Elena Newman
Brooklyn,NY
Overview
28
28
years of professional experience
Work History
Health Care Management Consultant
Medex D&T Center
Queens, NY
08.2016 - 06.2023
- Reviewed appropriate coding methodology (APG) and claim edits to ensure accuracy, quality and productivity in the billing data
- Proposed solutions to performance improvement and revenue enhancements opportunities while utilizing available resources
- Conducted internal audit on regular basis to insure compliance with the state and federal rules and regulations
- Participated in the preparation of annual cost report for NYSDOH
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our services
Health Care Management Consultant
FHHC LLC
Bronx, NY
05.2014 - 02.2022
- Located opportunities for operational improvement by comparing current performance to industry best practices
- Performed analysis and reviews to have a complete understanding of clinic issues and needs regarding revenue cycle and use of the practice management system
- Streamlined billing activities from claims submission through account resolution
- Developed and implemented procedures for identification of patient coverage sources and/or proper patient classification
- Participated in the development of annual budget to ensure appropriate allocation of resources to support operations and meet organization goals
- Prepared annual cost report for NYSDOH.
Health Care Management Consultant
IntermedCare PC
Brooklyn, NY
09.2016 - 01.2019
- Reviewed medical practice issues and needs regarding revenue cycle performance
- Provided internal audit of AR with subsequent finding of the source of losses
- Achieved required reporting level to pass for Federal MIPS program for the period of 2017, 2018.
Director of Revenue Management/Credentialing Department
Medex D&T Center
Queens, NY
04.2010 - 07.2016
- Monitored revenue cycle functions of charge capture and submission of the institutional and professional medical claims
- Verified correct coding methodology (APG) and claim edits to ensure accuracy in the areas of billing data quality and productivity
- Collaborated with healthcare providers to ensure that productivity benchmarks are established and maintained
- Provided analytical support and proposed solutions on all matters pertaining revenue cycle needs and revenue projections
- Performed various weekly, monthly, quarterly, and annual reporting (current/projected)
- Prepared annual cost report for NYSDOH
- Supervised providers credentialing process
- Evaluated the contracts/agreements with insurance carriers and advised negotiating terms if needed
- Managed billing and credentialing department staff
- Provided training on the systems in use and software tools
- Project leader in the implementation of the new PM/EHR system with active 93 users
Health Care Management Consultant
AllHealth LLC
Brooklyn, NY
09.2011 - 02.2015
- Analyzed standards of AR reporting and improved the financial health of the clinic
- Modified existing processes to be more efficient at the revenue cycle
- Obtained participation facility contracts from MCD MCO's through proper credentialing process
- Assisted in the development of annual budget to ensure appropriate allocation of resources to support operations and meet organization goals
- Assisted in the preparation of annual cost report for NYSDOH.
CEO/ Founder
Maximus Technology Inc
Brooklyn, NY
03.2002 - 08.2014
- Implemented comprehensive scope of professional medical billing, credentialing and collection services for the healthcare providers
- Developed company client base of over 100 accounts
- Established procedures to maximize effective collection of AR and minimize the bad debt
- Notified and provided educational material to the physicians regarding state and federal regulations as well as new developments in the industry
- Worked effectively with clients on problem solving and subsequently on implementing the new policies and procedures in the areas of shared responsibility
- Recommended reporting enhancements and solutions to provide physicians offices with access to relevant data
- Earned and maintained a climate of confidence in the billing processes with physicians and practice managers
- Coordinated payer audits to identify payments not consistent with payer contracts
- Established appropriate procedures for all activities in the billing company and any necessary controls to ensure correct accounts management including write-offs and/or adjustments
- Utilized job feedback mechanisms and disciplinary action/counseling forms that show to employees whether objectives are being accomplished
- Monitored work for acceptable quality
- Completed staff performance review process and evaluation in compliance with company guidelines
- Maintained billing systems technical setup to ensure compliance with relevant payers billing requirements.
Account Manager
Moore BF Inc
Manhattan, NY
07.1997 - 02.2002
- Daily interaction with clients according to client needs
- Monthly account review meetings with clients
- Monthly reconciliation of $1.2M account inventory
- Daily, Weekly, Monthly reporting of inventory movement to senior management of both organizations
- Provide financial data for yearly budget preparation for both organizations.
Assistant Treasurer Credit Cards Division
Citi Corp
LIC, NY
01.1995 - 07.1997
- Daily reconciliation of Citi Visa/MC and Diners Club credit cards
- Daily reconciliation of the bank account with Federal Reserve
- Daily reporting of account standings to Treasurer.
Education
Certified Professional Coder -
AAPC
01.2002
Professional Diploma Business Analysis -
NYU SCE
01.1995
MS Economics -
Institute of Civil Aviation Engineers
01.1984
Skills
- Over 18 years of experience in Healthcare revenue management
- Deep knowledge of the state and federal healthcare rules and regulations
- Great understanding of the member-physician-insurance carrier relationship
- Detail oriented; able to meet strict schedules
Languages
- English
- Russian
Timeline
Health Care Management Consultant
IntermedCare PC
09.2016 - 01.2019
Health Care Management Consultant
Medex D&T Center
08.2016 - 06.2023
Health Care Management Consultant
FHHC LLC
05.2014 - 02.2022
Health Care Management Consultant
AllHealth LLC
09.2011 - 02.2015
Director of Revenue Management/Credentialing Department
Medex D&T Center
04.2010 - 07.2016
CEO/ Founder
Maximus Technology Inc
03.2002 - 08.2014
Account Manager
Moore BF Inc
07.1997 - 02.2002
Assistant Treasurer Credit Cards Division
Citi Corp
01.1995 - 07.1997
Certified Professional Coder -
AAPC
Professional Diploma Business Analysis -
NYU SCE
MS Economics -
Institute of Civil Aviation Engineers
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