GISELLE WHISKEY
MEDICAL PRACTICE MANAGER
Brooklyn,NY
Overview
31
31
years of professional experience
Work History
Medical Practice Manager
S. C. Malhotra
Brooklyn, NY
01.2019 - Current
- Implement, train, update and maintain Pandemic/Emergency procedures and protocols.
- Hire, train and conduct annual evaluations of staff for all areas of practice.
- Liaison for patients’ concerns and escalated issues.
- Update and maintain office policies and procedures.
- Maintenance of equipment, supplies inventory and vendors’ accounts.
- Project management of billing teams accounts receivables on patients’ and insurance balances, denials and appeals.
- Exercised leadership capabilities by successfully motivating and inspiring others.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- First point of contact for Physicians/Hospitals, State Agencies, Pharmaceuticals and Suppliers.
Executive Administrative Assistant
Translational Research Institute - Advent Health
01.2015 - 01.2019
- Handled scheduling for executive's calendar and prepared meeting agenda and materials.
- Coordinated and booked airfare, hotel and ground transportation and prepared itinerary to facilitate successful trips.
- Used software to coordinate meetings, appointments, and tasks senior executives.
- Wrote and enforced administrative procedure plans to reduce errors and prevent process delays.
- Handled confidential and sensitive information with discretion and tact.
- Screened calls and emails and responded accordingly to support executive correspondence.
- Managed executive calendars, scheduling meetings and appointments and coordinating travel arrangements to optimize time.
- Facilitated training and onboarding for incoming office staff.
- Organized and coordinated conferences and monthly meetings.
- Processed travel expenses and reimbursements for executive team and senior management group.
- Coordinated complex annual meeting involving multiple presenters, high number of global attendees and robust budget encompassing livestream production, remote location arrangements and senior executive accommodations.
- Seamlessly interacted with colleagues to plan and complete special projects.
Special Accounts Resolution Specialist
Advent Health (formerly Florida Hospital)
01.2013 - 01.2015
- Reviewed legal documents and contracts to determine potential conflicts and disputes.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Reviewed contract language, state and federal laws to identify discrepancies, promptly addressing for resolution.
- Managed project on aged accounts to identify, resolve and reduce department accounts receivables.
- Complied reports for review and presented to Directors for change management guidelines.
Special Projects Liaison/Team Lead
Advent Health (formerly Florida Hospial)
01.2009 - 01.2013
- Coached team members in techniques necessary to complete job tasks.
- Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
- Developed monthly and daily production output plans to deliver on customer service and financial metrics.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
- Supervised team members to confirm compliance with set procedures and quality requirements.
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
Insurance Reimbursement Specialist II/Team Lead
Advent Health (formerly Florida Hospital)
01.2005 - 01.2009
- Created and maintained online learning tool for team cohesive resolutions.
- Collected data to identify team issues and escalated to Contract Management.
- Resolved problems, improved operations and provided exceptional service.
- Exercised leadership capabilities by successfully motivating and inspiring others.
- Gained strong leadership skills by managing projects from start to finish.
- Liaised between patients, insurance companies, and billing office.
- Trained new employees on multiple medical billing programs and data entry software.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Audited and corrected errors; while educating internal personnel and departments for efficiency.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Researched and resolved complex medical claims issues to support timely processing.
- Identified and resolved discrepancies between patient information and claims data.
- Conducted research and identified market trends to develop better strategies for aged receivables reductions
Insurance Reimbursement Specialist II/Appeal Specialist
Advent Health (formerly Florida Hospital)
01.2002 - 01.2005
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Applied effective time management techniques to meet tight deadlines.
- Proven ability to develop and implement creative solutions to complex problems.
- Researched and analyzed denial reasons based on varied industry trends, state and federal guidelines.
Insurance Reimbursement Specialist
Advent Health (formerly Florida Hospital)
01.1999 - 01.2002
- Cross-training on multi-insurance collection methodologies, contracts and State allowances.
- Strategic planning and execution delivering best resolutions.
- Reduced turnaround time for Customer Service queries and issues.
- Reviewed and validated claim denials based on contract language.
- Pursued reimbursement on denied claims.
Office Manager
S. C. Malhotra
Brooklyn, NY
01.1993 - 01.1998
- Evaluated and implemented strategic action plans to improve patient satisfaction.
- Evaluated and implemented strategic action plans to improve patient satisfaction
- Hired, trained and supervised office staff of eight.
Education
Master of Science - Organizational Leadership
Palm Beach Atlantic University
Bachelor of Science - Social Services
Belhaven University
Summary
An Organized Medical Consultant with proven track record of partnering with clinicians to make practices profitable. Skilled in developing innovative business solutions. An Energetic Practice Manager offering wealth of experience in patient relations and personnel management. Detail-oriented professional with exemplary skills in alleviating customer issues with tact and handling insurance company disputes, with high degree of professionalism and ethical conduct. Enthusiastic professional fostering positive relationships between staff members and patients.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Skills
- Accounts Payable and Accounts Receivable
- Training Program Implementation
- Policy and Procedure Development
- Practice Management
- Reimbursement Tracking
- Organizational Goal Development
- Electronic Medical Record Software
- Problem Identification
- Medical Programs Implementation
- Administrative Staff Supervision
- Insurance Billing
- Supply Ordering
- Performance Tracking and Evaluations
Timeline
Medical Practice Manager
S. C. Malhotra
01.2019 - Current
Executive Administrative Assistant
Translational Research Institute - Advent Health
01.2015 - 01.2019
Special Accounts Resolution Specialist
Advent Health (formerly Florida Hospital)
01.2013 - 01.2015
Special Projects Liaison/Team Lead
Advent Health (formerly Florida Hospial)
01.2009 - 01.2013
Insurance Reimbursement Specialist II/Team Lead
Advent Health (formerly Florida Hospital)
01.2005 - 01.2009
Insurance Reimbursement Specialist II/Appeal Specialist
Advent Health (formerly Florida Hospital)
01.2002 - 01.2005
Insurance Reimbursement Specialist
Advent Health (formerly Florida Hospital)
01.1999 - 01.2002
Office Manager
S. C. Malhotra
01.1993 - 01.1998
Master of Science - Organizational Leadership
Palm Beach Atlantic University
Bachelor of Science - Social Services
Belhaven University
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