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RssNandini Shah's Resume

NANDINI SHAH 1800 Huntington Boulevard, Apt. 506 - Hoffman Estates, IL 60169 - 847-903-5537 (C), 847-490-3862 (H) - hnhd@aol.com PROFESSIONAL QUALIFICATIONS • Analytical, detail-oriented professional who possesses strong administrative, multitasking, problem solving, and leadership skills. Works accurately and effectively within high-stress environments. Adapts easily to new demands and changing priorities. Proficient in the use of various office and medical software like Mysis, Medisoft, and Cerner applications. • Extensive knowledge in CPT and ICD-9 coding required. Proven interpersonal relationship skills. Ability to deal confidentially and effectively on all level. Proven problem solving skills. • Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquires or complaints from customers, regulatory agencies, or members of the business community. Ability to present information to senior management and physicians. Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concept such as fractions, percentages, ratios, and proportions to practical situations. • U. S. Citizen • Expertise encompasses: Operations & Management including Healthcare Management. It includes Strategic Planning, Budgeting, International Business, Marketing Analysis, Public Relations, Sales, Corporate Communications, and Recruiting. PROFESSIONAL EXPERIENCE Sherman Hospital, Elgin, IL Representative of patient financial services…………………………………2008 -2009 Currently, worked on account receivables collecting payments from Insurance companies and also from Workmen’s Comps claims. Collected out standing amount of payments from Managed care including Medicare and Medicaid, and Workmen’s Comps. Responsible and accountable for planning, organizing, evaluating, and coordinating Patient’s financial services. Also, responsible for implementing financial information as well as service requests for the Patient’s financial service department. Midwest Women, Downers Grove, IL Office Manager……………………………………………………………………….2007 Responsible for Patients’ scheduling function, Collecting Patients’ deductibles and co-pays as well as Insurance payment checks and banking. Responsible for checking CPT and ICD-9 coding and proper billing of patients’ accounts to insurance companies YOUR DOC, Hoffman Estates, IL. Chief of Billing…………………………………………………………………2005-2007 A private medical company with 14 clinics and 12 doctors Member of Administrative Committee and executive team with full accountability for the billing operation and performance of Central Billing personnel to ensure correct and timely billing and cash collection processes: • Established and followed collection processes to ensure timely follow-up of all outstanding accounts. • Ensured accurate, timely entry of carrier payments and adjustments. • Developed and implemented systems to help and monitor employee accuracy and productivity. • Assessed the number and level of personnel necessary to maintain smooth operation • Ensured compliance with national, state, and local, regulations concerning billing operation. • Maintained appropriate billing records as required by Federal, State, and local statues • Served as coding and error resolution resource for supervisors, staff, and clinic personnel seeking assistance and answering to billing related questions. • Functioned as a liaison between physician and staff regarding billing and collection issues. • Selected, trained, oriented, and managed staff within the provider relations and credentialing areas. • Provided insight to the Chief Executive Officer (CEO). • Leveraged medical coding expertise in performing medical coding/billing and accounting activities, collecting 1.8 Million dollars for a single physician in 2006 • Oversaw the daily and monthly closing functions. • Reviewed and authorized patient account write offs and refunds. • Ensured that all balancing and accounting information is forwarded to main accountant in timely fashion. Also, managed the distribution of month-end reports • Participated in budget development for Central Billing Office and complied with budget in terms of expense monitoring and control. • Follow all HIPAA regulation and maintained strict confidentiality and business ethics. • Interfaced regularly with insurance companies, including Medicaid and Medicare • Managed satellite clinic in Watseka, IL. for six months; developed policies and procedures, managed patients, and billing /accounting for seven nursing homes attached to Watseka Clinic CHRISTUS SPOHN MEMORIAL HOSPITAL, Corpus Christy, TX Extern in Family Practice Residency Program……………………………...2002-2004 Outpatient, Inpatient, and Emergency facilities with three hundred and fifty beds Attended patients of Memorial and Shoreline Christus Spohn Hospitals: • Treated patients in the emergency room and executive medical clinic. • Completed histories, performed physicals, developed treatment care plans, and prepared discharge summaries. Participated in group discussions regarding treatment approaches and courses of action. • Attended daily morning reports as well as afternoon family practice core lectures with residents. ARCADE PHYSICIANS LTD. Chicago, IL Extern in Internal Medicine at Private medical Office……………………….2000-2001 Participated in discussion of patient problems and management at nursing home rounds, hospital round and an outpatient clinics MARICOPA INTEGRATED HEALTH SYSTEM, Phoenix, AZ Intern in Anesthesiology for ten months, Worked in the Department of Internal Medicine...……………………............................................................................1999-2000 Completed rotations for ten months in medical wards, anesthesiology, pulmonary medicine, emergency medicine, neonatal intensive care unit, coronary care unit, and as a night float ST. MARY OF NAZARETH HOSPITAL CENTER / THOREK HOSPITAL AND MEDICAL CENTER, Chicago, IL, Surgical Assistant......………………………………………………………….1997-1999 Performed as either first or second assistant in all major and minor surgeries, including laparoscopic operations ADDITIONAL MEDICAL EXPERIENCE Thorek Hospital and Medical Center, Surgical Assistant……………………….1990-1994 Family Physician: Private Medical/Surgical Practice in Obstetrics and Gynecology (India)…........1979-1989 B.D. Patel Charitable Trust Clinic, Medical Officer (India)……………………1979-1989 Obstetrics and Gynecology Resident, New Civil Hospital (India)……………...1976-1978 Rotating Intern, New Civil Hospital (India)…………………………………….1975-1976 EDUCATION M.B.A / Healthcare Management (double degree) Health care Management includes knowledge of current heath care organizations, Health care laws and Ethics, and problems in current Heath care system and Health care Reform. ECFMG Bachelor Medicine and Bachelor of Surgery (M.B., B.S.), Diploma in Gynecology and Obstetrics (D.G.O), India M.B.A./Health care Certification (2008) ECFMG Certification (1996) M.B., B.S., B.J. Medical College (1976) Diploma in Gynecology and Obstetrics (D.G.O) Certification (1978) Active Practicing License in India

Medical or Health Services Manager

Hoffman Estates, IL

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