Holly Piedra
Miami,FL
Summary
Professional and dedicated team leader with extensive experience in healthcare administration, seeking to leverage my skills and expertise as an Administrator at lifeline home healthcare. Committed to ensuring compliance with all regulations and enhancing the efficiency of daily operations. ICD 10 Coding certified and medical billing expert.
Overview
29
29
years of professional experience
Work History
Administrator
Lifeline Home Healthcare
09.2005 - 02.2024
- Led and coordinated all aspects of the agency's operations, ensuring compliance with local, state, and federal regulations
- Acted as a liaison between governing bodies, staff members, and the community
- Oversaw the day-to-day operations, including resource allocation and policy enforcement
- Implemented rigorous staff hiring, education, training, and evaluation processes
- Managed the policy and procedure manual, ensuring annual reviews and updates
- Ensured accuracy and appropriateness of public information materials
- Developed and monitored a comprehensive budgeting and accounting system
- Prepared and submitted all necessary reports as per regulatory requirements
- Delegated responsibilities effectively in absence and ensured uninterrupted operations
- Established a staff communication system for effective care planning and service utilization
- Maintained professionalism and adherence to HIPAA privacy rules.
Billing Supervisor
Ruffe Systems
MIAMI, FL
05.1995 - 08.2005
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Kept operations running smoothly and solved diverse problems by coordinating with customers, management and internal departments.
- Reviewed customer account information for accuracy prior to submitting invoices for payment approval.
- Resolved customer inquiries regarding invoice discrepancies or past due balances in a timely manner.
- Assisted in the preparation of annual budgeting process for billing department operations.
- Maximized efficiency, reduced delinquency and increased accuracy of billing department by developing and implementing system and process improvements.
- Implemented continuous improvement initiatives designed to streamline existing processes for greater operational efficiency.
- Maintained records of all transactions including billings, payments received, and any adjustments made to customer accounts.
- Performed periodic audits of customer accounts to verify accuracy of charges billed against actual services rendered.
- Ensured timely processing of customer payments by setting up payment plans and negotiating settlements as needed.
- Supervised a team of 8 billing clerks to ensure accuracy and efficiency in daily tasks.
- Evaluated accuracy and compliance of all documentation and reports.
Education
Skills
- Leadership and Team Management
- Healthcare Administration
- Regulatory Compliance
- Policy Development and Implementation
- Budgeting and Financial Management
- Communication and Liaison
- Staff Training and Development
- Privacy and HIPAA Compliance
- Medical Billing
- ICD-10 Coding
References
Available upon request
Timeline
Administrator
Lifeline Home Healthcare
09.2005 - 02.2024
Billing Supervisor
Ruffe Systems
05.1995 - 08.2005
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