With more than twenty-five years of experience, I have developed considerable skill and knowledge in the planning, organization, development and direction of financial and business aspects of health services operations.

COMPANY	POSITION HELD	DATES WORKED
Newark Beth Israel Medical Center	(Confidential)	2/1997 - 9/2003

SCHOOL	MAJOR	YEAR	DEGREE
St. Thomas	Academic	1973	High School/GED Degree

Highlights:

Medical billing, collections, and management professional with more than twenty-five years of progressive experience in the planning, organization, development, and direction of financial and business aspects of health services operations. Background includes individual practice, billing service, and major medical center environments. An effective, highly productive facilitator and leader with a unique blend of clinical and operational vision, with the capacity to allocate and integrate diverse resources to achieve financial reimbursement, information management, and operating objectives.

Companies I like:

Orland Regional Medical Center, Banker's Life Insurance Company, Aetna, Bank of America, Sun Trust

P&L responsibilities
Presentation
Technology Solutions
Leadership

• Office Manager
• Consultant
• Manager
• Patient Accounting
• Registration Compliance and Training
• Billing Service

Newark Beth Israel Medical Center Newark, NJ 1981 to 1986; 1996 to 2003 (An Affiliate of the St. Barnabas Health System Network) Career Progress: ? Manager, Registration Compliance and Training ? Manager, Patient Accounting ? Personal Secretary to Director of Plant Engineering Department ? Telephone Collector ? Senior Clerk Manager, Registration Compliance and Training Managed three compliance auditors and helped direct responsibility for the quality of data entered into system for over 150 registrars. This included auditing the data to ascertain accuracy level, reporting on accuracy by registrar, department and facility on weekly and monthly basis, and coaching staff in meeting accuracy level. Trained new employees on how to conduct a registration interview for insurance requirements, federal and state regulations. Developed training programs and administered to financial staff, along with attending numerous training and development classes. Additionally, facilitated all hiring, terminations and annual reviews for direct staff, attended monthly corporate management meeting, and collaborated on special projects for Patient Financial Services. • Established patient registration policies and procedures which effectively obtained all information required to expedite reimbursement of claims for services. • Analyzed and organized office procedures, instituting and enforcing policies and controls governing operations, resulting in improved efficiency and productivity. • Instituted weekly staff meetings with managers and supervisors to ensure operational compliance with established performance, quality, and related standards. Organized schedules and established priorities for timely, efficient processing of work flow. • Planned and coordinated interdepartmental meetings, conferences, and other events to maintain effective communication among departments and ensure accuracy of information used for financial and other planning purposes. • Managed information processing and record keeping functions, applying knowledge of computer technology and various commercial and industry-specific software applications. • Prepared payroll and generated reports for review by superiors. • Delegated responsibilities, trained, supervised, motivated, and evaluated performance of staff personnel within both union and non-union work environments. • Consistently met accuracy requirement for registrars of 96% or better. Audited data or registrars and supervisors and provided both on-the-job training and workshops to ensure staff maintained up-to-date knowledge and skills. Manager, Patient Accounting Managed 35 employees with direct responsibility for all aspects of inpatient/outpatient billing for Managed Care, Blue Cross, Blue Cross, Commercial, Tricare, and other government agencies. This included facilitating a range of processes for all products including: managing receivables/cash flow and reconciliation, auditing of claims, along with adjustments to claims after payment is received, and reporting or aging. Tracked and billed for implants. Researched and authorized payments to transplant doctors were claims were paid globally. Partnered with Managed Care contract negotiators and self-pay agencies in tracking billing, invoices and authorizing payments. Negotiated claims settlements with insurance companies. Additionally, facilitated all hiring, training, coaching, terminations, and annual evaluations for staff, interacted with end-customers, and collaborated on special projects. • Prepared billing of accounts and invoiced all third-party claims, including Medicare, Medicaid, Health Maintenance Organization (HMO), Managed Care, and Traditional Indemnity Plans. • Conducted audits of all third-party reimbursements to identify payments made or additional follow-up required. • Investigated and resolved sources of difficulty related to rejected accounts/claims and re-billed for service. • Performed pre-collection and collection functions, negotiating pay-out arrangements on accounts as required to secure reimbursement and determining necessity and timing of external collection actions. • Provided financial counseling to patients, ascertaining needs and offering referrals to appropriate resources to ensure optimal recovery. • Analyzed and organized office procedures, instituting and enforcing policies and controls governing operations, resulting in improved efficiency and productivity. • Institute weekly staff meeting with managers and supervisors to ensure operational compliance with established performance, quality, and related standards. Additionally, on monthly basis, conducted departmental staff meeting with all level of employee. • Organized schedules and established priorities for timely, efficient processing of work flow. • Planned and coordinated interdepartmental meetings, conferences, and other events to maintain effective communication among departments and ensure accuracy of information used for financial and other planning purposes. • Managed information processing and record keeping functions, applying knowledge of computer technology and various commercial and industry-specific software applications. • Prepared payrolls and generated reports for review by superiors. • Delegated responsibilities, trained, supervised, motivated, and evaluated performance of staff personnel within both union and non-union work environments. • Created “Operation Bootstrap” to energize staff during 90-day period, focusing on meeting financial goals. Created strategy and provided on-going coaching and training for continuous motivation. Team met and exceeded goals.