Experience

Prism Autism Education & Consultation
• United States
• Mental Health Care
• 1 - 100 Employee
• Revenue Cyle, Team Lead

  • Jan 2022 - Present


Catholic Charities of the Archdiocese of Newark

• United States
• Non-profit Organizations
• 1 - 100 Employee

• Internal Auditor/Compliance Officer

  • Jul 2020 - Sep 2021

   Ensured health care policies and procedures are in compliant with the Health Insurance Portability and Accountability Act (HIPAA) laws.  Maintained and communicated knowledge of changes in procedural and billing guidelines set by the Center of Medicare & Medicaid services (CMS) and the NJ Division of Mental Health services.  Revised program guidelines and policies periodically.  Conducted monthly audits to ensure accurate billing, and identified risks and developed corrective actions.  Coordinated with external auditors from the State, Federal and Third-Party insurances, and presented documentations as needed.  Coordinated and developed training programs for Program Managers and their employees.  Reviewed Newsletters issued by the Division of Mental Health and communicated program changes to employees. Show less



QLytix, Inc.,

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Revenue Cycle Consultant

  • Sep 2018 - Jun 2020

  • Established metrics and utilized report writing dashboards to analyze revenue cycle encounters to generate timely reimbursement, maximize cash flows and better account receivable turnover ratios. • Imported data from billing software to report writing programs to identify trends such as data entry errors, registration errors, denials, aging receivables and implemented corrective actions. • Utilized internal data, reports, and practice models to analyze revenue cycle and consulted health care practices on how to better increase operational efficiency and thereby increase revenue. Show less



MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Revenue Cycle Supervisor

  • Jun 2016 - Aug 2018

   Utilized report writing dashboards to enhance revenue cycle such as billing cycles, payments cycles and optimizing claims submissions, thus generating faster payments and better account receivable turnover ratios.  Imported data from billing software to report writing programs to identify trends such as data entry errors, registration errors, aging receivables and other input errors. Utilized Change Healthcare dashboards to identify claims denial trends and implemented corrective actions. Managed NJ Mental Health Application of Payment Processing (NJMHAPP) for Fee-for-Service patients.  Import data from NJMHAPP system to report writing dashboard to reconcile accurate billing and timely reimbursement in both practice management software and NJMHAPP system.  Generated weekly billing and reimbursement reports for management.  Worked as an Implementation Coordinator, conducted Electronic Health Records (EHR) implemented and transitioned medical records to MedicsCloud.  Helped customize and configure medical software functionality for optimal use. Worked as a liaison between IT and Medics Software vendor for software updates and configuration.  Comprehensive knowledge in the State of NJ Department of Children and Families services, Behavioral Health services, Mobile response and Stabilization Services, Psychiatric Residential Treatment Facility, long-term Rehabilitation Treatment Center and Partial Care Day program. Show less

• Medical Billing Specialist

  • Jul 2013 - May 2016

   Prepared electronic and paper filing and run daily batches to bill to insurance companies for 13 clinical sites. Responsible for denied claims and appeal process.  Reconciled daily remittance advice.  In charge of credentialing doctors and clinicians with insurance companies.  Negotiated fee schedule with insurance companies. Worked with PerformCare (NJ Children’s System of Care) specialists to rectify demographics and prior authorization errors.  Trained front desk personnel and financial representatives to register new patients and enter billing. Devised a plan to transition and streamline all billings and payments to electronic billing system. Show less



United Nation Fellowship Program

• Intership

  • Jan 2013 - May 2013

  *Attended briefings and conventions on human rights issues and raised awareness to stop human rights violations. *Organized a lecture series on human trafficking in order to raise awareness for the Super Bowl XLVIII. *Interviewed distinguished guests to speak on the issue of human trafficking, such quest were: the Police Director of the City of Newark, the Chairman of the Catholic Charities in Newark, and the Head of the FBI agent in Bergen County. *By meeting ambassadors working in different country increased my communication and negotiation skills. Show less



Meglio & Associates LLC

• United States
• Accounting
• 1 - 100 Employee

• Accounting Internship

  • Jan 2012 - May 2013

  *Prepared Individual Tax Returns (1040, 1040NR), and Corporate Tax Returns assigned to me especially low income earners. *Researched countries treaties with the United States, and what tax credits are set up for each country (1040NR). *Prepared and entered general ledger entries on QuickBooks. *Reconciled bank statements and credit card statements using QuickBooks software. *Posted and maintained records of all the financial transactions for our clients. *Prepared Individual Tax Returns (1040, 1040NR), and Corporate Tax Returns assigned to me especially low income earners. *Researched countries treaties with the United States, and what tax credits are set up for each country (1040NR). *Prepared and entered general ledger entries on QuickBooks. *Reconciled bank statements and credit card statements using QuickBooks software. *Posted and maintained records of all the financial transactions for our clients.



Felician College

• United States
• Higher Education

• Student Worker/ Wellness Center

  • Jan 2011 - Oct 2012

  *Served as a resource and referral agent between Student and Nurse Practitioners. *Effectively communicate the Health Form requirements to students. *Recorded all medical charges and expenses on Datatel (Software). *Administrative work - received phone calls, scheduled appointments, and kept records of students who completed medical records requirements. *Ensured completion of student files as perquisites for enrollment and student nursing. *Served as a resource and referral agent between Student and Nurse Practitioners. *Effectively communicate the Health Form requirements to students. *Recorded all medical charges and expenses on Datatel (Software). *Administrative work - received phone calls, scheduled appointments, and kept records of students who completed medical records requirements. *Ensured completion of student files as perquisites for enrollment and student nursing.


Nowell, Amoroso, Klein, Bierman Law Firm
• Part-Time

  • May 2010 - Sep 2010

Felician College/ Teachers Ed
• Student Worker

  • Sep 2009 - Sep 2010