Managed and coordinated national GPO and local Capstone contracts with a focus on the Purchased Services portfolio. Secured best-in-class pricing to institute value-add agreements which allow Capstone members to reduce supply expenses while providing the highest quality products for patient care.

Negotiated, implemented, and monitored managed care contracts within established departmental parameters to identify appropriate contracting and re-contracting opportunities. Collaborated with managed care organizations to gain a thorough understanding of payer-specific requirements, reimbursement logic, and limitations.

Enrolled elderly patients into the PACE program by performing home intake visits, completing administrative documentation and working collaboratively the PACE Interdisciplinary Team (IDT). Met monthly enrollment targets by helping seniors get enrolled in Medicaid and spent significant time troubleshooting problem patients with barriers to receiving care.

ABERDEEN MEDICAL SERVICES, Mount Laurel, NJ 9/2003 – 3/2015Director of OperationsManage collections, program operations, and claims reimbursement for a privately owned post-surgical durable medical equipment provider. Oversee a 15-person reimbursement/collections team accountable for 400,000 claims, approximately $8M in annual revenue. Administer end-of-life care management programs for 800 patients annually using the specialized ASEPT® product, and manage relationships with outsourced billing, collections and equipment vendors.

Administered the insurance billing workflow and maintained timely and proactive follow-up for all unpaid claims. Prepared and presented documentation for administrative hearings with the Departments of Insurance (DOI) in multiple states.

Provided administrative support to a pediatric orthopedist at the flagship campus of the Medical College of Wisconsin. Managed complex scheduling at Children’s Hospital of Wisconsin, one of the nation’s premier children’s hospitals, and an affiliated specialty outpatient Pediatric Orthopedic clinic.

Performed general office administration and patient records management for a busy physiatrist practice, which specialized in treatment of musculoskeletal issues related to inoperable back, leg, and shoulder conditions.