Valerie Wackmann
Nanuet,NY
Summary
Seasoned Financial Management professional with proven expertise in accounting processes, systems oversight and compliance reporting. Knowledgeable about AP/AR, contract administration, budgeting and all other aspects of successful financial operations. Talented team builder and supervisor with expertise to develop and maintain consistent, accurate, and legal accounting structures. [Job Title] and dedicated team player experienced in overseeing operations of individual and multi-unit facilities. Develops successful programs to improve profitability. Seeking new position with exciting challenges where great skills in [Skill] and [Skill] will be valued.
Overview
21
21
years of professional experience
Work History
Revenue Cycle Manager
Visiting Docs
Spring Valley
06.2021 - 12.2021
- Managed the companies revenue, from accounts receivable to account payable
- Negotiated with the medical supply vendors
- Training and educating the medical staff, from providers, medical office assistants, and the front desk
- Monthly, random medical auditing
- Provided updates on compliance guidelines about HIPPA, OIG, CMS, and fraud abuse compliance
- Spearheaded Health Information Exchange (HIE) function, while collaborating with HealtheConnection and eClinicalWorks software company
- Responsibilities include identifying patient reimbursement issues, by directing the coordinator to maintain residents' face sheets, demographics, and insurance information to ensure accurate data
- Configured the current COVID testing and Vaccine CPT, ICD-10, and HPCS codes in the system
- Delegated all billing functions and account management communication with vendors, providers, and insurance carriers also conducted Random Audits
- Maintained negotiation with Managed Care Organization plans, Medicare, and Medicaid
- Analyzed company contracts, reported revenue data on an Excel spreadsheet to the accountant, and executive director
- The objective was to maintain the company revenue performance to meet Medicare guidelines and ensure accurate claims submission.
Allied Health Instructor
Lincoln Technical Institute
Paramus
10.2020 - 04.2021
- Educated and prepared students for medical certification exams, such as certified medical assistants (MA), and certified professional coders (CPC)
- All done based on a rigorous lesson plan
- Maintained standards of professional conduct and procedures appropriate to the skilled positions
- Conducted the online course with Teams Meeting
- Taught ICD, CPT, HCPCS, Coding rules, including Health Care Compliance and HIPPA guidelines
- Graded assignments, and reported their progress and conduct to the Lead Instructor and students' supervisors
- The responsibilities of an Instructor entailed the completion of a lesson plan and lecturing based on the 'TEACH' Total Education and Curriculum Help material, with 50 minutes of class time
- Completion of Lincoln Tech's modules for Instructors
- Daily staff meetings, and company group meetings with the company president discussing students' productivity and future goals for Lincoln Tech
- Taught A.M courses and P.M courses
- Utilized healthcare process and critical thinking
- Establish and enforce rules for behavior and procedures for maintaining order among students
- Establish clear objectives for all lessons, units, and projects and communicate those objectives to the lead instructor
- Sponsor extracurricular activities, such as clubs, student organizations, and academic contests.
Medical Billing Specialist
Hillcrest Medical Associates
Nanuet
12.2000 - 08.2019
- Managed all of the company's financial functions primarily the revenue, monthly briefings of practice management, providers visit counts, A/R, and A/P with the account
- Negotiated contracts with medical supply vendors, along with all insurance carriers, including Medicaid, Medicare, and CHIP
- Responsibilities included monitoring the team's medical staff productivity, such as patient registration, and all billing functions
- Organized and trained staff on insurance verifications, CMS guidelines, and all third-party payers' contract issues updates
- Conducted bi-weekly meetings with the Companies Partners CEO to discuss accounting revenue reports and the productivity of the medical staff.
Education
Bachelor of the Liberal Studies -
Purchase College
05.2020
Associate in Liberal Arts and Science-Humanities -
Rockland Community College
05.2016
Skills
- Excel-Pivot Tables, Outlook, PowerPoint, and Word docs
- Knowledge of CMSgov guidelines, AMA, and AAPC coding tools eg, Codify
- Provider Credentialing
- Benchmarking healthcare costs, eg, vaccines, medical supplies, and expenditures
- Financial Analyst, and Account ledger Reporting
- 10 plus years in Medical Revenue Loss base ( MLR) reporting trends, and Affordable Care Act (ACA) knowledge Also, knowledge in utilizing the CMSgov webpage
- Excellent verbal, and written, communication skills
- Budget Management, Negotiation with Insurance Companies
- Product Development Technical Skills
- Project Management
- EDI Claims Software
- Expert knowledge in Medicare and third-party billing practices
- Exceptional, time management, problem-solving, and logical troubleshooting skills
- Anatomy and Physiology Knowledge
- Revenue Quotas
- Data Analytics
- Medical Billing
- Revenue Optimization
Volunteer Experience
Lead Teacher at Grace Community Church
References
References available upon request.
Timeline
Revenue Cycle Manager
Visiting Docs
06.2021 - 12.2021
Allied Health Instructor
Lincoln Technical Institute
10.2020 - 04.2021
Medical Billing Specialist
Hillcrest Medical Associates
12.2000 - 08.2019
Bachelor of the Liberal Studies -
Purchase College
Associate in Liberal Arts and Science-Humanities -
Rockland Community College