Cathy Lupinek Email & Phone Number

Philadelphia, Pa, Us

Parsippany, New Jersey, United States

Crozer Keystone Health System outsourced Patient Financial Services to Med-Metrix. I am currently working in the same role, Revenue Cycle Supervisor role at Med-Metrix for Crozer Keystone Health System who is now our client. Job responsibilities remain the same. Refer to previous position.

Upland Pa

Responsible for medical record review, preparation, timely submission and tracking of Medicare audits. Track audit to the determination and assist providers with clinical appeal submission until all appeals are exhausted. Responsible for technical denial appeal submission for audits. Prepare Quarterly Audit Reports for Compliance. Identify root causes and trends and work with Compliance to educate providers. Prepare and analyze technical denial reports for Management and identify root causes. Oversees Downgrade Process. Work closely with the Clinical Staff & AR Representatives to achieve claim resolution. Key Contributions:• Played key role in becoming Novitasphere Administrator for organization and training staff on system along with Management. Goal was to ensure a smooth claim process transition during the time Medicare switched members from Social Security Numbers to Medicare Beneficiary Identifiers. • Assisted Management in implementing tasking to improve the communication between Utilization Management Department & the AR Representatives. • Cerner Superuser with Go Live EMR Implementation.

Upland, Pa

At Crozer, I oversaw all practice operations for a bariatric & general surgery practice staffed by 3 Surgeons, 2 Nurses, Nutritionist, Surgical Scheduler, Medical Assistant, and 2 Medical Receptionists. I managed Operating Room scheduling, pre-certification processes, insurance verification, registration, patient flow, and checkout processes. I also assisted the Administrative Director with budget development, and generated monthly operational reports. I coordinated and facilitated monthly staff meetings. I led efforts to promote patient-centered care, and ensured compliance with all federal, state, and local regulations. And I frequently fielded and resolved rejections and global denials. Key Contributions:• Played role in earning Center of Excellence initial certification and 3-year recertification for bariatric program; collaborated with Bariatric Coordinator to ensure completion of all requisite paperwork for site survey preparation. • Drove successful relocation to new office and business expansion to 2 new satellite offices at Delaware County Memorial Hospital and Brinton Lake. • Recruited 2 new physicians; drove all recruitment, hiring, training, and performance management efforts for practice. • Led seamless, successful roll-out of EMR system and ICD-10 implementation. • Nominated for and completed Crozer Management College Program.

Hockessin, De

Prior to CHOP closing it's Delaware operations in 2009, I drove all primary care office operations, functions, and administration for a pediatrics practice staffed by 3 Pediatricians, 6 RNs, and 4 Patient Service Representatives. I led recruitment, hiring, training, coaching, counseling, and performance evaluations. I also played a vital role in Quality Assurance and Quality Initiatives. On a regular basis, I monitored, analyzed, and modified practice expenses to meet budgetary objectives. Key Contributions:• Reduced expenses 5%, managed quality initiatives, and recruited new Patient Service Representative prior to CHOP closing its Delaware-based operations in 2009.

Wilmington, De

During this 16-year timeframe, I served in multiple progressive roles, culminating in Office Manager for Neurology Practice. As Office Manager, I ensured smooth daily office operations for 7 Neurologists, 6 Advanced Practice Nurses, Specialty Nurse, and 4 administrative staff members. I administered a multimillion-dollar budget, managed fund allocation, and generated variance reports for 4 locations. I also recruited, trained, supervised, and evaluated administrative staff. Key Contributions:• Facilitated staff training for Department of Pediatrics new HIPAA Law Guidelines.• Converted on-call schedule process from paper to electronic intranet platform.• Recruited and onboarded 2 Neurologists and 2 Advanced Practice Nurses.Drove successful relocation to new office space.Earlier roles:Medical Secretary, Developmental Medicine • 1996-2000Scheduling Representative, Ambulatory Care Center • 1992-1996

Master Of Business Administration (M.B.A.), Health Care Administration

Bachelor’S Degree, Human Resource Management, Summa Cum Laude

Associate’S Degree, Medical Office Assistant