Laritza Gonzalez Email & Phone Number

West Palm Beach

Opening and establishing a Medical Practice, to include coordinating with Contractors, Building Permits and Inspections. Creating Projections and Budgets, working out details and preparing meeting details for the partners. Insurance Contracts; Medicare Enrollment, Reassignment of benefits, Preparing Policies and Procedures with contract language following Joint Commission requirements. Implementing an Internet Based Practice Management Software (EMR), and Internet Based Billing Software Programs. Operating, Managing, Preparing and implementing all regulations in an ever changing Industry. Overseeing the Medical Billing/Revenue Cycle; Hiring/Firing & Training staff.

Miami, Fl

Coordinate special projects guaranteeing the operational needs of all departments: company moves, computer platform, equipment updates and satisfactory HIPPA compliance for our field staff home offices. Monitor business efficiency through Member Services and Customer Service to comply with Medicaid Contract while working with the State Representative to ensure accuracy.Coordinate manage and oversee auxiliary benefits to include: transportation, vision and dental benefits for all members. Direct and coordinate membership enrollment, disenrollment and rejections of the Community Based Medicaid HMO, Waiver and Broward Medicaid Reform Pilot Program effective September 2006, working with the State (ACHA & DEOA) to ensure total compliance with our State Contracts. Review and create activity reports to include: work flows, enrollment reporting, death audits, hospice elections, customer needs assessments, customer satisfaction, call center productivity reports, issues log, claims projects, operational reports, Commission take backs and schedules to ensure accuracy within a multi-departmental scope. Participate in State (ACHA & DEOA) Audits, creating procedures that meet State Mandate. Implement department policies, goals, objectives and procedures to ensure action plans for problem sensitivity issues at root cause. Assist in coordinating, organizing and executing various projects with Senior Project Mangers at a National Levels.

W/C authorizations and re certifications, constant communication with Case Managers, case management, direct reports, month end reports, quarterly inventory, scheduling patients with multi-disciplines.

Billing multi insurance types to include: w/c, auto, health, HMO, third party, school insurance, managed care. Revenue Cycles, collections, rebilling, authorizations

Bachelor'S Degree, Health/Health Care Administration/Management

I was working full time and studying full time.

Bachelor’S Degree, Health/Health Care Administration/Management, 3.75 Gpa

Activities and Societies: Healthcare AdministrationI was taking 3 classes per semester