Adam Polsinelli, Mba Email & Phone Number

Queensbury, Ny, Us

Queensbury, Ny, Us

· Manages eighteen direct reports across multiple functional areas (Self-Pay, Customer Service, Training, Billing/Follow-up, Malta Med, Financial Assistance, and Credit Review).· Monitors delinquent aging self-pay AR· Investigates and resolves patient problems/complaints· Monitors and authorizes refunds to patients or insurances and authorizes refund requests submitted by Optum vendor· Works with insurance provider reps on resolving large provider fault adjustments identified through Diver to result in payment on the account· Solely responsible for the overall operations of billing/follow-up of Malta Med Emergent Care· Approves Financial Assistance applications· Identifies and compiles the list of Medicare Uncollectible accounts for the Annual report.· Responsible for all PFS vendor management (statements, bad debt collections, Experian, Optum, MedData, CCI, etc.)· Creates ad hoc reports via Meditech to identify areas of improvement, AR trends, etc.· Reviews and signs all summons and complaints submitted by bad debt agencies for litigation.

Saratoga Springs, New York

Manages the day to day operation of the credit and collections department for two separate corporations (Saratoga Hospital And Malta Med Emergent Care).o Create and review productivity measures on aging accounts receivable.o Monitors delinquent aging of self-pay AR.o Investigates and Resolves patient problems, complaints or refers to the Director.o Monitors and authorizes refunds to patients/guarantors, Reviews and authorizes refund requests submitted by the Optum Vendor.o Review and recommend action on large provider fault adjustments identified through Diver to result in payment of the account.o Review High Dollar accounts and implement plans of action with the financial counselor who is assigned to handle them.Regulatory and Corporate Compliance: Monitors and evaluates new or revised regulatory agency and industry laws.o Monitors delinquent aging of self-pay AR to ensure compliance of Billing & Collection Policy (I-017a).o Review and determine approval of all Patient Financial Assistance Program Applications ensuring that Policy guidelines are being followed- Policy 1-017.o Knowledge of complex debt collection laws and IRC (Internal revenue Code) 501(r) Regulations for Charitable Hospitals.Financial managemento Review and identify Medicare Uncollectible accounts in preparation of the Fiscal Medicare annual Audit.o Review all Bad Debt accounts referred to external collection agencies in preparation for Fiscal Annual Audit.o Monitor External Collection Agency performance.Creates and Analyzes Ad-Hoc reporting via Meditech to identify areas of improvement, contract issues and denial trends.Denials Management & Craneware-monitor work activities of PFS direct reports on Craneware.o Active participant in all revenue cycle initiatives and meetings

Glens Falls, New York Area

• Responsible for day-to-day operations of the collections of revenue• Proactively monitors and analyzes $1 Billion in gross revenue annually• Manages twenty-three direct reports across multiple functional areas (Audits, Authorizations, Cash Posting, Charge Entry, Contract Variances, Customer Service, Denials Management, Financial Assistance Program, and Refunds and Credit Review)• Identifies areas of missed revenue opportunities for the organization• Acts as primary liaison between the hospital and all outside revenue cycle vendors, which includes contract review, managing performance through service level agreements and industry benchmarks• Active in hospital wide revenue cycle initiatives for both hospital and physician practice revenue

Glens Falls, New York Area

• Provided analytic support to multi-disciplinary health care process improvement teams, and departments throughout the hospital• Created custom reports using advanced Excel formulas and Access Databases• Lead data collection, analytic, and reporting functions• Analyzed a variety of data sources to identify opportunities to improve financial performance and increase reimbursement• Completed contract management analysis which was used in negotiations• Monitored performance of outside clients/vendors and completed reconciliations• Proactively identified trends affecting department's performance and made recommendations to resolve issues• Point person for all data and reporting needs for the Emergency Room (Medical Village) state funding grant application• Completed Medicare Bad Debt and Exhibit 50 annual reporting• Monitored progress related to KPI's• Created a processes and reporting mechanisms to monitor and track all refund transactions within revenue cycle• Implemented a patient complaint tracker which was used to improve patient satisfaction and identify root causes

Glens Falls, New York Area

• Designed and implemented operational tools to alert management of opportunities to increase revenue• Lead ongoing development of revenue cycle management reports• Tracked progress of multiple KPI's for different functional areas of the hospital• Created and utilized Access databases to combine multiple data sources to create custom reports• Completed Annual Exhibit 50 reporting• Acted as a first responder to revenue cycle day-to-day systems problems• Served as primary liaison to information technology staff regarding problem resolution

Albany, New York Area

• Interacted with supervisors, upper management, and employees to execute staffing plan• Prepared complex reports for upper management, ensuring full compliance with company and contractual requirements and tight deadlines• Utilized project management skills to ensure all four call centers in multiple locations meet performance standards• Oversaw and implemented staffing plan for optimal productivity and efficiency for over 200 employees• Developed and maintained production tracking systems by utilizing Crystal Reports, Microsoft Excel, and AVAYA CMS• Created training modules for call center agents and supervisors on new software implementation.• Prepared written analysis of reports on staffing and call center performance• Made recommendations for staffing and performance requirements to upper management• Tracked awards, bonuses, and information related to production• Maintained staff list, and utilized forecasting to schedule employees• Assisted with User Acceptance Testing of software updates that were being implemented• Authored professional correspondence to all levels of the organization• Trained supervisors and managers on Monet and Pipkins software and business processes• Granted scheduling software access and login credentials to supervisors and managers• Created standard operating procedure job aids• Identified trends in workflow, and provided continuous improvement suggestions

Albany, New York Area

• Utilized project management skills to assure team meets monthly, quarterly, and yearly goals• Successfully supervised and motivated a team of four individuals• Analyzed staffing and recommended changes to management• Trained new employees on departmental tasks and computer programs• Maintained excel database and utilized forecasting• Utilized Business Objects and Microsoft Excel to run reports and analyze data• Uploaded, maintained, and archived documents using SharePoint• Created formulas in Excel to complete spreadsheets• Acted as a liaison for customers and nurse case managers• Used Microsoft Outlook calendar and tasks to effectively manage time to ensure all deadlines are met

Masters Of Business Administration, Human Resources, 3.761

Bachelor Of Arts, Biology