Tonia Kurian
New Hyde Park,NY
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Provider Success Specialist
American Choice Healthcare
02.2022 - Current
- Manage over 40 offices, attributing approximately 11,000 patient lives to best accommodate their needs based on performance levels
- Provide presentations with data from Medicare including graphs and statistics to increase quality of patient care while decreasing costs
- Consult physicians for their panel of patients regarding overdue Annual Wellness Visits, Emergency Department Frequent Fliers, IP Admissions and Readmissions over the past rolling 12 months
- Encourage providers to utilize programs offered within the organization, such as ChoiceConnect, a Remote Patient Monitoring system to follow patients closely to minimize worsening conditions
- Deliver a list of high and moderate risk patients for providers to assess their conditions and to follow closely
- Evaluate Diagnosis Coding and Coding Proficiency to increase benchmark from Medicare for all Fee-For-Service patients
- Review Transitional Care Management processes within the office to ensure that an aggressive practice is in place to follow up on Post-Discharge Visit Compliance for patients recently discharged from the hospital to decrease readmission rates
- Assist in obtaining EMR Access to improve billing and coding methods within the practices
- Acquire patient phone numbers as part of an outreach program for our nurse case managers to reach out to those patients who are high and moderate risk to follow up on visits and discharges
- Work in conjunction with the Billing/Coding Team to perform an internal MRA Audit to review the top 30 high risk patients and whether the ICD-10 and CPT codes are up to date and the progress notes are comprehensive for Medicare
- Provide payment summaries to all practices biweekly, which includes their Fee Reduction Reimbursements and Advancements
- Aid providers and office managers to maneuver through the portal to view any discharge alerts dating back to 60 days
- Assist in setting up email, fax or text alerts for providers to receive immediate alerts when a patient is discharged to promote an aggressive Transitional Care Management program
- Perform check-ins for updates with the provider and his/her team to assess progress after the consultation
- Deliver motivational words and drop-ins for providers who need more motivation to increase quality of care
Medical Office Manager
Dr. Gulbahar Donn
04.2021 - 02.2022
- Generated a step-by-step manual for the Authorization Coordinator to get authorizations for patients and their procedures/ultrasounds faster and more efficiently to reduce denials from insurance companies
- Assisted the biller to become more well-organized by compiling a list of questions to be investigated prior to resubmitting claims and sending appeals to ascertain that there are no imminent issues
- Created a Dropbox for the workplace for all the employees to gain access to information and manuals
- Billed office visits, sonograms, procedures and deliveries for normal vaginal deliveries and Cesarean sections to guarantee a continual inflow of revenue
- Booked surgeries at Long Island Jewish Hospital and Flushing Hospital without any issues for patients to decrease anxiety and generate a stress-free experience
- Checked payments for all billed office visits, procedures, and deliveries to ensure consistent cashflow
- Set up the NST/BPP (Non-Stress Test/Biophysical Profile) machine to monitor fetal heartbeat and contractions
- Assisted the medical assistant and receptionist with taking vitals, medical histories, filling out urine requisitions and making appointments as needed
- Filled out Quest Lab ICD 10 codes for CPT codes which were denied
- Strived to make the office more organized and successful by constructing manuals for every process within the office for the employees
Medical Office Manager/Supervisor
I & R Medical Services
03.2019 - 04.2021
- Verified insurance coverage and eligibility benefits of patients prior to office visits, which reduced confusion and increased efficiency and the smooth flow of patients in the office
- Supervised office staff to maintain a highly productive environment with a positive attitude and work ethic by allowing weekly meetings where employees can express their grievances and suggestions to further achieve optimal work performance with an open-door policy and transparent communication
- Obtained timely pre-authorization for all outpatient and inpatient services, including radiological testing, medications, referrals, etc
- Resulting in decreased wait time for patients to obtain results, which calmed patient anxiety
- Knowledgeable of medical terminology, ICD-10 codes for diagnoses, and CPT procedure codes
- Processed invoices for Center for Medical Weight Loss Program
- Coordinated and liaised effectively with physicians to develop timely and appropriate billing plans for all protocols/treatment programs to ensure we remained within the contracts
