RONA TRAUB MHA
Boynton Beach,FL.
Summary
20+ Years Experience In Medical Billing/Coding and Revenue Cycle Manager Supervisor Maximize Revenues increasing Collections & decreasing Denial Expertise Member of Medicare’s First Coast Provider Outreach and Education Team (POE-AG) Government & Commercial insurance Collection Expertise CPT & ICD10 & RVU Expert to maxmize revenues Team Merit Awarded By Department Of Health Bachelors Degree in Accounting from Rutgers University Masters in Health Administration, MHA Management of team of billers/coders Maximizing revenues with strong collection practices Multi specialty coding professional Hospital Billing & Collection Expertise Contract Manager Certified Resourceful Financial Manager adept at supporting high growth technology and service organizations. Skilled in aligning people, processes and technology to achieve continuous improvement in operational processes. Well-versed in providing analytics with insight and influencing decisions that support growth and development. High-profile Financial Manager successful at representing investment and insurance organizations in analytical, management and sales roles. Analytical Manager equipped with in-depth working knowledge of financial industry. Over 20 years of experience driving corporate financial operations, annual reporting, accounts receivable and payroll. Customer-driven manager of diverse accounts with individual client wishes in mind.
Overview
32
32
years of professional experience
Work History
Health Financial Manager
Palm Beach County Health Department
West Palm Beach, FL.
06.2016 - Current
- Led financial planning and analysis by managing key metrics, analyzing data and providing support and insight for strategic planning.
- Managed Revenue Cycle processes and formulated financial management strategies by researching operating and historical financial records.
- Managed 15 team members across our Department.
- Generated revenue and reduced costs by recommending innovative alternatives.
- Managed accounting-team data using HMS software, entering and organizing insurances, adjustments and monthly receivable information.
- Created analytical framework for identifying and developing financial growth opportunities.
- Developed reporting for monthly executive financial reviews.
- Developed Revenue Cycle processes with management skills in collaboration with financial director.
- Drafted reports for leadership for use in strategic planning and decision making.
Medical Healthcare Program Analyst
Palm Beach County Health Department
Delray Beach, FL.
09.2012 - 06.2016
- Supervisor for Medical Billing & Accounts Receivable Departments & indirect supervisor for coders
- Responsible for Revenue Collections from third party payer sources, grants & contracts
- Create processes & train staff to maximize revenues
- Analyzed program data to provide input for key decision making and strategic planning.
- Helped solve diverse program problems with in-depth analysis.
- Responsible to maximize collections and decrease denials
- Comply with Medicare & Medicaid regulations
- Train staff on numerous insurance portals to maximize revenues
- Credentialing training
- Reporting for month end and year end reports
- Systemic billing software reconciliation
- Invoice our grant contracts and post in financial system
- Florida Department of Health/Division of Public Health Statistics & Performance
- Management, Palm Beach County Health
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained compliance with company policies, objectives and communication goals.
- Worked with management team to implement proper division of responsibilities.
- Set overall vision and provided team leadership.
Medical Healthcare Program Analyst Supervisor
A.G. Holley State Hospital
Lantana, FL.
12.2011 - 09.2012
- Ana Garcia-Quevedo 850-245-4444 (ext
- 3837)
- Southeast Regional Consultant for Statewide training services for County Health
- Departments revenue & billing processes
- Billing & Revenue collection subject matter expert for Practice Management Institute
- Prepares, Develops & Delivers PMI training activities specific to CHD's billing & revenue collections
- Reviews Medicaid & Medicare billings to make sure HMS is kept current with State/
- Federal/ & HIPAA compliant billing requirements
- Software testing to ensure a quality product
- Identifies & Coordinates strategies in HMS Special Interest Groups
- Recommends use of technology to aid in process improvements
- Filing final cost report (2552-10) for closed A.G
- Holley State Hospital., : Andy Edwards 561-540-3773
- Manage Hospital 3rd party billing programs & operations
- Make sure all bills appropriately comply with Federal & State regulations
- Manage staff to run the admissions department to make sure we bill appropriate eligibility and stay compliant & remain within budget
- Meet with Nursing & Physicians on a regular basis to apprise them of any billing updates or billing law updates
- Make sure we stay Medicare compliant by implementing necessary QI processes
- Revised Hospital Policies & Procedural manuals
- Designated administrator facilitator for the FLMMIS software system
- Assisted with the filing of the FY2011 cost report
- Hospital management wanted all billing operations brought in house and therefore was hired
- December, 2011 and was able to increase collections significantly creating a better financial condition for the hospital allowing the Department of Health to reduce subsidized GR funds for the future
- A billing system was created by me which allowed our department to monitor & submit timely & accurate bills
- Integration with HIPAA compliance and Medicare Federal regulation & Medicaid statutes were applied and financial reports were submitted weekly and resulted in increased collections more than what was budgeted
- Please see attached performance appraisal for this job which further describes my work products, work relationships and revenue collection results.
Collections Specialist
Lakeside Medical Center
Belle Glade, FL
07.2011 - 11.2011
- Responsible for Medicaid denials and collections
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Negotiated to collect balance in full.
