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Director of Revenue Resume
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| Desired Industry: Healthcare |
SpiderID: 28499 |
| Desired Job Location: Brooklyn, New York |
Date Posted: 9/1/2009 |
| Type of Position: Full-Time Permanent |
Availability Date: |
| Desired Wage: |
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U.S. Work Authorization: Yes |
| Job Level: Management (Manager, Director) |
Willing to Travel: Yes, 50-75% |
| Highest Degree Attained: Masters |
Willing to Relocate: |
Objective:
Service-oriented professional with Master’s degree in Public Health Administration backed by 12+ years’ success leading administrative support projects and operations within fast-paced healthcare and financial management organizations.
Experience:
AMERICARE CSS, INC. – New York, NY 2006 to 2009
Senior Medical Billing Analyst
Oversee billing programs for certified home health agency providing quality home care in the Metro New York area.
Lead team of up to 20 employees in complex medical billing activities; perform insurance verification, inpatient billing, and data entry, leveraging expert knowledge of 3rd-party insurance reimbursement to identify billing errors and make system adjustments. Manage interface with insurance providers during claims follow-up; conduct remittance processing, monitor self-pay collections, and file appeals to resolve outstanding balances, ensuring all claims are submitted with proper memo descriptions.
Key Contributions:
• Played key role in building strong, highly accurate Data Management & Analysis Solutions team; advised hiring managers on staffing options, provided guidance through recruitment process, and spearheaded new staff orientation and training.
• Capitalized on excellent organizational and multitasking skills to manage heavy workloads in high-pressure environment, consistently delivering results within firm deadlines.
VISITING NURSE SERVICES OF NEW YORK – New York, NY 2000 to 2005
Senior Billing / Administrative Analyst
Managed billing processing for nation’s largest not-for-profit home healthcare organization.
Skillfully navigated intricate Medicaid programs to determine patient eligibility and authorizations for care; created and maintained patient billing records, verified insurance, and conducted research and review of candidate records to process denials and quickly address eligibility issues. Adeptly managed both computer-generated and manually processed billing functions; compiled, batched, and input data into program databases, and supervised temporary employees.
Key Contributions:
• Prepared detailed, high-quality fiscal reports, commercial billing invoices, EOBs, UB92s, and ICD coding, ensuring all work conformed to HIPPA regulations.
• Thoroughly documented all billing activities and communications, working closely with all key parties through entire billing cycle and account follow-up to resolve billing issues.
MORGAN STANLEY & DEAN WITTER – New York, NY 1998 to 2000
Executive Assistant (Via Staffing)
Delivered planning, project management, and high-level administrative support to key executive staff at major financial management firm.
Arranged and maintained complicated schedules for Vice President while providing assistance to team of 20 Account Executives; coordinated daily meetings and video conference calls with internal and external company executives, and prepared travel itineraries and arrangements for associates nationwide. Created travel and business expense reports for executive approval, and managed payroll distribution processes.
Key Contributions:
• Collaborated with Vice President to complete top priority project
• Managed VP correspondence; reviewed and sorted mail, screened and prioritized messages, and maintained sensitive company information in complete confidentiality.
Education:
Master of Public Administration/minor in Health Administration – 2009
Bachelor of Science in Sociology, with minor in Psychology – 2004
LONG ISLAND UNIVERSITY, Brooklyn, NY
Skills:
- Demonstrated talents in planning, organization, and resource coordination; easily assume team leadership and training roles to drive group direction and meet performance targets and deadlines.
- Outstanding research capabilities, with proven ability to coordinate and conduct in-depth analyses of large data volumes and service accounts, prepare concise analytical and statistical reports, and deliver succinct evaluations and results to senior leadership.
- Experienced at navigating complex federal healthcare systems, interpreting policies, and providing customers accurate information while ensuring full regulatory compliance of information management.
- Possess exemplary interpersonal skills; adept at working across department and organizational lines to build open dialogue and facilitate collaboration between program / project stakeholders.
- Tenacious problem-solver committed to providing stellar customer service, tackling challenging projects, and mastering new processes to achieve organizational goals.
- Solid database, spreadsheet, Internet, and productivity software proficiencies; skilled in MS Office Suite (Access, Excel, Outlook, PowerPoint, Word), E-Paces, EHR, SPSS, Visio and PeopleSoft.
Candidate Contact Information:
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