Experience

• 

  LA LASER CENTER, PC A PROFESSIONAL MEDICAL CORPORATION

  • Beverly Hills, California, United States

  • Assistant Director

    • May 2018 - Present
    • Beverly Hills, California, United States

    Oversee the day to day billing operations of 24 Dermatology Physicians and mid-level Clinics. Communicate with Physicians, Mid- Levels, front and back office regarding implementing ways to increase revenue.Educate, supervise and mentor team members on proper use of modifiers, diagnosis codes, CPT codes, TAR, HMO authorizations, timely filing issues, retro authorizations to eliminate delays in processing claims which will aid in maximizing their production. Oversee department protocols such as attaching all critical documentation to required claims to reduce denials and pending claims as well as EOB review to verify maximum reimbursement. Follow and implement revenue standards to appeal low reimbursement and invalid denials, ensuring that A/R is worked to bring maximum Physician reimbursement. Submitting patient statements for co-insurance, deductibles, and patient responsibility.Provide monthly reporting to all Providers. Responsible for monitoring overall staffing levels to meet the needs and goals of La Laser Center. Meet regularly with management, team leads, and billing and collection staff to communicate progress, set goals and address problems. Maintain current knowledge of billing, coding, Compliance, and reimbursement laws, regulations, and industry standard of practice. Completed financial reporting and analysis for billing revenue cycle, Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates throughout each quarter, Established and updated work schedules to account for changing staff levels and expected workloads. Established and developed highly- efficient and dependable administrative team by delivering ongoing structure, coaching, and motivation while providing opportunities for career acceleration through achievements.

• 

  Physicians Choice Management Group

  • Orange County, California, United States

  • Vice President Of Business Development

    • Jun 2006 - Present
    • Orange County, California, United States

    Provides leadership to establish and achieve client satisfaction initiatives.Respond to internal and external requests for financial, client services and other reporting requirement.Develop and maintain a sound plan of business unit organization. Ongoing management of resources to ensure accomplishment of profitability and business goals defined in the plans. Manage and review accounts receivable. Ability to identify billing and collection problems and offer solutions in fixing the problems.Active participant in negotiating and/or detailing stipend discussions on behalf of the client.Involved in new client start-up including helping to transition and train onsite staff, transition of workflow, and arranging billing set up.Analyze operating results and take adequate steps to correct shortfalls in performance.Ongoing interaction and partnership with sales organizations for the purpose of identifying and responding to new business opportunities.Direct retention and continuing development of key human resources throughout the business.Assure establishment of training and development programs to attain the highest level of productivity for long range success.Establish and maintain effective systems of communications with clients, associates and corporate.· Manage elevated client expectations and proactively understand client issues. Respond to escalated project issues and work to resolve issues appropriately.Ensure team members understand the client service strategy and get commitment to the timelines and deliverable's.Ability to maintain physician, patient, and employee confidentiality.