Over twenty years of successful technical, operational, supervisory and policy-making experience in Management, Training, Operations and Administration of small and large, geographically dispersed, highly diversified organizations. In-depth knowledge of Personnel Management, Organizational Management, CPT and ICD Coding, Third-Party Claims Processing, Claims Payment, and HIPAA Compliance requirements. Demonstrated abilities to review, revise, and/or create policies and procedures for consistent, compliant, accurate, and timely services and functions. Proactive leader with the capabilities to enhance, expand, and strengthen operations in a continually changing environment. Proven track record of successful Revenue Cycle Management, Accounts Receivable enhancement, billing and collection from third-party payors (indemnity insurance companies, PPO/HMO, MEDICARE, MCO, MEDICAID, and commercial carriers). Actively participate in organizational leadership.
Education and Training
BS : Business Administration, 1988University of Maryland University CollegeBusiness Administration
Leadership Development (Studer Principles)
Basic Computer System Operation (IDX, Memorex, MediTech, Soarian)
Software (Windows, Microsoft Office Suite, Excel)
Director January 2012 to January 2014Arnot Health System Systems － Elmira, New York
Managed day to day operations of designated departments.
Developed and maintained budgets for departments.
Created new policies and job descriptions for 87 direct reports, four supervisors and one assistant director.
Created a new Centralized Scheduling and Pre-authorization Department in 2013.
Managed scheduling, payroll, and timesheets for all departments.
Investigated every concern and complaint as documented in VERGE system, and followed-up with patients.
Reviewed and approved all Accounts Payable invoices before processing.
Hospital Director Hospital Manager January 2008 to January 2012Schuyler － Montour Falls, NY
Managed Business Office, Billing Collections, Customer Service, Admissions, Credentialing, Cash Applications, Insurance Verification, Patient Access, and Cashier Departments.
Initiated a co-pay collection initiative that increased revenue by over $100,000 in less than one year.
Initiated payment at time of service in all hospital departments that increased cash flow.
Brought professional fee billing for all providers back in-house.
Corning , Business Office.
January 2004 to January 2008Corning, NY
Oversaw operations in Patient Accounting, Collections, Central Scheduling, Insurance Verification, and Patient Registration Departments.
Reduced AR days outstanding from 86 to 35 in less than two years.
Exceeded financial goals by at least 10% every quarter for three years by increasing revenue collection.
Clinical Associates Executive Director January 1991 to January 2004Towson, MD
Provided technical/analytical expertise to over 100 degreed medical professionals of various specialties, including General Surgery, Plastic Surgery, OB/GYN, Urology, Cardiology, Neurology, Rheumatology, Endocrinology, ENT, Dermatology , Psychiatry, Ophthalmology, Orthopedics, Pulmonology, Internal Medicine, Pediatrics, Ambulatory Surgery and Physical Therapy.
Managed fee-for-service accounts receivable of over $34 million annually.
Improved billing efficiency and coding accuracy, reduced claim denials, and improved communications between staff and physicians resulting in a decrease of days outstanding from 97 to 54 in one year, and an increase in collection ratio from 75% to over 94%.
Designed and implemented charge vouchers and coding sheets for each specialty, which increased revenue generation an average of 10% per specialty.
Developed functional models for AR, audits, and reviews to be utilized by all organizations.
Originated monthly fee-for-service news advisory to keep physicians and staff current with ever-changing requirements of billing and processing.
Discovered and successfully prosecuted an embezzlement of more than $100,000.
NY State Life, Accident, Health & Travel Insurance Producer License #LA1380026
Special Recognition: America's Registry of Outstanding Business Professionals Strathmore's Who's Who of Business Leaders Assistant Professor, Business Management, Essex Community College Phi Theta Kappa National Honor Society Phi Kappa Phi National Honor Society
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
Companies Worked For:
Arnot Health System Systems
University of Maryland University College
Job Titles Held:
Hospital Director Hospital Manager
Clinical Associates Executive Director
BS : Business Administration , 1988 Special Training/Certifications
Create a job alert for [job role title] at [location].