To secure a challenging and rewarding position where I can best utilize my skills, acquire knowledge, and diversified experience, with room for growth and development.
Overview
10
10
years of professional experience
Work History
Revenue Cycle Manager, CBO
Northwell Health-Long Island Jewish Hospital
Manage the day-to-day administrative direction of assigned departments, assessing and improving workflows in the CBO.
Oversee budgets, salary, capital, and revenue projections, ensuring alignment with organizational goals.
Provides leadership to Revenue Cycle team members and supervisors by communicating and guiding them toward achieving department objectives.
Analyze workflows, identify opportunities for efficiency, and implement approved changes to optimize operations.
Proficiently manages denied claims, appeals, and invoice reviews to ensure maximum reimbursement.
Revenue Cycle Supervisor, CBO
Northwell Health-Long Island Jewish Hospital
01.2006 - 08.2011
Supervise, train, mentor, and evaluate revenue cycle staff; manage schedules and ensure performance meets unit expectations.
Monitors and manages daily work queues, ensuring timely and accurate completion of tasks.
Supervises, hires, trains, disciplines, and evaluates staff; ensures performance appraisals are completed in a timely manner.
Gather department metrics and prepare reports for management review; maintain attendance, payroll records, and process any time-off requests.
Train new employees in department policies, procedures, processes, and applicable information systems.
Inform staff of changes in policies, procedures, processes, systems, and regulatory laws and requirements.
Routinely audits work output to ensure compliance with unit expectations and processes.
Supervise the department's day-to-day operations as they relate to Hospital billing, registration, admitting, and office management, as applicable.
Analyzes, recommends, implements, and monitors approved work-flow changes; processes payroll maintaining employee records and work schedules while always ensuring adequate coverage.
Works with clinical personnel in obtaining authorizations and contacting insurance companies as needed.
Maintains daily workflow to expedite processing while ensuring quality, accuracy, and customer service.
Monitors the inpatient and outpatient registrations for quality assurance.
Respond to concerns of patients, families, physicians, and staff.
Coordinate with other departments, such as billing, clinical teams, and IT, to resolve issues and improve patient access services.
Ability to work in a demanding environment and manage multiple priorities.
Access Service Representative
Northwell Health-Long Island Jewish Hospital
04.2001 - 05.2006
Greets patients and/or visitors to the facility in a courteous manner.
Conduct interviews to obtain relevant demographic and insurance data; obtains appropriate signatures on medical, legal, and financial forms.
Provide copies and interpretation of Hospital policies and regulations to patients including, but not limited to visiting hours, patient rights, services etc.
Educate patients on out-of-pocket responsibilities.
Schedules and/or contacts patients for admission, outpatient procedures, tests as applicable.
Collect balances, enter payment into collection system and closes batch end of day.
Commitment to delivering high-quality customer service.
Perform admissions, registration, and scheduling activities. Obtains necessary demographic and insurance information and enters data into computer system, which may include patients on Medicare/Medicaid;
Verifies patient insurance coverage and other related data. Obtains patient insurance authorization required for services; Documents authorization approvals and denials in computer systems; may financially screen patients, evaluating and assessing all self-pay patients pre-registered or inpatient/outpatient, to establish method of payment; Informs and counsels patient/patient representative regarding available financial assistance; Collects money due from patient at time of service; May preform billing, receivable and related functions.
May follow through on any open self-pay accounts including monthly payment amounts for purposes of collection.