication. Take-charge professional delivering executive support and team leadership to business operations. Dependable and detail-oriented with ability to manage multiple tasks and priorities. Broad experience includes office management, surgical scheduling, accounting, accounts receivable, invoicing, database management, vendor negotiations and contract management. Recognized for exemplary customer service, communication and team collaboration.
Managed daily operations within the facility by supporting continuous delivery of excellent services and care. Coordinate the surgical schedules by communicating with our doctors in NY, NJ, CT and PA on a daily bases to ensure proper scheduling within our facilities and hospitals for upcoming surgeries. Updated daily logs to track information movements. Purged outdated files. Held daily team meetings to ensure all staff are communicating properly and addressed all concerns. Completed reports, emails, memorandum, letters and releases. Designed training procedures and created training manuals for the facility to help new staff acclimate quickly. Cross trained staff to increase productivity within the center. Increased company efficiency by implementing several process improvements. Maintained 100% compliance with all hospital and government regulations. Efficiently performed insurance verification and pre-certification and pre-authorization functions. Negotiated Medicaid rates with insurance companies that the ASC was non par with to continue focusing on the growth and profit of the company. Directed the installation of improved work methods and procedures to achieve facility objectives. Filed appeals for rejected claims. Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations. Observed strict confidentiality and safeguarded all patient-related information. Carefully reviewed medical records for accuracy and completion as required by insurance companies. Acquired insurance authorizations for procedures and tests ordered by the attending physicians. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Accurately entered procedure codes, diagnosis codes and patient information into billing software and EMR systems. Consistently ensured proper coding, sequencing of diagnoses and procedures. Acted as a liaison between the outside surgical coordinators, business department, billers and third party payers in resolving billing and reimbursement accuracy. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Interpreted medical reports to apply appropriate ICD-9 and ICD-10, CPT-4 and HCPCS codes.
Carefully reviewed medical records for accuracy and completion as required by insurance companies. Acquired insurance authorizations for procedures and tests ordered by the attending physicians. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Implemented procedures at LI Ambulatory Surgery Center that significantly reduced their loss percentage from unpaid insurance claims. In addition, increased profits by securing insurance contract information and presenting it to all the doctors the surgery center participates with who perform I-Stents resulting in an increase from 2 insurance companies to 8 companies. This also became a gateway for the company to focus on the growth potential in the I-Stent field.
Core Value Winner for Communication awarded from SightMD/LI Ambulatory Surgery Center every year from 2018-2023. Consistently ranked in the top 10 of accomplished employees at Optimum every year during my career with Optimum. Ranked in the top 5 accomplished employees in 2013-2015.Received 22 Customer compliment awards in 2015.Received 4 Customer Experience Excellence Awards as well as 3 Quarterly achievement Awards for 2015.
EMR proficient, ICD-9 and ICD-10 skilled, CPT-4 experience, HIPAA compliance, Medical billing, Detail-oriented, Excellent interpersonal skills ,Time management ,Call center operations, Quality and assurance, Interpersonal, conflict management, Customer relations, excellent customer service, Customer Service, Customer service skills, Data Entry, database, driving sales, employee relations, Filing, Customer Focus, hiring, HR, Listening, loss prevention, meetings, merchandising, Multi-tasking, payroll, People Skills, personnel, problem solving, promotion, reporting, researching, safety, Selling, sales, staffing, Store Manager, Supervising, Teaching, Phone Skills, Verbal Communication skills, Excels in email and chat communications.