I have over 20 years' experience working for a busy ophthalmology practice. I am hardworking, loyal individual as I go above and beyond what is expected of me. I started twenty years ago with practice management and have taken on many additional roles over the years in an administrator capacity. I presently manage a staff of 15, including 2 MDs and 1 OD with an on-site optical shop and two locations.
Certified Ophthalmic Executive
Ophthalmic Scribe Certified
Ophthalmic Coding Specialist
Extensive Management & Leadership experience
Software researcher, installer, troubleshooter
Healthcare Billing Proficiency for over 20 years with comprehensive knowledge of CMS regulations
Coventry Eye Associates,P.C.Phillipsburg, NJPractice Administrator08/1996 to Current
Responsible for all regulatory compliance aspects of the practice,
including HIPAA,OIG, PCI,OSHA . This includes developing training plans, overseeing successful completion and maintaining records.
All aspects of Human Resources, i.e, creating office
manual and developing all policies. Hiring/firing employees. Overseeing the entire selection
and recruitment procedure of new candidates. Yearly evaluations.
Patient Billing, including electronic and
HCFA billing, pre-certification and appeals
Internal Chart Auditing for proper CPT, ICD-10 coding compliance
Internal Billing Audits
Researching & Hiring in the following areas:
External audits, Health Care software and hardware
Complete Payroll responsibility including Payroll Taxes
Corporate tax responsibility for estimated, quarterly taxes, determining and filing sales/use tax on a quarterly basis. Annual reporting for Coventry Eye Associates and Coventry Optical, P.C.
Responsible for accounts payable, accounts receivable for Coventry Eye Associates, P.C, Coventry Optical, PC and J & S Realty.
Bank Reconciliations for all three companies.
Monthly review of Profit & Loss with physicians
Practice Bench-marking for staffing and comprehensive financial
Created Web Site and daily management of Web Site & Social Media
Created office brochures/Office Business cards & advertising
Created informational videos on patient instruction for cataract surgery from pre-op to post-op.
Evaluation and negotiation of Insurance contracts & IT contracts
Overseeing & daily management of office patient portal
Diagnostic Testing, including: Performing Fundus Photos, Spectralis OCT, Auto Refractor
Super user in EMR/PM software, responsible for training employees
on any and all updates as well as customization changes in the EMR/PM
Managing and implementing incentive programs
to ensure goals are met to meet requirements to receive incentives resulting in
successful attestation for all years of participation in
the following incentive programs: ERX,
PQRS, Meaningful Use, providing company with thousands of dollars in incentive money.
Initiated and maintained Ongoing partnership with IRIS Registry involving monthly monitoring to ensure proper integration by IRIS to MD Office. All dashboards are reviewed for areas of inconsistencies and examples are presented to IRIS to make necessary changes
Initiating MIPS goals and solely responsible for overseeing program.
Conduct all staff meetings,
including creating meeting itinerary
Credentialing/re-credentialing physicians with health care organizations
Maintaining CAQH physician file
Updating physicians licenses, CME
Handling patient complaints and inquiries.
Annual Review and selection of health care insurance for
employees/employers by my internal review and working with an
insurance agent. Implementing and running HSA.
Training and orientation procedures of
new employees to make them well versed with the office policies,
and equipment. This includes devising training programs for employees.
Responsible for purchasing and inventory
Oversight of IT: daily troubleshooting on local PCs and network. Ensure successful backups on and offsite.
Lisa Bunin, M.DAllentown, PABiller/Office Manager03/1991 to 08/1996
Appointment scheduling through Alcon Ivy Practice Management
Front desk duties including check in /check out
General office duties, i.e, filing, confirming appointments
Joseph C. Dimarco, M.DPhillipsburg, NJMedical Secretary10/1989 to 03/1991
Processed Medicare/Commercial Insurance Claims Utilized Practice Management system on office LAN to track patients' medical and financial history.
Transcription Front desk duties, inc.
check-in/check-out Answered phones General office duties.
Equicor/HCA CorporationEaston, PAOffice Assistant10/1985 to 10/1989
Processed insurance claims for accuracy.
Chaired employee quality committee and was a liaison between employees and management.
Performed General office duties including typing and filing.
Education and Training
High School DiplomaCollege Prep
Phillipsburg High School, Lock Haven, NJ, USA
Lock Haven University, Lock Haven, PA, USAI did not complete school due to personal reasons.
Compliance: Initially created HIPAA, OIG and OSHA Manuals that were used by the practice for almost twenty years. Continuous Training in all compliance areas to maintain compliance with regulatory standards by office programs, online monthly programs.
Policies: Created Office Manual Created and all policies
Implementation: Implemented and managed a backup/replication system of daily backups when the in place system was not able to function at a satisfactory level. This system was used for over a decade, saving the practice thousands in expenses.
Implemented Patient education process through the ECHO/EyeMaginations system. I have also developed internal videos utilizing staff which are shown in the office to explain cataract surgery in every aspect.
Implemented and manage company website and social media
Implemented method of check-in/check-out to provide an efficient patient flow. This is done on an administrative level by creating clear and concise office policies for front staff as well as utilizing our EHR to provide clinical staff the ability to function in an efficient manner.
Successful implementation and attestation for ERX/PQRS/Meaningful Use for all years we have participated.
Designed all staff advertising, i.e., brochures and business cards
Ability to troubleshoot many IT issues locally and on the network. This saves the company time and money as the need to wait for an IT company to address is eliminated in a majority of the time.
My bench-marking skills have saved practice dollars as well as increased staff efficiency.