Jan 2023 – Feb 2025 · 2 yrs 1 mo · Las Vegas, Nevada, United States · Hybrid

• Drive strategic improvements in revenue cycle systems, aligning with organizational goals to boost financial performance and streamline operations
• Develop and implement workflows to optimize medical billing processes, collaborating with key stakeholders to ensure seamless operations from start to finish NYU's $10B healthcare network
• Spearheaded automation initiatives, including BOT and RPA implementation, streamlining processes and significantly reducing manual workload in billing operations across NYU Langone Health
• Collaborate with leadership and IT to ensure seamless billing operations and system integration
• Support customer service with workflow updates, improving response times and accuracy
• Foster cross-departmental partnerships to facilitate acquisitions, conduct UAT
• Manage offshore teams to align with policies, ensuring consistent billing practices
• Streamlined accounts receivable processes by enrolling NYU in ERA and EFT for faster cash flow and reconciliation of payments
• Work with bank liaison when there are issues with the lockbox or EFT

Jan 2021 – Jan 2023 · 2 yrs · Las Vegas, Nevada, United States · Hybrid

• Developed and executed strategic plans to address user-related issues and workflow bottlenecks, resulting in improved operational efficiency and user satisfaction.
• Conducted quality assurance reviews of patient accounts, ensuring accuracy and compliance with billing procedures.
• Provided critical analytics to support decision-making processes for managers, directors, and offshore teams.
• Spearheaded initiatives to streamline operations, resulting in improved billing processes and enhanced overall efficiency.

Mar 2020 – Mar 2021 · 1 yr · Las Vegas, Nevada, United States · Hybrid

• Managed all aspects of the medical practice, including staff management, human resources, payroll, medical billing, physician credentialing, accounts payable, and vendor management
• Streamlined the invoice reconciliation process for accounts payable within 1 month by applying a 3-way matching system for invoices, resulting in improved efficiency and accuracy
• Worked with vendors when there was a discrepancy on the invoices received
• Processed approximately 200 checks per month for invoice payments, ensuring accurate allocation of services in Quickbooks
• Scanned all received 1099 forms for the accountant, ensuring 100% accuracy
• Worked with our bank representative to complete the Payment Protection Play (PPP) loan during COVID
• Developed an organized filing system for all business files, including invoices, tax forms, proof of insurance, contracts, credentialing forms, and employee files
• Negotiated prices with vendors for goods and services
• Monitored and approved payroll for a staff of 15
• Revolutionized customer service through new policies, enhancing patient satisfaction and streamlining office procedures for optimal efficiency
• Conducted comprehensive analysis of practice operations, identifying areas for improvement and implementing data-driven solutions
• Fostered a collaborative work environment, leading cross-functional teams to achieve practice goals and improve overall performance
• Ensured seamless functionality of medical equipment and office systems, maintaining high standards of care and operational excellence
• Revamped medical billing processes and introduced cost-cutting measures, significantly improving financial performance and resource allocation

Feb 2019 – Apr 2020 · 1 yr 2 mos · Las Vegas, Nevada Area · On-site

• Conducted in-depth root cause analysis to identify denial trends, resulting in swift resolution of a $300k issue and improved claim processing efficiency
• Facilitated knowledge transfer by training colleagues on claim follow-up procedures and billing software, enhancing team capabilities and workflow
• Spearheaded weekly calls and managed offshore team workflow, optimizing productivity and ensuring seamless communication across departments
• Developed and implemented strategic solutions for claim denials, significantly improving payment rates and reducing financial losses
• Assisted with credit balances to refund true credits or correct posting errors
• Scan and process batches from the bank lockbox

Sep 2018 – May 2019 · 8 mos · Las Vegas, Nevada Area · On-site

• Managed surgical scheduling, coordinated post-op appointments, and ensured patient understanding of pre-and post-operative procedures.
• Streamlined authorization process and improved payment collection, contributing to enhanced operational efficiency and reduced financial delays.
• Provided compassionate patient support, addressing concerns and facilitating smooth surgical experiences from initial consultation to recovery.
• Analyzed scheduling patterns to optimize resource allocation, minimize wait times, and maximize surgical suite utilization.
• Fostered strong relationships with medical staff, insurance providers, and patients to ensure seamless coordination of surgical procedures.

Jan 2018 – Aug 2018 · 7 mos

• Managed a 20-member team in the Workers Comp/MVA Dept, enhancing billing system efficiency.
• Assisted in the implementation of a new billing system (Epic).
• Pioneered new training methodologies for billing procedures. Redesigned workload distribution, increasing productivity and staff satisfaction.
• Collaborated cross-departmentally to assist with projects and operational improvements.
• Recruited and integrated new team members, fostering a cohesive and skilled workforce.

