I am a top producing, multi-tasker and exceptionally detail-oriented professional. Through my tenure, I have developed broad-based business administration, purchasing, billing, training & development and team-building experience. I always remain focused on productivity, efficiency and improving revenue and profit margins. I am a problem solver who naturally develops cross-functional relationships among clients, administrative personnel and vendors. I have demonstrated a proven ability to deliver strong results in high-pressure situations.
Consider adding a sentence or two about what kind of new role / challenge you are looking for
Education and Training
B.A : History Education, 2003State University of New York － Albany, NYHistory Education
Blue Sky / Smith and Nephew Negative Pressure Wound Therapy Certification 2007
Skill Highlights
Microsoft Word, Excel, PowerPoint, Outlook, Visual Basic, Fastrack Complete Billing and Financial System, Brightree Billing Software, QuickBooks, Fax Press
Professional Experience
Client Service Manager March 2013 to CurrentBayada Home Health Care A leading home care company providing 24 hour skilled nursing in 22 states － Garden City, NY
Manage a caseload of 15 - 20 special needs clients, many requiring Tracheostomy and ventilators, all whom require 24/7 skilled nursing care.
Responsible for recruiting, training and managing a staff of fifty nurses and four supporting team members.
Staff management consists of: payroll management, time assignments, orientation and general compliance regulation with New York State regulations.
Case management responsibilities include, but not limited to: insurance verification throughout the client lifecycle, explanation of benefits and client financial responsibility, collection of medical data, negotiate financial responsibility for private pay clients.
Determine which staff members are best suited for clients based off of needs and skill set.
Administer staff schedule on a weekly basis and assign open shifts for emergency situations Carefully review notes and charts for each case to track staff responsibility and compliance as well as monitor updates to insurance to ensure continuity of care for clients.
Build and maintain relationships with current clients and families in an effort to provide the best and most personal care possible.
Lead customer service staff of three who are responsible for recruiting and retaining clients and field staff Handle crisis situations immediately and provide answers about client detail in real-time.
Lead monthly, quarterly and annual incentive programs for all staff members, including standard merit increases as well as scholarship programs for continuing education.
Assist with JCAHO, CHAP and DOH accreditation and audits- preparing reports and documents or review.
Patient Service Coordinator / Billing Manager July 2006 to March 2013NEW YORK HOME HEALTH CARE EQUIPMENT & SUBSIDIARIES Distributor of Durable Medical Equipment JCAHO Accredited Four Satellite Locations － Westbury, NY
Executive Liaison between hospital case managers, discharge planners, insurance companies, and certified home health agencies to plan, schedule and facilitate an expedited, safe transition home with appropriate equipment.
Plan and direct all office and billing management functions, i.e., customer service, Medicare and third party insurance verification and billing, posting cash, scheduling and dispatching nurses and deliveries, maintaining records of nurse visits, quality control, purchasing, vendor negotiations, preparing marketing literature, and expediting new contracts.
Compile daily and monthly inventory, equipment rental, nursing data, patient data, and cash reports.
Maintain accounts receivable through daily and monthly Excel reports.
Ensure compliance with JCAHO, HIPPA and OSHA on all medical equipment rules and regulations.
Extensive patient consultation to determine medical equipment needs (includes insurance coverage criteria, law interpretation and other relevant inquiries) Direct intermediary between NYHHC and several outside agencies including Smith and Nephew, Inc.
and 100+ nursing homes and hospitals within the tri-state area.
Handle payroll for in-house nurses and outside agency nurses; maintain vacation and sick days for nurses and staff.
Pioneered and streamlined inventory tracking system.
Results drastically improved the efficiency of our inventory as well as the recovery of lost medical devices.
Spearheaded and executed patient records program generating revenue and net profits Established an efficient program placing nursing staff in field locations.
Billing Manager / Officer Manager June 2003 to June 2006CROSS LINE MEDICAL SUPPLY, INC － Islandia, NY
Orchestrated and managed all phases of Medicare billing, claims transmission, customer service, order intake, scheduling deliveries/service calls, retrieving documentation/prescriptions from physicians.
Reviewed denied claims and prepared claim reviews and resubmissions.