- Worked with the FLMMIS system to properly adjudicate claims
- Handled appeals for Medicaid
- Responsible for Medicaid denials to apply the proper parameters within Medicaid compliance
- Medicaid Hospital Collection expertise
- Maximized Medicaid collections for the hospital
- Assist with suggestions pertaining to coding, compliance & Medicaid rules & regulations.
Instructor/Summer Semester Supervisor
Florida Career College
Boynton Beach, FL
05.2011 - 06.2011
- Diane Hartell 561-634-7416
- Instructor for course MC1140 –Insurance & Claims Processing
Billing Supervisor
Hospice Of Palm Beach County
West Palm Beach, FL
09.2010 - 05.2011
- Supervised a staff of 9 insurance coordinators, 3 Medicare billers, 2 Medicaid billers, 1 coder analyst, 1 Commercial biller
- Created policies & procedures & regulated compliance
- Developed and implemented improvements to billing system to maximize efficiency, reduce delinquency and increase accuracy.
- Oversaw financial operations, producing invoices, processing payments and preparing deposits.
- Subject Matter Expertise for the Electronic Medical Record System Redesign
- Oversaw all collection activities
- Maximized collections
- Registered Medical Coder
- Created reports to monitor the accounts receivable
- Able to monitor Staff performance with appropriate reports
- Reviewed claims for accurate submission
- Trained staff on the medicaid system –FLMMIS
- Communicated with the customers & their families to file medicaid thru the ACCESS system
- Wrote policies & procedures for staff direction
Medical Billing A/R Supervisor-Accountant III Supervisor
Broward County Health Department
Ft. Lauderdale, FL
04.2003 - 09.2010
- Wayne Morgan 954-467-4700
- To make sure all billing operations for the agency is functioning efficiently
- Managed a team of 5 medical personnel to Monitor/Audit/Maximize Collections
- Collect timely & Monitor clean correct claim entry for reduced denial rates
- Subject Matter Expertise for Medicare, Medicaid and other insurance company regulations
- Code/Bill to highest specificity where applicable
- Work with physician team to teach effective billing/coding & correct medical record documentation
- Train/teach cashiering staffs to bill effectively
- Results from effective billing/coding & collections-revenues tripled since denials were substantially reduced
- Trainer for the Florida Medicaid Management System
- Supervisor of Team of Billers/Coders
- Board Member of the Business Managers Association Region 7 Representative
- Board Member of the Billing Special Interest Group
- Board member of the HMS Software Redesign Committee.
Office Manager/Administrator Supervisor
Ft. Lauderdale, FL
01.1990 - 04.2003
- Dr
- Gary Traub; Director 954-202-6200
- Managed a team of 10 medical personnel
- Ran & supervised staff of a large mental health practice
- Management of the office included:
- Scheduling
- Billing
- Posting payments
- Collecting
- Records management
- Developed policies and procedures
- Handled HR responsibilities & concerns
- Accounting functions
- Employee training & management
- Responsible for all administrative aspects of the clinic
- Maximized monthly revenues and was promoted to administrator.
Education
Masters - Health Administration
Florida Atlantic University
5.2015
Bachelors Degree - Accounting
Rutgers University
06.1984
Skills
- TECHNICAL SKILLS
- Advanced level of comprehension with the following programs:
- Florida Medicaid Management System(FLMMIS)
- Health Management System(HMS)
- Several EHR systems
- CMS
- FCSO Medicare Portal
- Change Healthcare
- Excel
- Word
- Outlook
- Availity
- PCACE (Medicare Billing Software)
- Mevsnet
- Ability
- Availity
- DDE (Medicare Direct Data Entry System)
- Florida Accounting & Information Management System (FLAIR/FIS)
- Florida Information Reporting System (FIRS)
- Report Distribution System (RDS)
- Cost Reporting Software (HFS)
- Compliance Assessments
- Operational Reporting
- Adaptable to Changing Conditions
- Proactive and Focused
- Prioritizing and Planning
- Employee Training Oversight
- Staff Recruitment and Hiring
- Business Relationship Management
- Social Perceptiveness
- Problem Anticipation and Resolution
- Management of Financial Resources
- Corrective Actions
- Performance Optimization Strategies
Additional Information
- , Team Merit Award selected by Broward County Health Department Appreciation letter for excellent customer service (Detail letters/awards are available upon request)
Timeline
Health Financial Manager
Palm Beach County Health Department
06.2016 - Current
Medical Healthcare Program Analyst
Palm Beach County Health Department
09.2012 - 06.2016
Medical Healthcare Program Analyst Supervisor
A.G. Holley State Hospital
12.2011 - 09.2012
Collections Specialist
Lakeside Medical Center
07.2011 - 11.2011
Instructor/Summer Semester Supervisor
Florida Career College
05.2011 - 06.2011
Billing Supervisor
Hospice Of Palm Beach County
09.2010 - 05.2011
Medical Billing A/R Supervisor-Accountant III Supervisor
Broward County Health Department
04.2003 - 09.2010
Office Manager/Administrator Supervisor
01.1990 - 04.2003
Masters - Health Administration
Florida Atlantic University
Bachelors Degree - Accounting
Rutgers University