Scott Engelman Email & Phone Number

Radnor Township, Pennsylvania, Us

Coming soon!

Livonia, Mi, Us

Provides management oversight and leadership to the planning, development, and implementation and ongoing application support for Ambulatory systems and including revenue cycle modules. Oversees the development of approaches and solutions to systems support when advantageous, to streamline processes and resolve system and revenue cycle process issues. Plans, directs and evaluates the work of assigned staff in the revision, development, implementation and enhancements of systems in support of RHC requirements. Designs and administers personnel/departmental policies applying to staff for which they have direct responsibility. Evaluates and coaches work performance of staff and continually reviews progress and employee improvement. Facilitates and improves efficiencies in the weekly change control review meeting processes in order to ensure safe implementation and organization wide adoption of changes. Creates and maintains communication process to all regional health ministries all system changes or issues in order to provide transparency of system related issues across ministries. Assists in the organization and preparation for an organization wide financial user group meeting to discuss challenges and provide solution to existing system barriers.

Philadelphia, Pa, Us

Reviews current system build for areas of process improvement and reduction of days in accounts receivables. Develops clear concise processes for system changes to standardize the maintenance of the system. Handles the contract and fee schedule maintenance within the system ensuring accuracy. Created and edited charge review, claim edit, follow-up, HPF and charge router related workqueues to improve efficiencies and increase total revenue. • Successfully collaborated with team to handle implementations for Radiant, Epic 2008 and Epic 2010 with less than 10 issues per integration.• Assisted in the resolution of over 4 million dollars in credits by removing capitation logic and validating that the system correctly match transactions. • Implemented new 5010 claim form with no issues for multiple physician practice groups. • Facilitated cross organizational meeting to ensure continuity of all claims related issues among physician billing groups which lead to an expedited identification and issues resolution process • Utilized my existing reporting skills to identify and create reports for analyst to use to identify necessary changes and assist in problem identification.• Trained new staff on existing processes for daily operations and instructed staff on methods for successful build for new processes.

Philadelphia, Pa, Us

Prepares monthly billing reports from various formats (Business Objects, Excel and data exports). Provides billing and managed care contractual data analysis identifying trends and researching issues related to billing, collections and proper coding. Recommends changes to process flow, data integrity and coding to increase potential revenues to the organization. Prepares summary analysis to assist upper management in the decision making process.

Work directly with practice owners and their staff to improve efficiencies and overall income to their practices. Review clients' current standard operating procedures and develop changes to directly impact monies received. Consult with practice owners to develop effective marketing directly related to their practices and patient focus. Communicate directly with all clients daily to ensure proper implementation of all processes and procedures. Manage several internal staff, training them on correct billing and collections procedures.· Manage ten practices' Accounts Receivable, holding all clients to 85% Accounts Receivable in 0-60 days · Developed policies to improve patient collections, doubling returns for all practices.· Maintained client retention of 85%· Increased current clientele by 35%· Created new marketing avenues to increase client's patient load by 20% monthly· Ensure accurate posting of all clients' receivables, over 1.5 million dollars annually

Analyzed the number of capitated patients seen versus other insurance carriers to prevent over utilization. Researched payment trends and policy changes within the Medicare system. Verified status of claims with insurance companies and provide billing for all patients, utilizing CPT and ICD-9 coding with HCFA 1500 forms. Explain insurance policies and practices to patients. · Reduced company’s Accounts Receivable by 25% within first 6 months of employment· Increased co-pay and coinsurance revenue by 40%· Implemented payment and billing procedures to expedite financial return from insurance carriers

Exton, Pa, Us

Trained staff in HTML programming, customer service and office equipment. Reviewed and maintained web sites for accuracy of content of internal information. Tracked staff productivity and availability including vacation and sick time. Served as initial contact for communication between other departments and the professional services group.· Developed company-wide "work request" system, which reduced company's outsourcing expenses on administrative projects · Analyzed incoming phone calls and determined proper staffing to ensure the best quality customer service during the highest activity periods · Assessed internal information needs and developed web pages to assist the company in having a more direct line of obtaining information