Results-driven professional with expertise in management, cultural competency, risk management, customer service, and administration. Equipped with a strong desire to further develop skills and make a valuable contribution to a dynamic work environment in Health Care.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Real Estate Broker
Coldwell Banker
04.2022 - Current
Responsible for facilitating transactions by connecting buyers, sellers, landlords, or tenants while ensuring all legal and financial processes are followed
I manage contracts, negotiate terms, oversee property listings, and provide guidance on pricing, marketing, and market conditions
I also supervise agents, ensure compliance with laws, and have the option to run my own brokerage or real estate firm
Key Responsibilities
1 Facilitating Transactions: Connect buyers, sellers, landlords, and tenants to close property deals efficiently
Ensure all legal, financial, and contractual obligations are met
2
Managing Contracts and Negotiations: Draft, review, and manage purchase agreements, leases, and other contracts
Negotiate terms to achieve favorable outcomes for your clients
3
Overseeing Listings and Marketing: Set competitive prices and create marketing strategies to attract buyers or tenants
Manage property listings on the MLS and other marketing platforms
4
Providing Market Guidance: Advise clients on current market trends, property values, and financing options
Help clients make informed decisions to maximize their investments
5
Supervising Real Estate Agents: Train, mentor, and manage agents within your brokerage
Ensure agents follow industry regulations and best practices
6
Ensuring Legal Compliance: Stay updated on real estate laws, zoning, and contract regulations
Ensure all transactions adhere to local, state, and federal laws
7
Build relationships: Build relationships with clients, lenders, inspectors, and other industry professionals
8
Client Relationship Management: Provide excellent customer service to build trust and retain clients
Handle any conflicts or challenges that arise during transactions
Advised clients on optimum buying and selling choices for maximum returns.
Negotiated real estate contracts to navigate transactions between buyers and sellers.
Conducted competitive market analysis to determine optimal pricing for properties.
Enhanced client satisfaction by providing comprehensive market analysis, tailored to their individual needs and preferences.
Revenue Cycle Manager
Greatland Home Health Services
08.2015 - 08.2016
Responsible for overseeing the entire financial process from patient registration to final payment, ensuring accurate billing, timely claims submission, and compliance with healthcare regulations
I monitor key performance metrics, manage denials, lead billing teams, and collaborate with departments to optimize revenue and reduce losses
Key Responsibilities of a Revenue Cycle Manager
Supervising the Revenue Cycle Process: Oversee all stages of the revenue cycle, including patient registration, billing, coding, claims submission, payment posting, and collections
Ensure compliance with insurance policies, healthcare regulations, and payer requirements
Managing Billing and Claims Processing: Monitor the accuracy of medical coding (e.g., ICD-10, CPT) to avoid claim rejections or delays
Ensure timely submission of insurance claims to maximize reimbursement
Work with insurance providers on claim disputes and appeals
Monitoring Revenue Cycle Performance: Track metrics such as days in accounts receivable (A/R), denial rates, and cash flow trends
Identify bottlenecks and implement process improvements to enhance revenue efficiency
Generate financial reports for upper management and stakeholders
Compliance and Risk Management: Ensure compliance with HIPAA, Medicare, Medicaid, and other payer regulations
Stay updated on changing healthcare policies and payment models
Mitigate risks by developing and enforcing internal policies
Managing Patient Accounts and Collections: Oversee patient payment plans and collections for outstanding balances
Improve patient communication and education regarding insurance coverage and payment options
Work with collections agencies for aged accounts when necessary
Denial Management and Claims Resolution: Analyze and reduce claim denials by investigating root causes
Coordinate with departments (e.g., coding, clinical teams) to resolve denied claims
Develop strategies to prevent future denials
Technology and Software Management: Implement and manage healthcare revenue management software (e.g., Epic, Cerner)
Coordinate with IT to maintain data accuracy and streamline processes
Train staff on billing and revenue cycle systems and tools
Team Leadership and Training: Lead and manage billing and collections teams
Conduct performance evaluations, set goals, and provide coaching to staff
Ensure the team is well-trained in regulatory changes and new billing procedures
Collaboration with Other Departments: Work closely with clinical, IT, and finance teams to align operational and financial goals
Collaborate with physicians and staff to ensure accurate documentation for claims
Developing Financial Forecasts and Budgets: Assist in forecasting revenues and setting financial goals for the organization
Contribute to budgeting processes by identifying opportunities for cost savings or revenue growth
Commercial Collections Supervisor
Fresenius Medical Care
03.2009 - 09.2012
Responsible for all aspects of commercial collections including approving write-offs adjustments, and assuring correct payment from our contracted payers
Key Accomplishments:
Collections Goals achieved for all quarters in 2009
Effectively training new and existing Patient Account Representatives on new Soarian System
Overseeing projects to work down accounts receivable in legacy system
Training and Developing the Patient Account Representatives and Senior Patient Account Representatives
Meeting with Managed Care to make sure contracted rates are reimbursed correctly by payers
