Responsible for managing the physician revenue cycle including but not limited to charge posting, payment posting, accounts receivable analysis, physician credentialing and authorizations for physician practices. Specialties include General Surgery, Vascular Surgery, Internal Medicine, Orthopedics, Physical Therapy, and Physical Medicine and RehabilitationSupervise collections team following up on accounts receivable and insurance denialsManage Authorization team responsible for obtaining pre-certifications for surgical and physical medicine practicesManage credentialing team to assist physicians in participation with commercial and government payersPrimary liaison with physicians and practice regarding issues affecting the practiceReduce insurance denials through AR analysis and communication with practice regarding front end workflowCredential new physicians and maintain current physician contracts with commercial and government payersConvert insurance payment from paper check to EFT along with electronic remittances as neededEDI setup for new physician practicesReconcile monthly deposits for physician practices and prepared accounts payable invoicesCreate month end packages for physicians to understand their practice metrics

Responsible for billing and collection activity on several surgical Faculty Group Practices at a large Brooklyn hospital.Managed authorization team responsible for obtain pre-certifications for surgical practices.Reviewed Accounts Receivables reports and insurance correspondence for denial trends.Managed billing staff to ensure accurate charge and payment postingCommunicated with physician practices regarding billing and payment issues requiring resolutionInteracted with commercial and government payers regarding outstanding accounts receivableWorked with Faculty Practice accounting staff to reconcile all insurance paymentsMet with physician practices on monthly basis to review accounts receivables and other issues affecting their practice Created month end packages for physicians to understand their practice metrics

Manage CMS and Medicaid audits for 3 NYC hospitalsCoordinate RAC activity

Responsible for supervising a group of A/R representatives in tracking and monitoring the accounts receivable function for the multi-million dollar Faculty Group Practice. Directed revenue cycle outsourcing; maintained close contact with insurance companies. Key Achievements:Consistently met and exceeded business metrics in all categories, while maintaining top quality standards and document accuracy.Reduced A/R over 90 days for general surgery to under 20% and pediatric surgery by 15% in only three months.Acted as the resource person for all operating policies and procedures; trained and oriented new hires in the corporate billing system.Promoted to this position through levels of increasing responsibility because of excellent

Managed UB-92 billing for Medicare, Medicaid, Blue Cross, HMOs and commercial carriers for this ambulatory surgery center. Handled surgical scheduling for twelve ophthalmic surgeons. Key Achievements:Highly skilled in evaluating and reviewing monthly aged trial balances.

In charge of all billing functions for this office with ten multi-specialty physicians, along with resolution of insurance claims processing in connection with the NYS Insurance Department. Key Achievements:Succeeded in increasing revenue by 25% and recovering thousands of dollars in unpaid claims due to physician credentialing issues; quickly resolved incorrect tax ID information