Anthony Bostwick Email & Phone Number

Sunrise, Florida, United States

Sunrise, Florida, United States

Vendor management oversight for all MHS. Manage all Contracts for Travel/Contract employees  Oversight of daily operations for scheduling of Per Diem staff Oversight of daily operations for scheduling of Contract staff Monitor daily attendance and availability for schedulingCreate and monitor new contracts for all Travel, Vendor and Float Pool staffContract all RN Specialty ICU, PICU, NICU, CVICU, MST, ONC, Cath Lab, OR, ER Contract all Allied Health Specialty RRT, IR Tech, Med Tech, Cath Lab Tech, OR Tech

Sunrise, Fl

Manage team of Claim Benefit Specialists processing International and Stateside Claims.

Sunrise Fl

Delray Beach Fl

Manage daily operations of Medical Claims Department consisting of team of 23 Claims Examiners.Reduced inventory payment time from 14 business days to 5 business days for electronic (EDI) and 7 business for paper claims.Monitored daily reports of production, accuracy and timely payments.Conducted weekly meetings with staff to educate and coach on Long Term Care Managed Care Program. Respond to all Provider questions regarding claim payment, provider contract and provider eligibility.Processed checks for providers through accounting system of Great Plains..Process payroll through ADP/Etime systemHire, train, promote employees.

Sunrise, Fl

Led team of 15 Claims Examiners and Customer Service Representatives.Audited and tested new contracts for payment accuracy and configuration.Met weekly with Chief Financial Officer to review high dollar facility claims.Extensive experience with provider contract and benefit interpretation.Provider coding and root cause analysis with process improvement.Key in conversion of MHS to IDX (date bases) as it affects Claims and Recoveries.

Sunrise Fl

Reconciliation of large facility accounts for high dollar overpayments for a department that averaged over $2.5 million in recoveries monthly.Developed trends and designed reports to identify and recover overpayments from facilities and physicians,which could generate up to $8 million in identified overpayments yearly with more than 80% collected. Issued resolution management within all departments at Vista to foster the overall success of the company. Approximately 85% of the reported issues never resulted in additional overpayments.

Sunrise Fl

Audited each function of various departments, Accounts Payable, Claims, Provider Contracting and Customer Service for verification of organizations policies and procedures.Conducted random audits to verify accurate contractual reimbursements.Audited Claims Departments High Dollar Claims for accurate contract interpretation, payment, benefit integrity, possible fraud identification and adherence to state regulations.

Hollywood Fl

Supervised team of Information Specialists responsible for loading and updating Physician, Facility and Group contracts.Assist Provider Relations to assure all contracts meet company specifications.Coach and Develop new and existing employees on departmental and company policies and procedures to assure a positive working environment.