Dedicated Health Care Management Professional with concentrations in Administration and Business Operations. Officially endorsed Medical Practice Operations consultant through the AMA. Experience with implementing quality improvement programs to comply with JCACHO standards. Exercising management principles to ensure profitability through Accounts Receivable Goals, while focusing on cost savings. An Organizational leader who excels at establishing measures for evaluating company compliance, policies and procedures, specializing in physician fee schedule negotiations, facility expansions, team development, and quality medical billing, coding and compliance building.
• Outgoing, and proactive at networking, working well with others, and efficient in managing day to day practice operations, including, billing, coding, human resources and collections.
• Working expertise in Medicare, Medicaid compliance, guidelines, rules and regulations.
• Accounts Receivable, monitoring, controlling and budgeting company assets.
• Effective in developing customer service teams utilizing goal setting, project management, evaluations and training.
• Working knowledge of authorized inspection agency site audits in addition to retaining Certificates of Needs.
Employment Experience:
Medical Billing Department CEO- January 2012- Present
Physician Fees First LLC. –
Reimbursement Director Marietta, GA- October 2003 - January 2009
Pinnacle Ortho/Georgia Pain Management/Samson Surgery Center
Restructured and implemented health care reimbursement processes for Georgia Pain Management and Samson Surgery Center and other clients. Ensures compliance with current payments, rules, regulations, and legislative initiatives that impact the physician, surgery and specialty billing and account receivable process; manage, train staff within a quality assurance structure. Successful in cost saving negotiations of all facility and physician credentialing, contracting, and fee schedules. Marketing, and off-site management.
Consultant/Account Manager Marietta, GA- August 2002 - October 2003
Medical Accounting Consultants
Directly responsible for the billing, Accounts receivable, Auditing, A/R analysis, referrals, pre-authorizations, charge entry, payment posting, staff training, and lock box set-ups and accounting procedures.
Education:
Associate of Science degree (AS) 2020-2022
Health Care Information Technology
Bachelor of Science (BS) 2000-2024
Health Information Management
Principals only. Recruiters, please don't contact this poster.