Suman Sharma

This Medical Practice was acquired by CHS Physician Partners on November 15 th, 2021.

Primary role in last 7 months has been assisting in all phases of transitioning from Private Practice to being part of the systems grid of CHS Physician Partners.

• Developed close working relationships with front office and back office staff.
• Handled job duties for staff members which were unavailable or out of office.
• Trained interns and newly hired team members on office procedures and computer system.

Updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA.

Communicated with various Insurance Payors regarding open issues involving claims, payment, and corrective actions.

Attended all monthly meetings for the payors I supported.

Oscar, Fidelis, Emblem, Empire Blue Cross Blue shield.

Specifically, handled all open Ancillary Teams Issues with our supported payors.

Maintained Open Items Trackers for Emblem, Fidelis, and Oscar on a monthly basis.

Maintained, the contract chrons on the payors I supported,

worked on Participation Grids for the payors supported by our team.

Corrected and cross checked all information for the Timely claims submissions grid for our payors.

• Practice Manager for 24 years.
• Assessed processes and procedures, complying with OSHA and HIPAA regulations
• Managed all credentialing, license renewals, Interviewing, hiring and training new staff
• Coded and billed all in-office and Hospital Claims. Additionally, also performed Posting of all remittances and conducted follow-ups and appeals when required
• Our Practice Instituted EMR 8-10 years ago and we have completed Meaningful use Measures with Medicare.
• Coordinated effort of certifying our Practice as New York State Patient Home Management Practice. Initiated and completed Integration with Health-ix, one of 5 Health Exchange programs in New York State.
• Oversaw accounting, budgeting, and financial reporting.
• Addressed and remedied all patient or team member issues.
• Supervised team of two office personnel.
• Consulted with healthcare professionals on business decisions.
• Trained interns and newly hired team members on office procedures and computer system.
• Developed and maintained electronic record management systems to analyze and process data.
• Implemented best practice standards for billing resulting in substantial reduction of accounts receivable delays.