Evaluated and tested all major system changes in compliance with FDA regulationsDiagnosed system problems prior to implementationProvided user perspective to design and functionality of new processesEnsured full documentation of all process changesDeveloped more efficient processes for conducting validations

Entered department where 14 year manager had recently left, leaving little or no documentationManaged department of 15, posting payments, handling denials, appeals, and refundsUsing background knowledge, experience, and experienced department staff members, re-wrote procedures and restructured department responsibilitiesSet up department reports on common drive, and had Department Leads take a more active role in maintaining and monitoring processes.Placed all department procedures on common for access by each employee. This was especially helpful for procedures that are frequently updated.Used Excel and Access to break out items from remittances, and distribute to staff, according to individual level of expertiseRevised daily progress reports to identify employee progress on a claims per day basis

Evaluated and tested all major system changesDiagnosed system problems prior to implementationQuickly familiarized self with all aspects of user applicationsProvided user perspective to design and functionality of new processes

·Maintained knowledge and expertise in all key areas of compliance with Corporate and government-mandated regulations·Developed a working knowledge of operations of most departments, particularly Billing, Field Operations, Sales, and new Account Set-up ·Planned, evaluated, and developed procedures for Teterboro Business Unit billing system and laboratory system conversion, with Compliance Team and others in affected departments.·Collaborated with different departments to develop procedures for adherence to compliance standards, federal and state regulations, medical billing procedures, HIPAA, and contractsDeveloped and performed internal audits of departments and procedures to ensure compliance with all applicable laws and policies Trained over 90% of all new hires in New Hire Compliance course (500 per year)·Coordinated, monitored, and maintained responsibility for all required Compliance training for the Business Unit, including conducting Train-The-Trainer sessions

Billing consultant analyst for 500 medical professional and hospital clients, including Massachusetts General Hospital, Duke University Hospital, Yale New Haven Hospital, Hartford Hospital, Cleveland Clinic, UNC, UVA·Improved overall client performance by more than 50 percent per year·Educated clients on dealing with third party carriers·Through on-site visits, trained and supported over 200 clients throughout the northeast region in optimal use of system, as well as revising their internal processes·Produced, analyzed, and presented key reports for regional improvement·Resolved communication barriers between clients and third party carriers

·Developed and managed entire billing department, which grew from 7 to 30 employees, with two shifts, from 6 A.M. to 2 A.M.·Led department to improve and stabilize its collections process·Managed smooth billing area transition in one year, while specimen volume tripled

Central contact for in-house programmers, end users, over 30 major insurance carriers, and sales force, at a time when nearly all billing was centralized in Teterboro.Prioritized and coordinated all system automation of insurance billing as key project member·Developed hands-on expertise in electronic third party billing·Initiated, developed, coordinated automation of many manual functions, substantially improving efficiency and reducing paper flow·Developed business and system requirements for all changes·Managed department of three exempt employees