Accomplished Practice Manager with a proven track record enhancing operational efficiency and revenue through strategic workflow and financial management. Proficient in reducing delinquency in claims. Expert in budgeting and implementing effective policies. Demonstrates strong bookkeeping skills.
Overview
35
35
years of professional experience
Work History
Practice Manager
Unified Women’s Healthcare/ Florida Woman Care
07.2012 - Current
Dr. Peter Casella- Physician Owner, Gynecology and Aesthetics
Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.
Developed policies and procedures for effective practice management.
Enhanced revenue cycle management by overseeing timely and accurate claims submission.
Oversaw the hiring process for new employees, selecting candidates who aligned with the practice''s mission and values.
Oversaw accounting, budgeting, and financial reporting.
Coordinated with physician to optimize appointment schedules and maximize daily patient flow.
Managed office budget, reducing unnecessary expenses and allocating funds for necessary improvements.
Improved practice revenue through effective financial management and strategic cost reductions.
Ensured compliance with healthcare regulations, maintaining up-to-date knowledge on industry standards and best practices.
Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
Facilitated communication between staff members, fostering a collaborative work environment that improved overall team performance.
Practice Manager
Dr. Peter Casella: Gynecologist
04.2010 - 07.2012
The Center for Advanced Gynecology and Aesthetics
Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.
Developed policies and procedures for effective practice management.
Oversaw the hiring process for new employees, selecting candidates who aligned with the practice''s mission and values.
Managed office budget, reducing unnecessary expenses and allocating funds for necessary improvements.
Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
Improved practice revenue through effective financial management and strategic cost reductions.
Consulted with healthcare professionals on business decisions.
Clinic Supervisor
St. Cloud Regional Medical Center
05.2007 - 04.2010
Dr. Peter Casella, Medical Director
Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
Conducted performance evaluations for employees, identifying areas for improvement and providing constructive feedback.
Delivered effective onboarding and training to new and existing employees and cross-trained staff members in other job roles to maximize coverage.
Communicated with patients, asked appropriate questions, and employed active listening to determine best care.
Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Ensured compliance with state regulations through diligent monitoring of clinic procedures and documentation practices.
Created and implemented policies to improve operational efficiency and patient care quality.
Medical Billing Manager
Beth Isreal Medical Center
06.1996 - 02.2007
Institute of Neurology and Neurosurgery/ Department of Pediatric and Adult Neurosurgery
Performed billing, collection, and reporting functions for office generating over $8 million in collections annually.
Reviewed billing problems, researched issues, and resolved concerns.
Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
Reduced denied claims through diligent review, correction, and resubmission of errors.
Managed team of dedicated medical billers, focusing on professional development opportunities and maintaining positive work environment conducive to high levels of productivity.
Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within organization.
Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
Collaborated with providers and staff to ensure accurate coding for billing purposes.
Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
Optimized cash flow by regularly reviewing aging account balances and implementing tactics for timely collections from patients or insurers.
Served as an expert resource on complex patient account issues or high-dollar claims requiring specialized handling, ultimately resolving outstanding balances in an efficient manner.
Worked with customers to develop payment plans and bring accounts current.
Increased patient satisfaction by addressing billing inquiries promptly and professionally.
Billing Coordinator
NYU Medical Center
10.1989 - 05.1997
Division of Pediatric Neurosurgery
Collaborated with insurance providers to expedite claims processing and secure timely payments for services rendered.
Increased revenue collection by diligently following up on outstanding payments and negotiating payment plans with patients when necessary.
Streamlined medical billing procedures for increased efficiency, resulting in faster reimbursement rates for Neurosurgery Department.
Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
Education
Bachelor of Science - Healthcare Administration
New York University
New York, NY
12.1996
Skills
Medical personnel recruitment
Bookkeeping
Budgeting expertise
Staff Management
Workflow Management
Schedule Management
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Practice Manager
Unified Women’s Healthcare/ Florida Woman Care
07.2012 - Current
Practice Manager
Dr. Peter Casella: Gynecologist
04.2010 - 07.2012
Clinic Supervisor
St. Cloud Regional Medical Center
05.2007 - 04.2010
Medical Billing Manager
Beth Isreal Medical Center
06.1996 - 02.2007
Billing Coordinator
NYU Medical Center
10.1989 - 05.1997
Bachelor of Science - Healthcare Administration
New York University
Similar Profiles
Edna WaddellEdna Waddell
Lead Mammography Technologist at Unified Women’s HealthcareLead Mammography Technologist at Unified Women’s Healthcare