Directed, supervised, and coordinated specific functions and activities of the clinics business operations to generate revenue. Managed 3 primary healthcare clinics with a total of 7 providers and more than 20+ staff members Assist the Medical Director in the development, quality management and marketing of new services and referral sources which increased revenue by 60% Facilitated the employment, development and performance management of employees and decreased turnovers by 7% Develop processes and procedures to increase CAHPS/employees engagement survey scores 75% by committing to patient, provider, and employee satisfaction to promote retention Enhanced patient satisfaction with timely communication and proactive problem-solving strategies. Developed strong professional relationships with referring physicians, fostering a collaborative network that benefited all parties involved. Coordinated multidisciplinary team meetings to discuss patient cases, improving care coordination and overall treatment outcomes.

Successfully managed clerical /clinical team by promoting individual professional growth and development. Managed revenue cycle processes and identifying risk management uncertainties that could affect the organization Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel. Increased accuracy in financial reporting by implementing robust accounting practices and attention to detail in data entry tasks. Conducted performance evaluations for employees, identifying areas for improvement and providing constructive feedback. Contributed to a successful annual audit by preparing thorough documentation in accordance with regulatory requirements. Updated reports, managed accounts, and generated reports for company database. Managed financial operations for the business, ensuring accurate budgeting and timely invoice processing. Resolved financial discrepancies and customer billing issues with timely attention. Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.

Provided superior leadership in overseeing the revenue specialist team consisting of 15 employees Identified issues and concerns, resolves conflicts to minimize the impact on downstream revenue cycle management. Attended on-boarding sequencing for systems implementation of new physician practice acquisitions, and start-up deadlines Developed and deployed queries, simple applications, moderately complex reports, and other business strategies relevant to revenue cycle management Increased company revenue daily with the processing of Medicare/Medicaid and third-party outstanding billing Increased revenue by identifying and resolving billing errors in a timely manner. Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce. Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management. Ensured accurate billing with thorough audits of patient accounts and insurance claims.

Provided strategic direction to team members to outline the importance of their contributions and business goals Oversaw quality management opportunities and extensively applied Six Sigma methodologies to improve processes and achieve substantial cost savings Developed and maintained staff schedules to ensure optimal coverage while meeting expected deadlines Performed account analysis to track trends. Delivered exceptional customer service by promptly addressing concerns, maintaining strong relationships with clients and vendors. Enhanced team productivity by organizing regular meetings, setting clear goals, and providing necessary resources. Coordinated training programs for new employees, resulting in improved performance levels and reduced turnover rates. Managed project staffing, recruitment and new hire process.

Contacted insurance companies to obtain initial/renewal authorization for DME supplies. Processed asset write offs due to untimely insurance claims or unrecovered equipmentProcessed all third party Medicare/Medicaid insurance claims.Completed equipment convert-to-purchase. Completed CPAP, BIPAP,DME convert to purchase items (Respiratory Therapy) Reconciled patient accounts with daily payer audits.Verified patient’s coverage with both primary and secondary insurance carriers.Confirmed prior authorization requirements. ICD 10 Coding for all ER visits.Obtained prior authorization electronically as well as verbally for requested surgeries. Collected and analyzed clinical data in support of prior authorization and precertification requests.Reconciliation of CMN/DMN patient accounts including daily payer account auditsMaintenance of Dezine and Right Fax physician database Maintained weekly hold reports.Worked problem accounts in order to release billing holds. Completed scanning and indexing of all patients medical recordsCompleted daily billing problem report to ensure future claims will not go on hold.Assisted management with any additional task when needed.

Managed clerical, clinical, and therapy staff while assisting the Director of Operations. Worked all areas of home health including hospice and DME. Developed business rapport with medical providers for documentation signing. Human resource management including payroll, recruitment, personal information, mediate conflict resolution and diplomacy for both fulltime and contracted employees. Managed finances and office budgeting.Processed payment for company invoices. Managed therapy thresholds and therapy re-evaluation visits for Medicare billing.Conducted contract negotiations with outside therapy providers. HHA Mobile Care Trainer and clinical McKesson trainer.Managed vendor contracts.Conducted interviews and new hire orientation on all new employees.Handled conference calls, oversee registration, food, travel arrangements and conference room setup for meetings.Managed therapy thresholds for Medicare billing.Managed Reports-Scheduled Deviations, Schedule Reports, Ending Episodes, Hospital Holds, Lupa, and Current Admissions.

Managed companion services, clinical, administrative, and therapy staff. Notified physicians of Telehealth Monitoring Trends, patient transfers, discharges and medication adverse reactions.Reviewed, coded, and completed oasis all nursing Oasis and created 485’s for physician’s records.Processed employee payroll.Maintained medical records and managed equipment trackingCreated “The Daily Progression Report”Managed reports including: Census, HH Survey, Gen Rap, Bill Holds, Face Sheets, AR Transactions, PPS Payment/Episode History, and Product and Services Reports, Lupa Management, Pre Bill Audit Tool, Clerical Audit Tool, Final Rap Trigger Report, Oasis Pending Extraction Report, Employee Incomplete DocumentsReviewed billing for resident’s home care services and sent out residents billing statements.Assisted residents with medications and any personal assistance needed.Recorded staff pages in/ out and created with staff rotation schedules. Created weekly schedules for therapy and nursing field staff.

Managed medical records and scheduling department along with administrative staff. Trained home health-aids on mobile devices to submit documentation. Trained entire office staff on McKesson EMR.