Sandy Corujo
Orange City,FL
Summary
Experienced Medical Office Manager with 25+ years of experience in healthcare administration and patient care coordination. Skilled in streamlining office operations to enhance efficiency and service quality. Strong relationships with patients and medical professionals. Achievements include improved operational workflows, increased patient satisfaction, and strengthened compliance with healthcare regulations.
Overview
20
20
years of professional experience
Work History
Area Office Manager
Hanger Clinic
, Florida Region
05.2017 - Current
- Responsible for the day to day operation of the Front Office for 8 locations. Hire, train, supervise and manage administrative staff to ensure the highest level of customer service
- Coordinate communication with payers to ensure accurate practices, enhance reimbursement opportunities, and reduce A/R over 30 days.
- Review single case agreements with non- contracted payers for approval
- Completion and submission of updated Final Operational Notifications (FON) for Medicare
- Responsible for the approval of accurate and timely reporting of employee hours to Payroll with PTO reviews and approvals
- Monitor staff performance to ensure that accurate patient, billing, and insurance information, verification, and pre-authorization is obtained and maintained in patient charts and in the billing system (OPS & NextGen).
- Verify that all billing is processed daily and that it is accurate and timely to ensure we get paid and stay paid without any claim edits.
- Monitor performance to ensure that counseling is provided to patients to advise them of their financial responsibility and obtain credit and payment plan agreements for outstanding balance
- Review and approve patient financial hardships and other adjustments for approval
- Responsible for conducting SOX audits, remediation plans, completion of Medicare audits, all payer requests for additional information or documentation.
- Monitor to ensure that patient files are accurately maintained and are in compliance with our Compliance Policies
- Ensure the privacy and security of protected health information per HIPAA requirements.
- Verification of all cash and adjustments are applied to the billing system and bank deposits are made in a timely manner
- Scheduling of practitioner schedules and templates to ensure proper coverage of patient appointments and out of office calls including hospital calls
- Review clinician documentation to ensure that patient charts are complete and compliant
Senior Office Administrator
Hanger Clinic
01.2015 - 05.2017
- Responsible for the daily operation of the office
- Provided Administrative support to 3 offices, patients and referral sources
- Interview candidates and trained new employees
- Coordinated all aspects of scheduling, creation of new charts, maintenance of patient records, Insurance Verification, Check-in, Check out patients
- Processed all billing, coding, collections, claims submission, and correction of rejections to ensure rapid payment.
- Review Single Case request from non-contracted payers for approval
- Completion and submission of Final Operational Notifications (FON) for Medicare
- Claims appeals, Insurance and private pay payment posting
- Assist with quarterly inventory, counting and data entry
Office Manager
Providence Medical Center
03.2013 - 07.2014
- Oversaw daily operations for two medical offices, collaborating closely with the CEO.
- Payer Relations, Credentialing
- Managed a team of 10, including front desk, billing, medical staff, and weight loss program personnel.
- Oversaw entire project lifecycle for establishment and inauguration of additional office space
- Purchasing, scheduling, payroll, accounts payable, and patient satisfaction initiatives.
- Developed and implemented patient flow, productivity, accounts receivable (A/R), and accounts payable (A/P) reporting processes.
- Maintained nurse practitioner productivity reports.
- Established and nurtured partnerships with satellite labs (Quest, Lab Corp, Premier Lab), ultrasound providers, diagnostic centers, and external specialists for referrals.
- Oversaw marketing and advertising strategies, alongside daily banking deposits and performance improvement plans (PIP).
Billing/Front Desk Supervisor
Carteret Comprehensive Medical
08.2011 - 03.2013
- Supervised all aspects of the billing department of 20 employees for 3 facilities.
- Single Case Agreement.
- Attorney Letter of Protection review and approval for each patient.
- Payer credentialing application submission.
- Negotiated contracts with payers to maximize reimbursement rates for services rendered.
- Prepared monthly financial statements detailing revenue generated by practice locations.
- Reviewed appeals processes and assisted in preparing appeal letters when necessary.
- Coordinated all billing, coding, collections, claims submission, and correction of rejections to ensure rapid payment for general practice, physical therapy, chiropractic, and pain management.
- Completed and submitted health insurance online access for staff and Credentialing applications, with full follow up to ensure timely approval.
- Ensured all claims are being processed promptly, and A/R kept to a maximum of 45 aging days for 25 providers at 3 locations. Collections, Claim appeals.
- Updated fee schedule to ensure full reimbursement was received
- Conducted projects to improve billing practices and increase revenue
- Conduct training, hiring, termination, and evaluation for all billing and front desk personnel.
- Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
Medical Office Manager
MEDICAL INSTITUTE OF N.J
08.2004 - 02.2011
- Oversaw all aspects of day-to-day practice operations, including front desk, scheduling, billing, coding, insurance verification, and clinical documentation.
- Payer Credentialing and Contracting. Negotiated and reviewed contracts, rates, and terms with payers, facilities, and suppliers.
- Updated fee schedule to ensure full reimbursement was received.
- Developed and implemented office policies and procedures to ensure smooth operations and compliance with all state, HIPAA, and OSHA regulations.
- Conducted regular audits of medical records to ensure accuracy, completeness, and compliance of documentation.
- Operational improvement for processes and procedures to boost profits and productivity.
- Determined staffing requirements, interviewing, hiring, training new employees, and conducting performance reviews.
- Developed plans to streamline patient flows, increase office and patient care efficiency and generate new revenues.
- Organized seminars and workshops intended to educate staff members on new technologies, payer policies, and industry best practices.
- Managed accounts receivable for the practice, ensuring timely payments from insurance companies and patients.
- Prepared weekly reports summarizing financial performance metrics, such as revenue collections, accounts receivable balances, and budgeting activities by analyzing cost trends over time.
- Implemented an electronic health record system that streamlined workflow across departments.
- Conducted projects to improve billing practices and increase revenue, claims appeals, payment posting, credit, and collections.
Skills
- Business and Office Administration
- Payer Relations, Contract Administration and Negotiations
- Project Management
- Workflow efficiency and safety
- Secure patient data
- Compliance
- Billing, Credit, and Collections
- Organizational and Time Management Skills
- Patient Relations
- Meeting planning
- Customer Service and Relationship Building
- Policy and procedure modification
- Performance and process improvement
- Employee hiring, training, and performance reviews
Timeline
Area Office Manager
Hanger Clinic
05.2017 - Current
Senior Office Administrator
Hanger Clinic
01.2015 - 05.2017
Office Manager
Providence Medical Center
03.2013 - 07.2014
Billing/Front Desk Supervisor
Carteret Comprehensive Medical
08.2011 - 03.2013
Medical Office Manager
MEDICAL INSTITUTE OF N.J
08.2004 - 02.2011
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