Vadesa Guzman
New York,NY
Summary
Enthusiastic professional with more than 20 years of experience managing operations in patient-centric medical offices. Successfully oversee human resources, supply management and patient services. Develop and lead productive and efficient office staff. Contribute to high-volume medical practices by providing excellent customer service.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Practice Manager
Mount Sinai Heart
1190 Fifth Avenue, GP1 West, New York, NY 10029
04.2017 - Current
- Manage daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Manage and coordinate the administrative staff, including hiring, training, and performance evaluations.
- Provide support to entire staff which helps improve process flow and boost efficiency.
- Order all office supplies and keep check on inventory levels.
- Develop policies and procedures for effective practice management.
- Address and work on resolving patient or team member issues.
- Implement strategies to improve practice workflow.
- Ensure compliance with regulatory requirements and standards of care.
- Foster a positive work environment that promotes teamwork and professional growth.
- Manage and organize itinerary and appointments for patients and streamline scheduling procedures.
- Cover for Director's and Administrative Managers when on vacation.
- Work closely with other departments to ensure the facility is running well.
Office Supervisor
Mount Sinai Radiology Associates
1176 Fifth Avenue, MC Level, New York, NY 10029
08.2011 - 04.2017
- Supervision of patient registration, ensuring swift and efficient registration services, financial counseling, data entry, promoting excellent customer service and addressing any patient billing inquiries.
- Supervision of verification and authorization team, ensuring billing information was accurate at time of service for smooth operation and patient satisfaction.
- Set priorities and problem-solved workflow issues to maintain rapport with patients and managers.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall staff performance and workflow.
- Updated and generated reports for department database.
- Ordered and kept inventory of supplies for the practices.
- Monitored and evaluated personnel performance to complete annual reviews, recommend advancement, or address productivity concerns.
- Prepared agendas and took notes at meetings to archive proceedings.
- Ensured compliance of the organizations confidentiality policy in accordance to the Health Insurance Portability and Accountability Act (HIPPA) regulations.
- Coached new hires on institution processes while managing employees to achieve excellent customer service.
- Coordinated special projects and managed schedules.
Medical Billing Supervisor
Mount Sinai Radiology Associates
1184 Fifth Avenue, New York, NY 10029
03.2011 - 08.2011
- Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
- Maintained current accounts through aged revenue reporting.
- Posted charges, and payments.
- Reviewed services rendered and completed to reconcile codes.
- Assisted in compiling and maintaining current and accurate data for all the providers, ensured practice address were current with health plans and agencies.
- Set up and maintained provider information in online credentialing databases.
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Devised new methods to improve billing workflows.
- Assisted patients by determining financial assistance available and setting up payment plans.
- Verified proper ICD-9 coding on claims.
- Conducted assessment on staff performances, managed weekly payroll, and kept track of employees paid time off (PTO).
- Fostered a teamwork environment.
Financial Coordinator
Mount Sinai Radiology Associates
1184 Fifth Avenue, New York, NY 10029
05.2000 - 03.2011
- Processed billing for a practice environment with multiple providers, reviewed eligibility, initiated claims, worked with patients and carriers to guarantee payment.
- Answered questions over phone and in-person regarding billing, and scheduling.
- Explained insurance benefits, fees and procedures to patients.
- Ensured compliance with regulatory requirements and standards of care.
- Contacted insurance carriers to discuss policies and individual patient benefits.
- Submitted claims to insurance companies on same day as patient treatment.
- Charge entry, payment posting, and Medicare coding.
- Routed unpaid bills to secondary insurance or patient utilizing explanation of benefits letter.
- Applied overpayments to charges on customers' account and prepared vouchers for refund.
- Followed up with delinquent accounts to obtain funds and reduce aging balances.
- Supervised accurate, efficient, and compliant completion of monthly financial reporting packages.
- Assisted in training incoming staff members.
Education
No Degree - Psychology
Borough of Manhattan Community College
New York, NY05.2018
Skills
- Staff training, motivation and development
- Restructuring
- Problem resolution ability
- Policy development and implementation
- Organizational skills
- Multi-task Management
- Health care billing
- Patient Satisfaction
- Team Player
- MS Word and Excel
Certification
- Certificate of Radiology Billing
- Certificate of Achievement CPT Coding
- Certificate of Achievement in Medical Terminology
Languages
Spanish
Native or Bilingual
Timeline
Practice Manager
Mount Sinai Heart
04.2017 - Current
Office Supervisor
Mount Sinai Radiology Associates
08.2011 - 04.2017
Medical Billing Supervisor
Mount Sinai Radiology Associates
03.2011 - 08.2011
Financial Coordinator
Mount Sinai Radiology Associates
05.2000 - 03.2011
No Degree - Psychology
Borough of Manhattan Community College