Accomplished Operations Executive with a proven expertise in management, leadership, communication, operational integration, and revenue generation.
Overview
22
22
years of professional experience
1
1
year of post-secondary education
Work History
Unbilled Representative
Coram CVS Infusion
11.2021 - Current
Resolved unbilled/denied home infusion claims for 4 CVS/Coram branches
Audited claims for integrity, coding compliance and accuracy
Re-processed claims quickly and efficiently resulting in promotion of branches added within my first 60 days
Maintained highest in productivity scores for numerous week while exceeding aging goal expectations
Billing Medicare/Medicaid and commercial providers totalling over $250K weekly per branch
Forms, paperwork (EMR) and follow-up of claims to assure the integrity of each claim
Physician licensing monitoring and compliance.
President/Founder
Independence Home Health
Cape Coral, FL
02.2011 - 04.2020
Brought in more than $500,000 in business in the first 2 years of opening business
Maintained revenue growth of 25% consistently every year
Implemented Pediatric Program resulting in $300,000 revenue increase in the first year
Human Resource Management; Payroll processing, recruited, maintained compliance
Monthly under 35 day Medicaid and Insurance Accounts Receivables
Administered day-to-day operations; accounting, billing, performance metrics and customer service
Claims processing, understanding and follow up for third party papers, Medicaid and Medicare
Extensive knowledge of HCFA1500, UB04, ICD10 and CPT coding.
Vice President of Home Health, Total Senior
Home Health
Bonita Springs, FL
12.2007 - 02.2011
Doubled sales and profit in the corporate branch within one year
Start-up branch received year-to-date profit within the first year
Sustained low staff turnover and employee satisfaction of 98%
Corporate and branch performance scores improvement over 90% in key indicators
Organize, supervise and manage the agencies activities in compliance with state and federal regulations, policies and procedures
Direct supervision of all management levels
Daily responsibility for all financial reimbursement, regulatory management and business development.
Chief Compliance Officer
Personalized Physician Care, Inc
Bonita Springs, FL
12.2007 - 04.2010
Provided valuable compliance advice to the business management regarding policies, controls, and procedures
Managed and coordinate the regulatory affairs of the subsidiaries of Physicians Personalized Physician Care
Prepared accurate reports for filing
Monitored registration, licensing, and training requirements for employees.
Business Manager
Lee Memorial Home Health
Fort Myers, FL
08.2006 - 12.2007
Management of billing and collections processes for a multi-million dollar hospital based home health agency
Month-end closing and billing reconciliation reports
Plan and implement quality assurance for all processes
Special program/billing planning and implementation
Assist with budgeting and planning.
Regional Director of Operations
Amedysis Home Health
Baton Rouge, LA
10.2005 - 12.2006
Oversaw day-to-day production activities in accordance with business objectives.
Defined, implemented and revised operational policies and guidelines.
Monitored budget and utilized operational resources.
Evaluated performance, adjusted strategies and maintained agile, sustainable operations.
Monitored and coordinated workflows to optimize resources.
Regional Operations Support Expert
Capital Health Management
Charlotte, NC
01.2002 - 09.2005
Used critical thinking to break down problems, evaluate solutions and make decisions.
Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
Participated in team-building activities to enhance working relationships.
Worked within applicable standards, policies and regulatory guidelines to promote safe working environment.
Education
Medical Billing And Coding
Penn Foster Career School
Scranton, PA
01.2021 - Current
High School Diploma -
Atholton High School
Columbia, MD
05.2001 -
Medical Terminology Certificate
Central Penn College
Summerdale, PA
Microsoft Word And Excel Certificates
Wor Wic Community College
Salisbury, MD
Skills
Human Resource Management; Payroll Processing, W2 employees and 1099 contractorsProficient with EMR software, QuickBooks, Microsoft Office Suite and 365, Google EnterpriseBookkeeper specializing in QuickBooks, Certified QuickBooks Pro Advisor 10/2020Remote collaboration tools: Zoom, Microsoft Teams, Google Chat, Hangouts, Webex, Dropbox, Salesforce, HCN360Payroll/Human Resource Software: ADP, Gusto, QuickBooks, Xero, FreshBooksDocument Software: Microsoft Office (Word, Excel, PowerPoint, Outlook, 365), Google Suite (Docs, Sheets, Slides)
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Success is often achieved by those who don’t know that failure is inevitable.