- Thoroughly completed reappointment profiles for hospitals and recredentialing applications for insurances paying close attention to fine detail to participate with a multitude of insurance companies
- Provided support for all finance issues to ensure a smooth inflow of cash and revenue and ensured that activities occurred in compliance with appropriate regulations and contractual obligations
- Experience with maneuvering various electronic medical record systems, displaying increased and fast adaptability to diverse EHR systems
- Monitored the budget and managed bills and finances with exceptional organizational skills, resulting in saving the office thousands of dollars
- Trained employees by creating informing word documents and manuals to learn processes and procedures sooner
- Frequently checked inventory and ordered medical and office supplies as needed to constantly ascertain that the patients and physicians were properly equipped for all visits and procedures
- Compiled and sent medical records upon request with invoices and collected payments for them to increase revenue for the office
- Oversaw the daily operations of the practice with critical thinking and sound judgment
- Performed daily computer backups on the systems and ensured transference of patient files to make sure that there is an emergency safe for patient files
- Initiated and directed the online rating and patient satisfaction survey service for our office to bolster support and suggestions from patients to advance the practice
- Knowledgeable of management principles and practices, including quality improvement methods
- Provided basic technical assistance in the office, including fixing fax machines, printers, telephones, etc
- Strong analytical skills to set priorities and make decisions
- Proficient in Microsoft Office, including Word, PowerPoint, and Excel
- Type 80-90 wpm
- Optimized efficiency at the medical office
Medical Assistant
Island Spine & Sports, Richard Obedian, M.D., Orthopedic Surgeon
08.2016 - 03.2019
- Assisted in recruitment and training of new staff with self-created word documents
- Organized and coordinated schedules for multiple physicians in a fast-paced environment
- Helped the physician’s assistant in sending prescriptions for medications to pharmacies, writing x-ray and MRI scripts for patients
- Aided in administering cortisone injections with ultrasound technology for guidance
- Learned to translate medical histories into Spanish for Spanish-speaking patients
- Successfully addressed patient complaints
- Served as a liaison between the patients and the clinic staff
- Acquired patient health histories with strong oral and written communication skills
- Researched and stocked inventory of clinic medical supplies, including medications
- Performed other duties as assigned by the office manager
- Shadow Experience
American College of Healthcare Executives
12.2019 - Current
- Attend networking events with a variety of established professional healthcare executives from across the nation
AUA
05.2015
- Men’s Health Fair, American University of Antigua
- Assessed the health of over 250 men in Antigua
- Attained patient information as a student doctor by taking blood pressure, heart and respiratory rate, BMI and blood glucose exams
- Promoted the significance of individual awareness of health
Emergency Medical Interest Group, American University of Antigua
01.2014 - 12.2014
- Succeeded in learning how to intubate patients in emergency situations
- Practiced suturing lacerations and providing intravenous therapy
- Acquired knowledge on stabilization of the neck and spine for proper patient transport
Education
Master of Science - Health Care Administration
Grand Canyon University
Phoenix, AZCompleted Basic Sciences Coursework - undefined
American University of Antigua, College of Medicine
Bachelor of Science - Biology
Binghamton University, State University of New York
Skills
- Diagnostic Codes
- Process and Performance Improvement
- Provider Relations
- Mission Support
- Process Improvement Initiatives
- Problem Resolution
- Administrative and Office Support
- Medicare Regulation
Certification
Basic Life Support (BLS) certified by the American Heart Association
Advanced Cardiovascular Life Support (ACLS) certified by the American Heart Association
Timeline
Provider Success Specialist
American Choice Healthcare
02.2022 - Current
Medical Office Manager
Dr. Gulbahar Donn
04.2021 - 02.2022
American College of Healthcare Executives
12.2019 - Current
Medical Office Manager/Supervisor
I & R Medical Services
03.2019 - 04.2021
Medical Assistant
Island Spine & Sports, Richard Obedian, M.D., Orthopedic Surgeon
08.2016 - 03.2019
AUA
05.2015
Emergency Medical Interest Group, American University of Antigua
01.2014 - 12.2014
Master of Science - Health Care Administration
Grand Canyon University
Completed Basic Sciences Coursework - undefined
American University of Antigua, College of Medicine
Bachelor of Science - Biology
Binghamton University, State University of New York
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