A highly experienced and motivated Manager with 19 years of experience in Revenue Cycle Management combined experience in Hospitals located in New Jersey and California and Ambulatory Surgical Centers in New Jersey, New York and Florida looking for the opportunity to provide my knowledge to a health care organization. * Extremely focus on the Account Receivable, Cash collection and Process improvements. I have very strong leadership skills working with the staff providing training, gaining their trust so they become more effective and efficient. Performance Highlights * USC and Keck Hospital Y2013: increased cash collections by 126M as compared to Y2012. o Becoming a mentor within the organization (MedAssets). * Increase follow-up effectiveness: implementing workflow system. o Aergo, Collection Management and high-level review at month end by financial classes and aging categories. o Worked directly with offshore team Gebbs, AGS, VeeUSA. * Redesigning Insurance Verification workflow to reduce "Turnaround Time" generating specific verification reports based on insurance coverage, DOS and payer requirements. * Reimbursement Expert: Implemented contract Management systems and conduced variance analysis to identify underpayments. * Reduction in claims denials: Analyzed denials by function to improve quality and increase collections. Experience/Education * Knowledge of business and accounting procedures Bachelor degree in Business Administration with a concentration in Accounting combined with nineteen years of experience working in hospitals and outsourcing health care administration. o Served as a Manager Business Office Operation in Sovereign Health Systems for 3.5 years, MedAssets as an Account Receivable Manager for 4.5 years, McKesson as an Account Receivable Manager for 8 years and earlier in my carrier I worked in Elizabeth General Hospital as a collector and Southland Corporation as an accountant gives me the experience to help growing your organization. * Account Receivable analyst - Analyzing A/R aging, High Dollar claims, Contract Management product to ensure revenue is recorded correctly and assigning work flow to A/R follow up representatives. * Patient satisfaction - Including troubleshooting when there is a complaint and developing process improvements to prevent recurrences. * Policies and Procedures - Ensure we comply with HIPPA regulations, CMS billing guidelines, billing according to EAPG regulations in NY for Worker's Comp and No Fault carriers, following DOBI guidelines for New Jersey No Fault carriers, use of Summary Plan Description to determine correct reimbursement on Out of Network Insurance, and developing new procedures. * Supervision of patient scheduling, registration, financial counseling establishing payment plan, billing and collection and cash posting reconciliation. * Responsible for training offshore team on account follow up and cash posting. * Recruiting - Interviews, hires and trains. Miguel Medina 51 Haverhill Ave Fl 1, Woodland Park NJ, 07424 Cell 201-898-7245, mmedina2628@gmail.com Knowledge, Skills and Abilities * Knowledge and experience in all aspects of billing and extremely confidential. * Knowledge of HIPPA, regulations related to Medicare, Medicaid, No Fault, Worker's compensation and commercial insurance In Network and Out of Network insurances. * Experience in hiring, supervision, management and performance reviews. * Strong customer service skills and problem-solving. * Use of different Health Care software billing, contract manager (pricing products), A/R follow up. * Capable to motivate workers in order to increase productivity. * Competent to work in stress with time management skills.

Highlights:

Companies I like:

Health Care Organization, Credit Analyst, Biiing expert

• customer service skills
• Dos
• Insurance
• Management
• Medicare
• Microsoft DOS
• Microsoft Excel
• Microsoft PowerPoint
• Microsoft Word
• Outsourcing