Director of Operations

* Directed the revenue capture function for multiple clients;including Chicago's largest Orthopedic Surgeon Practice, over 350 providers generating $500 million in professional fee billings and $140 million in payments per year* Reduced A/R at 150 days from 22% to 9.5%* Functional and budgetary responsibility for coding, charge entry, and reimbursement departments encompassing 100 FTEs. *Work with Management team to identify company objectives and enact plan of action* Implemented reporting to monitor financial performance and identify variances/negative trends and improve success of collections performance * Develop and implement comprehensive training for staff *Managing incorporating industry practices into company procedures and policies* Resolve patient and client concerns * Create and maintain productive work environment through interviewing, hiring staff, defining job descriptions, establishing benchmarks, monitoring progress* Work directly with other managers to insure daily process and work flow is achieved.* Maintain Reimbursement staff changes and modifications* Maintain Billing staff changes and modifications * Produce and submit reports as requested on reimbursement productivity and issues * Create a supportive, team –oriented environment with the goal of maintaining/enhancing employee morale and providing high quality within the department and client service.* Resolve concerns with operations. * Implemented and manage payment recovery process on underpaid managed care accounts * Accountable for day to day activities of Revenue Cycle functions including patient Access, Financial Counseling, Customer Service, Billing, Collections, Denial Management, and Charge Master.* Performed operational, billing, and systems assessments of potential new practice acquisitions*PROMOTED from Director of Reimbursement to Senior Director of Reimbursement and Coding

* Prepare, process and submit monthly invoices and statements for Medicare, Blue Cross/Blue Shield, HMO/PPO and self pay.* Managed claims that are paid, denied or disputed* Audit Medicare charts * Prepare and submit all ADR information.* Appeal Medicare ADR’s. Request for Fair Hearings.* Process Contractual Adjustments * Maintained knowledge of governmental and commercial payer regulations* Managed the billing and collections functions, ensuring consistent and timely revenue stream.

Assist and Teach Clinical Coordinators, HIM Director and Reimbursement Manager with Medicare Compliancy Policies and Procedures* Developed and maintained reports, records and statistics for the financial controller* Verify all visits before billing process* Prepare, process and submit monthly invoices and statements for Medicare, Medicaid, HMO/PPO and self pay* Follow-up on claims that are paid, denied or disputed.* Audit all Medicare charts before claims are submitted for processing* Apply payments to accounts. Process Contractual Adjustments* Pre-certify public aid patients

Responsible for the interviewing, hiring, training and supervision of all personnel including weekly scheduling and employee reviews* Surgical scheduling on a daily basis for the surgeons, anesthesiologists, hospitals and patients* Developed and implemented systems for ICD-9 and CPT Coding for the office* Forecast and maintained all financial and productivity reports on a daily, weekly, monthly and yearly basis

Developed and maintained reports, records and statistics for the hospital financial controller* Pre-qualified patients for public aid * Liaison for credit department which duties included interviewing patients and their financial capabilities* Billed all third party payers* Verify pre-certification progress and insurance benefits