Experienced healthcare administrator seeking an administrative position where expertise in Medicare and Managed Care regulatory compliance is needed to improve quality, increase productivity and exceed organizational goals.
Overview
28
28
years of professional experience
Work History
Administrator
Angel of Love Assisted Living
12.2013 - Current
Resident pre-admission screening, Service plan development, initiation and monitoring, Revenue Cycle management, Policy and Procedure updates, Regulatory compliance, Resident care coordination, Staff training
Business Analyst
Memorial Hermann Home Health DME
09.1996 - 10.2012
Analyzed agency's revenue cycle to identify root causes of aged receivables, Created SQL queries and ad hoc reports as needed to assist in planning, projecting and directing operations, Utilized knowledge of Medicare LCD’s and coding to improve clinical documentation and increase collections, Prepared and presented monthly financial reports regarding billed and unbilled revenue, CMNs, collections, DSO and denial trends by HCPC/reason/payer, Developed, submitted, monitored and reported high volume cash collection projects, Worked as a liaison between IT and software vendors as needed
Reimbursement Manager
Memorial Hermann Home Health DME
09.1996 - 10.2012
Managed a team of billing and collection specialists, Managed all billing, collection and accounts receivable activities, Audited and reconciled ANSI 837 and ANSI 835 reports, Created educational material and provided training to employees in various departments, Met with payer representatives to resolve contractual issues, Served as a team lead in the selection and implementation of new software, Developed audit tools to ensure compliance with Medicare and commercial payer requirements
Pre-billing Manager
Memorial Hermann Home Health DME
09.1996 - 10.2012
Managed a team of clinical and clerical employees, Developed processes for a restructured business model, Performed audits to ensure timely, accurate and complete capture of patient data for clean billing, Maintained smooth working relationships with physician offices and other hospital personnel
Education
Bachelor of Science in Business Administration -
University of Phoenix
Houston, TX
Skills
Proficient use of Microsoft Excel, Power Point, Word
Analysis, problem solving, process Development
Extensive knowledge of Medicare regulations for Durable Medical Equipment
ICD-9 Coding
Training and Team Building
Administrative Support
MS Office
Timeline
Administrator
Angel of Love Assisted Living
12.2013 - Current
Business Analyst
Memorial Hermann Home Health DME
09.1996 - 10.2012
Reimbursement Manager
Memorial Hermann Home Health DME
09.1996 - 10.2012
Pre-billing Manager
Memorial Hermann Home Health DME
09.1996 - 10.2012
Bachelor of Science in Business Administration -
University of Phoenix
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