Monthly meeting with UHC provider representative to discuss outstanding reimbursement issues
Holding weekly meetings with Patient Account Representatives to discuss high dollar and old dollar accounts and provide direction, focus, and trends
Processing accounts to assure appropriate Medicare bad debt write offs
Project Management-Blue Cross Blue Shield, Veterans Administration, Aetna
Billing Manager
Hofmaier Chiropractic
09.2008 - 07.2009
Responsible for Managing, Billing, Collections and overseeing day to day activities of the A/R Representatives and Chiropractic Assistants
Training staff on HIPAA regulations and enforcing Medicare billing practices and fraud and abuse guidelines
1
Helped with implementation of electronic billing and posting cash
2
Trained front desk on Insurance verification, obtaining authorizations, collecting co-payments and deductibles
3
Helped with implementation of Reimbursement pro to help with collections
4
HIPAA certified
Supervisor of Reimbursement (REGISTRY)
Advocate Home Care Products
08.2007 - 05.2008
Responsible for Managing, Billing, Collections and overseeing day to day activities of the Reimbursement Specialist
Key Accomplishments:
Implementing policies and procedures to enhance cash collections (within 1st two weeks of employment)
Collections goals achieved within 2 months of employment
Highest collection month for the year(October 2007)
Medicare, Blue Cross Blue Shield and Commercial Insurance collections increased consistently
Assuring all Associates have the necessary resources to complete assigned duties
Commercial Insurance collected 100% of their goal for 2007
DSO lowered significantly for all payers(Medicare 28 days)
Billing Manager
Your Doc
09.2006 - 08.2007
Responsible for all aspects of Billing, Accounts Receivable, Cash applications, Overpayments, Collection Accounts, and overseeing day to day activities of the Office Managers(6 locations)
Key Accomplishments:
Implementing policies and procedures to enhance cash collections
Training Physicians on Medicare’s E&M coding
Training personnel on Insurance verifications and obtaining prior authorizations
Monitoring reimbursement and assuring collections
Minimizing outstanding A/R
Developed new policy for intake processing
Managing Rejection and/or Bills holding report
Reviews and appeals
Occurrence web form to Manage multiple offices
Billing and Accounts Receivable Manager
Med star Medicar, LLC
08.2005 - 10.2006
Responsible for ensuring timely, accurate claim submission and cash collections
Key Accomplishments:
Assured that all associates remain well organized and that all paper flow procedures were followed
Monitor accuracy and completeness of order intake and billing information and respond accordingly
Work through appropriate supervisors/managers and personnel to update changes and/or mistakes
Assure that all associates are following the proper follow up procedures
Understanding of federal, state, and company policies and procedures
Assure that all staff members have the same understanding relative to their position
Verification and accuracy of billing
Insurance verification, obtaining prior authorizations and timely follow up parameters
Establishing objectives
Adhering to HIPAA and Illinois Public Aid guidelines
Billing Office Manager
Care Centers Health Systems, Inc.
07.1999 - 07.2006
Responsible for managing and ensuring the efficient billing operation of Care Centers Health Systems, Inc
Enteral Department
Key Accomplishments:
Trained all personnel on utilizing the medical reimbursement software and billing
Quality assuring system and patient information
Developing a compliance program for billing procedures
Providing ongoing training for employees and myself
Implementing procedures for billing and cash collections
A/R training (Including Medicare reviews and Public Aid audits)
Entering all pricing and allowable for medical equipment and supplies
Adhering to HIPAA, Fraud and Abuse regulations
Collection Supervisor
Mestamed
02.1999 - 07.1999
Responsible for supervising a 10 person billing department while actively billing IDPA and Medicare
Key Accomplishments:
Trained personnel on all aspects of accounts receivable functions
Reviewed large balance accounts to ensure payment
Assisted other collectors with collection issues
Supported other divisions with Medicare guidelines
Order Verification Manager
Ariston Healthcare Inc.
10.1996 - 07.1999
Responsible for managing the Billing and A/R department while quality assuring payment and coverage guidelines
Key Accomplishments:
Trained personnel on all aspects of order verification functions
Implementing policies and procedures for verifying commercial insurance
Restructuring and adding to the department to assure low revenue holding
Creating CMN’s
Assured payment of medical services
Medical Secretary
02.1995 - 10.1996
Responsible for assisting the Director of Nursing, maintaining employee files, time cards, death certificates, ordering medical supplies, pacemaker checks, scheduling Dr
Appointments, and assisting family and residents
Education
MBA - Healthcare Management
Capella University
01.2014
Skills
Lead Generation
Market Research
Agent and seller communications
Negotiation and Conflict Resolution
Problem-Solving and Critical Thinking
Knowledge of Healthcare Regulations and Compliance
Leadership and Team Management
Financial and Analytical Skills
Communication and Interpersonal Skills
Information Literacy
Volunteer Experience
Rush Copley Hospital, Aurora, IL, 04/01/12, 12/01/12
Accomplishments
One of my key accomplishments was developing a comprehensive revenue management manual for our healthcare department. This manual served as a vital resource for our team, standardizing processes across the revenue cycle—from patient registration to billing and collections.
This accomplishment not only improved our department's efficiency but also served as an essential training tool for new employees, fostering a culture of continuous improvement in revenue management.