Accomplished Chief Operating Officer at Illinois Surgical Specialists, LTD, with a proven track record in operations oversight and compliance management. Expert in fostering business growth, securing profitable contracts, and enhancing coding practices. Skilled in conflict resolution and team mentoring, significantly improving organizational efficiency and revenue cycle processes.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Chief Operating Officer
Illinois Surgical Specialists, LTD
05.2020 - Current
Oversaw day-to-day operations to keep organization running smoothly while meeting business goals.
Identified and pursued business development opportunities to grow organization and increase revenue.
Negotiated contracts and agreements to secure favorable terms and maximize profits.
Established and maintained strong relationships with customers, vendors and strategic partners.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
Monitored changes in coding regulations to provide recommendations for compliance.
Analyzed financial and statistical data related to revenue cycle, creating in-depth reports to show KPIs.
Enrolled providers and Medicaid, Medicare, and private insurance plans.
Obtained NPI numbers for providers and facilities and updated existing profiles.
Assisted with writing job postings and job descriptions for boards.
Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
Created and delivered HR training sessions to staff, managers and executives.
Conducted performance reviews and provided feedback to doctors,
Advocated for staff members, helping to identify and resolve conflicts.
Medical Coding and Billing Manager
Peoria Surgical Group
01.2018 - 04.2020
Developed and maintained relationships with customers and suppliers through account development.
Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Cross-trained existing employees to maximize team agility and performance.
Accomplished multiple tasks within established timeframes.
Assisted in organizing and overseeing assignments to drive operational excellence.
Streamlined and monitored quality programs to alleviate overdue compliance activities.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Established performance goals for employees and provided feedback on methods for reaching those milestones.
Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Defined clear targets and objectives and communicated to other team members.
Medical Billing Administrator
Central Illinois Endoscopy Center
05.2012 - 12.2017
Communicated with insurance providers to resolve denied claims and resubmitted.
Delivered timely and accurate charge submissions.
Posted payments and collections on regular basis.
Prepared billing statements for patients and verified correct diagnostic coding.
Adhered to established standards to safeguard patients' health information.
Liaised between patients, insurance companies, and billing office.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Collected payments and applied to patient accounts.
Filed and updated patient information and medical records.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Verified insurance of patients to determine eligibility.
Medical Coding and Billing Specialist
Peoria Surgical Group
01.2000 - 04.2012
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
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