Oversaw the day-to-day operations and management for this national Laboratory consisting of multiple teams over 40 employees, including billing order entry, eligibility and verification team, production data entry, error processing, and Pre-bill edits including clearing house rejections. In addition provided customer service to over 800 clinics, and client support for the Ameritox Medication Monitoring Solutions sales team. Responsible for the daily EDI activities.

Responsible for providing leadership, oversight and direction of the billing and collections department in functions including patient insurance verification, charge entry, claims submission, rejections , denials and over all reimbursement issues. . Researching and resolving customer disputes/issues. Preparation of monthly collection reports to management meetings. Preparation of monthly closing reports. Communicating with and understand Medicare, Medicaid, private insurance and direct patient billing. Ensuring accurate cash application, collections, billing, contract management, provider credentialing and other accounting tasks, while remaining within budget.

Responsible for overseeing the financial and operating functions within the reimbursement department; including contracting, charge capture, electronic claims submission, reimbursement, and compliance with company policies and HIPAA. In addition to staying abreast of current business related technology I manage a staff of 9 and report directly to the CFO/VP of Operations while managing multiple critical projects related to current and emerging reimbursement issues and provide appropriate guidance to the CFO.

Oversight of 40-55 employees in 7 states. Provide effective leadership and management for front office administrative staff of independently owned physical therapy clinics. Responsible for over 22 million dollars in revenue on an annual basis. Reduced the average DSO by 50%, while reporting directly to the VP of Operations. Was an integral part in the vendor selection for electronic claims submission for over 250 offices. In 39 different states. Created training manuals and conducted training of corporate staff on implementing new electronic claims submission software. Proficient in Hospital/Institutional claims ( UB04) as well as Med/Surg claims (1500)

Oversee all aspects of current programs designed to promote restorative function and to deliver the highest quality of patient care and help patients reach their wellness goals and prevent injury or re-injury. Maintain documentation of compliance issues / resolutions according to statutory regulations and guidelines for 3 Physical Therapy / Occupational Therapy Clinics in Maryland and Virginia and 9 Orthopedic Surgical Physicians. Provide application support for 20-25 staff members in the Physical Therapy Department. I have a strong understanding or physician practice and inpatient work flows as they relate to scheduling, registration, referral tracking and charge entry, including labs, radiology procedures and ancillary services. •Project Management / coordination experience for practice wide code scan fee ticket implementation, with follow thru from concept to design, to testing, to implementation; ensuring ROI with minimal financial impact on practice revenues. •Experience in supporting clinical as well as clerical environments and responsible for the execution of projects and enhancements to the current practice management system. •Create reports and data extracts to analyze the profitability of current billing practices.•Participate in the post-implementation review of current methods. •Developed a Cancellation/No show incentive program for all 3 PT offices reducing the NS/CX rate by 50% from 24% to 11% in 6 months. •Responsible for accurate Bad debt contractuals•Responsible for the recruitment and credentialing process for all new therapists and creating a mass letter campaign. • Went from 15% enrollment for therapists in APTA to 100% membership.• Developed a Practice wide ‘front desk training seminar” with 90% attendance • Internal Audit of patient charts for proper documentation and appropriate POC’s and valid script coverage. • Determine the cause of complex service issues with carriers and develop and implement solutions