Feb 2017 – Jan 2018 · 11 mos

• Streamlined claim follow-up processes, reducing billing errors and enhancing revenue cycle efficiency for the ophthalmology department at Flaum Eye Institute
• Led comprehensive training for 15 staff members on ophthalmology billing practices, boosting team productivity and accuracy
• Managed charge entry and paper claim submissions, ensuring precise documentation and timely reimbursements for medical services
• Partnered with cross-functional teams to identify and resolve complex billing issues, improving overall financial performance

Jan 2014 – Feb 2017 · 3 yrs 1 mo

• Spearheaded comprehensive practice management strategies for 4 Retina specialists and a retina fellow, driving operational excellence and boosting patient satisfaction.
• Optimized patient flow and resource allocation, resulting in measurable improvements in care delivery and operational efficiency.
• Led multifaceted practice management, overseeing staff training, patient scheduling, authorizations, and research study coordination for enhanced operational performance.
• Fostered interdepartmental cooperation to facilitate research studies and coding initiatives, contributing to academic and clinical advancements in retina care.
• Managed physician credentialing, CME records, and licensing, ensuring compliance and readiness for seamless practice operations

Aug 2012 – Dec 2013 · 1 yr 4 mos · Meriden, Connecticut, United States · On-site

• Midstate Medical Oncology & Hematology Dept
• Managed patient scheduling and treatments and coordinated specialist referrals, enhancing service efficiency.
• Answer patient and doctor inquiries, ensuring prompt and effective communication.
• Assist doctors with administrative tasks, maintaining accurate and accessible records.
• Organize conferences and meetings, ensuring all information is current and comprehensive.
• Collaborate with team members, fostering a supportive and productive work environment.

Feb 2012 – Aug 2012 · 6 mos · Meriden, Connecticut, United States · On-site

• Midstate Medical Oncology & Hematology Dept
• Organized and filed medical records to enhance retrieval efficiency.
• Streamlined chart management, improving staff access to urgent records.
• Managed medical records requests, ensuring timely processing and compliance.
• Maintained accurate filing systems, supporting seamless appointment preparation.

Oct 2010 – Oct 2011 · 1 yr · Niantic, CT · On-site

• Provided care for a 93 year old woman with dementia, enhancing her quality of life.
• Monitored health changes, ensuring timely medical interventions.
• Meticulously managed medication schedules, personal hygiene, and nutritional needs.

Aug 2009 – Sep 2010 · 1 yr 1 mo · Rochester, New York Area · On-site

• Managed operations for three doctors ensuring smooth practice functioning.
• Developed and maintained patient schedules, enhancing appointment efficiency.
• Ensured accurate tracking of patient numbers and appointment adherence, boosting practice organization.
• Prioritized patient needs and doctor-patient relationships. Screened urgent calls effectively, ensuring timely responses and maintaining high-quality care standards.
• Managed prior authorizations and patient prescriptions, ensuring compliance with healthcare regulations and maintaining accurate medical records.
• Facilitated monthly team meetings, fostering collaboration and communication.
• Led staff training, enhancing team skills and operational effectiveness.

Jun 2008 – Jul 2009 · 1 yr 1 mo · Rochester, NY · On-site

• Managed patient charts, ensuring precise documentation and streamlined insurance verification.
• Improved patient satisfaction by efficiently scheduling appointments and handling inquiries.
• Ensured smooth operations by processing payments and managing patient check-ins and checkouts.
• Ensured new staff were properly trained on front end operations and procedures
• Maintained billing accuracy through proficient charge entry using CPT-4/ICD-9 coding.
• Enhanced access to care by facilitating Family Planning Benefits Program enrollment.

Jul 2006 – Mar 2008 · 1 yr 8 mos · Rochester, NY · On-site

• Reduced outstanding accounts receivable from 25% to 3%, enhancing financial stability. Managed insurance claims, verified information, and ensured accurate payment entry.
• Contributed to team success by training new staff, sharing best practices in patient account management, and fostering a supportive work environment.
• Conducted thorough research on claim denials to improve reimbursement rates.
• Analyzed insurance claim patterns to identify recurring issues, developing targeted strategies to reduce denials and optimize revenue cycle management.
• Streamlined insurance claim process, drastically reducing outstanding accounts receivable and enhancing financial stability. Managed claims efficiently.

Jun 2004 – Jun 2006 · 2 yrs · On-site

• Managed bank deposits and bookkeeping, ensuring financial accuracy and efficiency.
• Supported HR, accounts payable, and IT systems enhancing team productivity.
• Coordinated office supply procurement, mail processing, and phone system management, fostering a well-organized and productive work environment.
• Partnered with cross-functional teams to plan and execute successful events, significantly boosting attendee satisfaction and engagement.

Dec 2001 – Jun 2004 · 2 yrs 6 mos · On-site

• Coordinate patient care, ensuring efficient clinic operations and improved service quality.
• Manage patient files and insurance details, adhering to HIPAA for confidentiality.
• Schedule appointments and handle patient check-ins, enhancing patient flow.
• Facilitate insurance enrollments, increasing access to Family Planning Benefits Program.
• Perform charge entry with precision, supporting accurate billing and coding.

Oct 1996 – Aug 2001 · 4 yrs 10 mos · Rochester, New York Area

• Meticulously maintained accurate cash transactions and inventory records, minimizing discrepancies and streamlining end-of-day reconciliation processes.
• Provided exceptional customer support, addressing inquiries and resolving issues promptly, leading to improved customer satisfaction and loyalty.
• Drove sales through personalized customer service, efficient cash handling, and strategic floor displays, consistently meeting targets and enhancing store aesthetics.