Seeking a leadership position in a hospital where I can leverage my extensive healthcare management experience to drive operational excellence, improve patient care outcomes, and lead a dedicated team of healthcare professionals. Committed to delivering compassionate, high-quality care while optimizing financial efficiency and compliance with healthcare regulations.
Hi, I’m
Rose St. Preux
New Hyde Park,NY
Summary
Overview
13
years of professional experience
Work History
Northwell Health LIJ/CCMC Emergency RoomNew Hyde Park, NY
Supervisor of Patient Access Service Representative- Front End Revenue Cycle
09.2016 - Current
Job overview
- Led a team of revenue cycle specialists responsible for patient registration, insurance verification, and authorization processes
- Oversaw the daily operations of the front-end revenue cycle, ensuring compliance with industry regulations and hospital policies
- Developed and implemented training programs for staff, resulting in a X% reduction in registration errors and increased efficiency
- Collaborated with the billing department to streamline the transition from front-end to back-end revenue cycle, reducing claim denials by80%
- Monitored key performance indicators to assess team productivity and implemented performance improvement initiatives
- Acted as a liaison between the front-end team and other departments, fostering cross-functional collaboration and addressing issues promptly
- Maintained up-to-date knowledge of healthcare regulations and coding guidelines, ensuring accurate and compliant practices
- Demonstrated expertise in revenue cycle management, optimizing financial outcomes for the organization by reducing revenue leakage and improving cash flow
- Implemented strategies to increase point-of-service collections, resulting in a98.2% improvement in upfront payments from patients
- Mentored and coached team members, fostering professional growth and ensuring a high level of competency in revenue cycle processes
- Conducted performance evaluations and provided ongoing feedback to staff to drive individual and team success
- Improve and retain ER press Ganey scores from a Tier3 to a Tier1
- Managed and mentored a team of Registrar, providing ongoing training and support for professional development
- Experience in extensive team member employee recognition and engagement
- Spearheaded process improvement initiatives, identifying bottlenecks and implementing solutions that enhanced the efficiency of front-end revenue cycle operations
- Collaborated with IT and finance teams to implement technology solutions that streamlined registration and verification processes
- Ensured strict adherence to healthcare regulations, including HIPAA, and maintained patient data confidentiality
- Conducted regular compliance audits to identify and address potential issues
- Prepared and presented regular reports on key revenue cycle performance metrics to senior management, highlighting trends and opportunities for improvement
Northwell Health LIJ/CCMCNew Hyde Park, NY
Financial Counselor-Revenue Cycle
02.2012 - 08.2016
Job overview
- Led a team of financial counselors, providing guidance and support in navigating complex healthcare billing and insurance processes
- Conducted comprehensive financial assessments for patients, addressing their financial concerns and creating tailored payment plans
- Oversaw insurance verification processes, ensuring accuracy and compliance with hospital policies and regulations
- Collaborated with insurance companies to resolve discrepancies and expedite claims processing, reducing denial rates
- Advocated for patients in understanding their insurance benefits, co-pays, and out-of-pocket costs, promoting transparency and trust
- Assisted patients in applying for Medicaid, Medicare, or other financial assistance programs, maximizing financial support for eligible individuals
- Developed and conducted patient education programs, helping individuals understand their financial responsibilities and billing statements
- Provided clear explanations of complex medical bills, reducing patient confusion and inquiries
- Ensured strict adherence to HIPAA regulations in handling patient information and protected patient confidentiality
- Implemented data security protocols to safeguard patient financial and medical data
- Conducted financial analyses to assess patients' ability to meet financial obligations, offering solutions to address potential challenges
- Streamlined the hospital's billing and collections processes, resulting in an80% reduction in accounts receivable aging
- Implemented best practices for clean claim submissions, reducing claim rejections and denials
- Worked closely with billing and coding teams to resolve coding discrepancies, ensuring accurate billing and reimbursement
- Assisted patients with enrolling in the sliding scale program and various Medicaid products
- Delegated responsibilities and ensured that the team met performance targets and objectives
- Participated in hospital-wide quality improvement initiatives to enhance the patient financial experience and streamline financial counseling processes
- Implemented feedback mechanisms to collect patient insights and drive process improvements
- Stayed up to date with healthcare and insurance regulations, ensuring the hospital's financial counseling practices remained compliant
- Participated in regular compliance audits and implemented corrective actions as necessary
Education
TCI College of New YorkNew York, NY
Health Care Information Technology
12.2013
University Overview
New York, NY
DQE designated & trained by NYDOH CAC Certified application counselor
01.2012
University Overview
Skills
- Proficient in Microsoft Office Suite, Mede Analytics, Sunrise, HealthPay24, HDX, SMS Web Connect, IDX
- CAC (Certified Application Counselor)
- Proficient in E-PACES, Aim, All Scripts, NYS Market Place
- Effective Oral & Written Communicator
- Detail Oriented & Multi-Tasking
- Training & Development
- Breast Cancer Ambassador
- Truly Awards Ambassador
- MCI Committee
- LIJ Equity, Diversity, Inclusive committee
- Employee motivation
- Coaching and mentoring
- Employee development
- Relationship building
- Team building
- Performance management
- Staff discipline
- Inventory oversight
- Task delegation
- Expectation setting
- Attention to detail
References
References
References Furnished Upon RequestTimeline
Supervisor of Patient Access Service Representative- Front End Revenue Cycle
Northwell Health LIJ/CCMC Emergency Room
09.2016 - Current
Financial Counselor-Revenue Cycle
Northwell Health LIJ/CCMC
02.2012 - 08.2016
TCI College of New York
Health Care Information Technology
DQE designated & trained by NYDOH CAC Certified application counselor
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