More than 26 years of progressive leadership experience in health care. Extensive experience in planning, organizing and coordinating duties of various departments. Knowledge of regulatory standards and adept in
problem solving along with communication. Demonstrated leadership in the areas of patient registration, patient billing, along with assisting in the training and education of HIPAA guidelines for new Medical Center employees. Implementation of hospital-wide computer system. Knowledgeable in Word, Excel, Meditech, THIN, NEBO, MR View, Monarch, Quantim Coding, 3M Coding, Kronos, Healthware and Healthpay systems.
PROVENA ST. JOSEPH MEDICAL CENTERJoliet, Illinois
Reporting responsibility to the Director of Medical Records, accountable for Coding, Incomplete.
Area, Transcription, Assembly and Analyzation.
Responsible for Billing Claim Hold Log issues and HIPAA guideline training along with providing courts with subpoenaed medical records.
Continuous collaboration in electronic signature training for over500 physicians.
Reporting responsibility to Manager accountable for Central Scheduling, Telecommunications, Emergency Room, In-patient /Outpatient registration and Bed Placement.
Responsibilities included: Planning, monitoring and implementation of systems and business processes used in registration and collections.
Q&A resulting in reduction of A/R days Provided training and leadership to Inpatient, Outpatient, One Day Surgery, Emergency Department, Pre-Admission and Centralized Scheduling.
Payroll for over 100 employees.
Developed and implemented polices and procedures.
Prepared for JCAHO surveys Composed and completed procedure/training manuals Measurable Accomplishments include: Participation in the Revenue Cycle Committee with success in reduction of medical necessity denials and AR Days Successful preparation for JCAHO/CMS surveys Reduction of registration delay time from a 13 min to 3 min average Participated in ER through put reducing the wait time from 3 hours to 1 hour for admissions Integrated NDAS on-line insurance eligibility and medical necessity screening for registration.
Chaired FMEA (Failure Mode Effect Analysis) appointed by Vice President.
LITTLE COMPANY OF MARY HOSPITALEvergreen Park, IllinoisCoordinator of Pt
Reporting responsibility to the Manager, accountable for Admitting and Central Scheduling.
Responsibilities include: Allocated bed assignments based on diagnosis for all surgical, ER and physician office admits for patient access functions with average daily census of 220 Trained and oriented new employees Lead and developed Meditech Implementation Verified correct reimbursement on all In-patient managed care accounts Reconciled month end managed care journals Advised staff of Local Medical Review Policies Assure customer service standards are met or exceeded within areas of responsibility Formed task force to update and maintain managed care dictionaries Collection of self pay and Managed Care Accounts Processed Fiscal Claims for Commercial Medicare and Blue Cross Reconciled Blue Cross claims with EOB’s and COB’s with combined insurances Computed correct payment for all insurances especially Blue Cross experince for self insured firms Medicare/Commercial Billing/Blue Cross re-imbursement Computed Contractual write offs from insurance companies including Blue Cross Assisted in negations of all Commercial/Blue Cross and HMO contracts.
Measurable accomplishments include: Developed a medical necessity screening process in Registration and Scheduling Assisted with implementation of a quality assurance program for clerical personnel Implemented Meditech admitting and scheduling functions Created and maintained various financial records and reports Assisted on midnight with switchboard/calling of codes.
Moraine Valley Community CollegePalos Hills, ILAll Microsoft programs including Excel 10l
Elizabeth Seton High School Windsor DriveHolland Oak Brook, IL IllinoisDiplomaDue to the fact I only worked at two facilities below are my two directors’ as references. Dana Nylen RHIA Director of Health Information Services for St. James Hospital and Health Centers of Chicago Heights, Illinois 708/756-1000 x 56139 Sharon Nassin Director of denials and underpayments of the Advocate Revenue Cycle
AR, Assembly, Billing, business processes, clerical, CMS, contracts, CPT Coding, customer service, diagnosis, financial, ICD-9, insurance, leadership, Director, Medical Terminology, Meditech, All Microsoft, access, Excel, office, Payroll, personnel, Policies, Coding, quality assurance, Reporting, Scheduling, Spreadsheet, switchboard, Telecommunications, training manuals, Transcription