Michael Rodecker Email & Phone Number

Uniondale Ny

• Direct and supervise over 40 employees within Patient Financial Services, Customer Service, and Billing Departments• Develop comprehensive policies for billing, collections, and cash applications to expedite claims process.• Contribute to the implementation of denial management system that increased reimbursement and enhanced operational efficiency.• Aggregate data to provide weekly detailed and high level reporting for senior management including CEO and CFO.• Prepare time sensitive dashboards, denial, financial, reimbursement and ad-hoc reports to guarantee accurate analysis at all levels of management.• Prepare recommendations regarding write-off of bad debts and aged receivables for submission to Financial Director.• Identify coding, denial, and insurance reimbursement trends to maximize reimbursement • Collaborate with internal sales representatives to research and efficiently resolve billing discrepancies and client concerns.• Compile sensitive contract applications to ensure compliance with federal and state standards.• Perform general supervisory duties including interviewing, ensuring new employees are properly trained, conducting performance evaluations, and handling employee relations issues.

Hicksville Ny

• Efficiently championed efforts to negotiate over $5M of reimbursements from private medical insurance companies.• Communicated audit results in reports and presentations to senior management.• Identified audit and database issues and developed recommendations for improvement.• Maintained responsibility for special reviews and investigations including insurance and New York State Public Health fraud.• Provided insight on data requests from various departments, auditors, and governmental agencies including New York State Department of Insurance, Department of Labor, and Department of Health.• Played a key role in analyzing information, business processes, and new systems.• Evaluated internal controls and recommended enhancements to mitigate risk exposure levels.• Appointed as corporate representative for all reimbursement recovery issues for Trump Pavilion Nursing Home.

Hicksville Ny

• Identified patterns of insurance underpayment and recovery of full reimbursements.• Conducted research on medical claims and assisted with appeals. • Prepared and distributed audit reports.• Calculated projected Medicaid, Medicare, and private insurance reimbursement for Flushing Hospital.