Maxie Pallero
Summary
Versatile Managing Director with proven abilities across all levels of organizational management. Talented in developing partnerships, overseeing personnel and developing tactical plans to meet strategic goals. Proven leader with significant background in Human Resource.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Director of Operations
Learning Ladder Center
01.2022 - Current
- Oversaw daily operations across multiple departments, ensuring seamless coordination and efficient execution of tasks.
- Monitored budget and utilized operational resources.
- Oversaw day-to-day production activities in accordance with business objectives.
- Oversaw successful implementation of operational strategies and policies to drive organizational growth and productivity.
- Mentored and coached team members to foster productive and engaging work environment.
- Managed budgets and resources, optimizing allocation for maximum impact on business objectives.
- Established strong partnerships with vendors, suppliers, and key stakeholders to improve collaboration and ensure alignment with business requirements.
- Analyzed business operations and implemented strategies to improve operational cohesiveness.
- Contributed to talent acquisition efforts by participating in recruitment activities, identifying top candidates and facilitating smooth onboarding processes.
- Conducted routine HR audits to ensure data accuracy in personnel files, payroll records, and benefit enrollments.
- Facilitated smooth onboarding processes for new hires, leading to faster integration into the workplace culture.
- Maintained payroll and benefits for employees in various locations and diminished financial discrepancies through expert program management.
Business Finance Supervisor
Hackensack Meridian Health
05.2020 - 01.2022
- Oversees Accounting operations, which include financial accounting, accounts payable, and payroll
- Assistant to Business office Manager, review daily reports
- Reviews budget reports and assists other departments to prepare annual budgets
- Maintained cash flow by monitoring bank balances and cash requirements.
- Assists external auditors and provide required statements and information for annual audit
- Review financial statements to ensure accuracy and reconcile general ledger accounts
- Facilitated cross-functional communication between departments to ensure seamless integration of accounting processes.
- Implements training for new hires and identifies training opportunities for current staff
- Disciplined and motivated accounting team to maximize performance.
- Successfully managed multiple projects concurrently while maintaining strict deadlines and high-quality deliverables.
- Oversees the system of internal controls over accounting functions to minimize risk
- Handles discipline and termination of employees as needed and in accordance with company policy
- Ensures that financial reports comply with generally accepted accounting principles or financial reporting standards
- Maintains a documented system of accounting policies and procedures.
Accounts Receivable Specialist
CareOne Assisted Living, & Senior Care
03.2017 - 05.2020
- Achieving collection targets as agreed with Management
- Maintained healthy business relationships through proactive communication with clients regarding outstanding balances and payment terms.
- Submit claims electronically and manually to both primary and secondary insurances
- Performing pre- billing preparations as required for electronic & manual billing
- Conducting Appeals, insurance verification, prior authorizations for clinical reimbursement
- Supported month-end closing activities by reconciling accounts, preparing reports, and analyzing trends in account performance.
- Staying current with insurance carrier policies and HIPPA changes
- Proficient utilizing tools and software, to follow Revenue Cycle path for billing
- Ensure reimbursement through efficient billing, payment posting and collections operations and effective account receivable management
- Working special projects: insurance credits & refunds
- Provides support to other areas of Business Services as needed
- Ensure the efficient and smooth day-to-day operation of the office.
Health Service Administrator and Insurance Biller
RAS Medical System
02.2016 - 02.2017
- Verifying insurance coverages with many different providers, i.e
- Personal health insurance, workers comp & no-fault claims
- Verifying patient co-insurance, co-payments, deductibles, out-of-pocket max and amounts satisfied
- Working knowledge of ICD10 diagnostic and CPT procedural coding
- Ensure that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and state and federal compliance
- Investigate and determine eligibility for work related or No-Fault injury
- Enter charges, submit electronic and paper claims (1500form) –(UB 04Form)
- Identify billing errors, issues resulting in non-payment of claims due to internal/external issues
- Generate corrections for remit/denial claims and resubmit claims to insurance carriers in a timely manner to avoid timely filing
- Identifies the referral and authorization requirements of the patients’ insurance plans by using various on-line resources & calling insurance utilizations department
- Completes referrals and prior authorizations in a timely manner according to department guidelines and workflow
- Assist Team with trouble-shooting patient/insurance specific issues and coordinates assistance from payers to resolve problem issue trends
- Review rates from insurances companies for accuracy of payments and for notification to management of changes
- Researching insurance guidelines and maintaining organize files in the database
- Experienced in Medicare rules and regulations
- Identify and resolves patient billing complaints & Prepare, review and send patient statements
- Assumes special projects as assigned and assist in resolving any administrative problems.
Education
B.B.A., Business Management -
Berkeley College Online Campus
12.2019
A.A.S. Health Services Administration -
Berkeley College
09.2016
High School Diploma -
John F Kennedy High School
06.2012
Skills
- Effective communication skills
- Detail-oriented
- Thorough knowledge of third-party carriers, billing process and patient account collections
- Identify trends for payer issues/denials Develop solutions
- Hiring and Onboarding
- Skilled in organization as demonstrated by the ability to manage multiple tasks/deadlines
- Identify and resolve problems in a timely manner
- Attention to detail with the ability to produce high quality work
- Business Management
- Team Leadership
- BLS certification
Certification
- B.B.A., Business Management
- A.A.S. Health Services Administration
- Computer program
- NexTech, Kareo EMR
- Carevoyant, Citrix
- Medisoft, Allscripts, Centricity EHR
- Navinet, Availity, Occusource
- MicroSoft Word, Excel, PowerPoint
Languages
Spanish
Native or Bilingual
Timeline
Director of Operations
Learning Ladder Center
01.2022 - Current
Business Finance Supervisor
Hackensack Meridian Health
05.2020 - 01.2022
Accounts Receivable Specialist
CareOne Assisted Living, & Senior Care
03.2017 - 05.2020
Health Service Administrator and Insurance Biller
RAS Medical System
02.2016 - 02.2017
B.B.A., Business Management -
Berkeley College Online Campus
A.A.S. Health Services Administration -
Berkeley College
High School Diploma -
John F Kennedy High School
- B.B.A., Business Management
- A.A.S. Health Services Administration
- Computer program
- NexTech, Kareo EMR
- Carevoyant, Citrix
- Medisoft, Allscripts, Centricity EHR
- Navinet, Availity, Occusource
- MicroSoft Word, Excel, PowerPoint
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