Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

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
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
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
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
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, NY
05.2018

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

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Vadesa Guzman