Resultsfocused management professional offering over fifteen years of progressive leadership experience. Transforms highpotential staff into outstanding leaders who demonstrate the creativity and savvy that is critical to financial and operational success. Operations management *Complex problem solving *Compensation/benefits administration Strong medical ethic Policy/program development *Strong clinical judgment *Crossfunctional team management Computerized charting specialist *Salary structure/compensation analysis *Government relations knowledge Patientoriented *Knowledge of HMOs, Medicare and Medicaid *Claims analysis and review *Staff training and development * Healthcare billing proficiency *Staffing management ability Indepth claims knowledge* Medisoft Practice and Medical Management *Zirmeds *Bilingual in both english and Haitian Creole
Office Manager01/2012 to Current KIDS' CHOICE PEDIATRIC ORTHOPAEDICSCoral Springs, FL
Directly supported CEO in managing operation workflow.
Developed more efficient filing systems and customer database protocols.Improved communication efficiency as primary liaison between departments, clients and vendors.
Successfully established effective systems for record retention by creating database for daily correspondence tracking.Implemented updated online collection procedures for payment, increasing ontime payments by 8%.Created databases and spreadsheets to improve inventory management and reporting accuracy.
Standardized department filing system to increase efficiency.Hiring, training and coaching of staff.
Scheduling appointments of physicians with patients.Purchasing medical equipment and other office inventory, managing and maintaining them.
Handling payroll of the staff.
Maintaining and checking medical records of the patients on a regular basis.
Handled insurance claims and queries of the patients.
Assisted patients with queries regarding the various medical procedures.
Building relationships with other health care professional.
Ensured compliance of law and compliance of policies of medical health care.
Managing bills and account statements of the patients.
Medical Claims Billing Manager02/2009 to 09/2012 PEDIATRIC ASSOCIATES, P.ALauderdale Lakes, FL
Supervised and trained admitting, billing and collection staff.Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes.Contacted providers to discuss status of rebilling and reimbursement process to ensure account resolution.Maintained detailed administrative and procedural processes to improve accuracy and efficiency.
Calculated Coordination of Benefits (COB).Communicated with patients via phone,email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or copays.
Process new insurance policies, modifications to existing policies, and claims forms.
Obtain information to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records.
Update existing policies and company records to reflect changes requested by policyholders and insurance company representatives.
Physician Office Specialist03/2001 to 05/2009 BROWARD HEALTH HOSPITALFt Lauderdale, FL
Initiated program that standardized employee training and led to increase in customer satisfaction by 12%.
Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.Obtain initial and subsequent authorization for services and surgeries.
Performs financial counseling process on all patients prior to, during and after treatment and services.
Counsel patients regarding financial obligations, billing practices, and establishing payment arrangements.Documents financial counseling process, including qualifying patient for Medicaid, drug replacement discount, transportation and other community services.
Collection Supervisor02/1998 to 03/2001 SUNRISE MEDICAL GROUPFt Lauderdale, FL
Responsibilities includes reviewing aging accounts, answering patient phone calls, involvement in appeals and claim.
status with insurance companies, keeping accurate patient accounts, reviewing accounts, and other responsibilities as.
Front Desk Clerk07/1995 to 06/1998 NEUROLOGY AND CARDIOLOGYFt Lauderdale, FL
Updated patient accounts and information on a daily basis.Scheduled and confirmed appointments for entire management.
team.Handled and processed confidential patient information.Checking patients in and out of the office and appointment.
Insurance verification, referral authorization, office and hospital charge entry and posting and medical records.
BACHELOR OF ARTS: HEALTH SERVICE ADMINISTRATION2002Keiser UniversityFort Lauderdale, FL, USAHEALTH SERVICE ADMINISTRATION
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Companies Worked For:
KIDS' CHOICE PEDIATRIC ORTHOPAEDICS
PEDIATRIC ASSOCIATES, P.A
BROWARD HEALTH HOSPITAL
SUNRISE MEDICAL GROUP
NEUROLOGY AND CARDIOLOGY
Job Titles Held:
Medical Claims Billing Manager
Physician Office Specialist
Front Desk Clerk
BACHELOR OF ARTS : HEALTH SERVICE ADMINISTRATION 2002
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