Iris E. Stewartson
Summit
Summary
Results-driven Revenue Cycle Manager with 30 years of comprehensive experience in follow-up billing and coding, including a decade in management roles. Expertise in optimizing revenue processes, combined with keen attention to detail and exceptional communication skills, facilitates quick adaptation to challenges and fosters team collaboration. Committed to leveraging skills to drive organizational success in a dynamic environment. Seeking a challenging position that allows for the application of extensive knowledge while contributing to the overall growth of the organization.
Overview
19
19
years of professional experience
Work History
Systems Revenue Cycle Manager – Department of Pediatrics
Mount Sinai Medical Center
01.2017 - Current
- Direct and coordinate all functions of the revenue cycle to maximize cash flow while enhancing patient and physician relations.
- Oversee front-end billing operations, including registration, insurance verification, billing, collections, and data processing, ensuring accurate billing and efficient account resolution.
- Serve as liaison with the CBO Client Service Executive to identify trends and implement process improvements.
- Review time-of-service (TOS) payments and manage open encounters to ensure timely resolution.
- Monitor daily Epic work queues (WQs) for Mount Sinai Hospital (MSH), Beth Israel (BI), and Mount Sinai West (MSW).
- Collaborate with the VP, directors, physicians, and staff to review departmental billing performance and outcomes.
- Manage credentialing processes for both new and existing faculty members.
- Generate and analyze reports to identify trends and ensure alignment with budget targets and FPA standards.
- Partner with the Compliance Department to ensure accurate coding, proper documentation, and maximized billing opportunities.
Billing Manager - Central Billing Office
Mount Sinai Medical Center
09.2008 - 12.2016
- Oversaw all accounts receivable by proactively tracking claims from health insurance carriers, monitoring payment statuses, and resolving denials.
- Processed account write-offs and forwarded unresolved cases to collections after exhausting all resolution efforts.
- Demonstrated strong time management by effectively prioritizing tasks and consistently meeting deadlines.
- Prepared detailed reports and analyzed receivables trends for monthly meetings with department administrators.
- Conducted monthly one-on-one meetings with staff to review productivity and deliver targeted training.
- Collaborated with managers across departments to foster a cohesive work environment and ensure consistent policy adherence.
- Participated in the implementation of various departmental projects to enhance operational efficiency.
Department of Surgery Account Coding Specialist
New York Weill Cornell Center
01.2007 - 09.2008
- Enabled comprehensive understanding of proper documentation and coding standards across inpatient and outpatient services.
- Monitored medical records to ensure compliance with Centers for Medicare & Medicaid Services (CMS) and third-party billing, reimbursement, and coding regulations.
- Interpreted and integrated documentation and billing requirements into compliance plans and operational activities.
- Conducted prospective compliance documentation audits for fifteen surgeons across five specialties.
- Educated physicians and staff on CMS regulations, state and local requirements, and appropriate CPT and ICD-9 code selection.
- Reviewed all Medicode TES edits to ensure clean claim submissions to insurance carriers.
- Implemented log sheets for daily documentation reviews.
- Tracked and analyzed daily work to ensure staff performance was efficient and accurate.
Education
MBA - Business Administration
Mercy College
Dobbs Ferry05-2022
Merit Diploma - Medical Business Administration
Hostos Lincoln Academy
Bronx, NY01.1992
Skills
- Knowledge of HIPAA regulations
- Revenue performance
- Denial resolution
- Claims management
- Account resolutions
- Revenue metrics analysis
- Billing cycle performance
- Attention to detail
- Problem-solving abilities
- Multitasking
- Critical thinking
- Effective communication
- Adaptability and flexibility
- Team collaboration
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Systems Revenue Cycle Manager – Department of Pediatrics
Mount Sinai Medical Center
01.2017 - Current
Billing Manager - Central Billing Office
Mount Sinai Medical Center
09.2008 - 12.2016
Department of Surgery Account Coding Specialist
New York Weill Cornell Center
01.2007 - 09.2008
Merit Diploma - Medical Business Administration
Hostos Lincoln Academy
MBA - Business Administration
Mercy College
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