FLORBELA M. GOMES
Ossining
Summary
Dynamic Medical Billing/Revenue Cycle Manager with extensive experience at Mark R. Weigle, M.D., PC. Proven track record in strategic business planning and team development, successfully implementing in-house billing and enhancing operational efficiency. Skilled in accounts receivable management and contract negotiation, driving revenue growth and improving financial performance.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Medical Billing/Revenue Cycle Manager
Mark R. Weigle, M.D., PC
02.2010 - Current
- Manage day-day financial operations that focus on EDI, EFT's, ERA's, reimbursements, collections, accounts payable/receivable, data management and payment plans.
- Responsible for credentialing current and incoming providers.
- Implement Continuous Quality Improvement (CQI) guidelines to measure the performance of business operations; prepare monthly financial reports; and manage internal chart audits.
- Negotiate contracts with third party payers' (contract language, reimbursement analysis/negotiation).
- Responsible for software implementation/upgrades such as eRX, practice manager, clearinghouse.
- Train and supervise the billing department.
- Work with consultants and third parties as needed (including practice accountant and bankers).
Practice Manager
Mark R. Weigle, M.D., PC
08.2007 - 02.2010
- Trained and managed an office of (12-15) employees'.
- Responsible for complete relocation of practice without any interruption to physician hours or revenue.
- Facilitated effective transition to in-house billing.
- Oversaw construction of new facility, monitoring multiple contractors and coordinating activities toward scheduled start date.
- Responsible for practice development including implementing computerized scheduling.
- Managed daily financial operations including running and analyzing quarterly reports, daily deposits and account reconciliation, review and payment of accounts payable/receivable.
- Entered and transmitted daily charges.
- Managed all human resource issues including employee benefits, payroll, vacations, recruiting, terminations, employee performance and bonuses.
- Worked with consultants and third parties as needed (including practice accountant and bankers).
- Responsible for recruiting and training of new Practice Manager.
Office Manager
Palekar Family Medical Services, PC
09.2003 - 07.2007
- Managed all financial aspects, including deposits, banking, review and payment of accounts payable.
- Entered and transmitted daily charges.
- Responsible for running and analyzing monthly reports.
- Managed all human resource issues including employee benefits, payroll, vacations, recruiting and terminations.
- Negotiated contracts with third party payers' (contract language, reimbursement analysis/negotiation and credentialing).
- Worked with consultants and third parties as needed (including practice accountant and bankers).
- Facilitated effective transition to in-house billing.
Office Supervisor
NyConn Orthopedic
10.2002 - 09.2003
- Prioritized work schedule and assigned work load on a weekly basis.
- Pre-certified surgical procedures.
- Prepared daily charges and payments for the administrative office.
- Processed medical records request.
Medical Biller
Orthopedic Surgery and Sports Medicine
08.2001 - 09.2002
- Coded and filed all surgical claims.
- Worked account receivables.
- Prepared monthly statements/reports.
Office Administrator
Family Medical Care
11.2000 - 08.2001
- Assisted billing department.
- Worked account receivables and prepared monthly reports.
- Responsible for patient statements/collections.
Medical Biller
Putnam OBGYN
02.1997 - 10.2000
- Managed all aspects of billing.
- Benefit verification/notification, end of month reporting, payment posting.
- Arranged payment plans for self pay patients.
- Coded Deliveries.
- Entered daily charges.
Education
High School -
Jefferson High School
Skills
- Office Management
- Teambuilding & Supervision
- Staff Development & Training
- Policies & Procedures Manuals
- Strategic Business Planning
- Spreadsheet & Database Creation
- Accounts Payable/Receivable
- Bookkeeping & Payroll
- Medical Billing
- Practice Compliance Auditing
- Inventory Management
- Expense Reduction
Certification
Certified Professional Coder with AAPC
Phone
cell, 914-433-1662
Languages
Spanish
Professional
Portuguese
Professional
Timeline
Medical Billing/Revenue Cycle Manager
Mark R. Weigle, M.D., PC
02.2010 - Current
Practice Manager
Mark R. Weigle, M.D., PC
08.2007 - 02.2010
Office Manager
Palekar Family Medical Services, PC
09.2003 - 07.2007
Office Supervisor
NyConn Orthopedic
10.2002 - 09.2003
Medical Biller
Orthopedic Surgery and Sports Medicine
08.2001 - 09.2002
Office Administrator
Family Medical Care
11.2000 - 08.2001
Medical Biller
Putnam OBGYN
02.1997 - 10.2000
High School -
Jefferson High School