Responsible for analyzing the charge master and conduct financial reviews to determine charge accuracy and comprehensiveness.

Developed several accounts receivable action plans which resulted in increased revenue and profits. Managed and trained Central Business Office employees using NextGen Practice Management, EHR and Navicure Claim Clearinghouse, Trained Practice Centers Staff within NextGen on Charge Entry, Payment/Adjustment Posting, identifying correct payer selection, Insurance payers billing rulesCreated various accounting reports for staff, such as aging reports, weekly payment reports… Show more Developed several accounts receivable action plans which resulted in increased revenue and profits. Managed and trained Central Business Office employees using NextGen Practice Management, EHR and Navicure Claim Clearinghouse, Trained Practice Centers Staff within NextGen on Charge Entry, Payment/Adjustment Posting, identifying correct payer selection, Insurance payers billing rulesCreated various accounting reports for staff, such as aging reports, weekly payment reports, billed/unbilled reports. Processing and posting of refund requests for insurance payers and patients.Worked Aging Analysis for 33-40 Ophthalmologist, Managed various Practice centers, front end & back end day-to-day duties. Employee payroll using Time Wolfe time keeping system, Reconciliations of accounts receivablesInsurance appeals, 1st level & 2nd level appeals for various insurance payers, Sr. Denial Analyst for AvMed, Primary Plus, ECSA and Opticare. Show less

Provide oversight and spot-checking as necessary to ensure that office procedures are carried out effectively and efficiently. Provide training, coaching, counseling and mediation as necessary to ensure that C.B.O. & Office staff work effectively and efficiently.Esure that billing process runs smoothly and that charges are not lost. Responsible for updating D.O.O. of any credentialing/recredentialing issues for physicians to maintain par status with payer plans.Carry out… Show more Provide oversight and spot-checking as necessary to ensure that office procedures are carried out effectively and efficiently. Provide training, coaching, counseling and mediation as necessary to ensure that C.B.O. & Office staff work effectively and efficiently.Esure that billing process runs smoothly and that charges are not lost. Responsible for updating D.O.O. of any credentialing/recredentialing issues for physicians to maintain par status with payer plans.Carry out personnel procedures: hiring/firing, evaluating, staffing, and payroll.Maintain office policies/process in writing; continually work to improve processes as necessary.Keep Office managers/physicians informed of all business issues that affect the practice; follow up on all such issues.Resolve patient complaints or other issues. Show less

Supervised and trained 25-40 patient access reps., insurance verifiers and financial counselors at West Boca’s main admitting, Emergency Room, Labor & Delivery, Diagnostic center and Outpatient Surgery center.Informed employees thru weekly memo’s, one-on-one training sessions and re-education concerning insurance updates, managed care websites, admitting department updates, ICD-9 and policy updates while monitoring and maintaining accuracy level of 98% or higher. Billed and re-billed manual… Show more Supervised and trained 25-40 patient access reps., insurance verifiers and financial counselors at West Boca’s main admitting, Emergency Room, Labor & Delivery, Diagnostic center and Outpatient Surgery center.Informed employees thru weekly memo’s, one-on-one training sessions and re-education concerning insurance updates, managed care websites, admitting department updates, ICD-9 and policy updates while monitoring and maintaining accuracy level of 98% or higher. Billed and re-billed manual and electronic claims thru Patient Accounting System. Assisted Health Information department to obtain accurate Rx from various physician offices, assuring that offices are aware of ICD-9 updates do’s and don’ts of a valid Rx.Establish procedures and protocols to ensure patient complaints concerning unpaid claims were resolved and handled in a timely manner.Provided timely and accurate resolution of patient inquiries analyzing issues regarding incorrect diagnosis, HCPCS and incorrect patient demographics including date of birth, relationship etc. Processed bi-weekly payroll for all admitting department via Krono’s system Created daily stat reports that reduced inaccuracies and provided management with an important decision-making tool Show less