Bio
Experience
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United States
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Hospitals and Health Care
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700 & Above Employee
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PBS Supervisor (A/R Cash Posting and Reconciliation)
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Jan 2015 - Present
-Responsible for balancing the daily cash deposits received from various sources.-Provide direct Supervision to the Cash Management personnel.-Review and analyze staffing needs and payroll process utilizing Kronos payroll application.-Oversee posting of all payments, adjustments and denials in the EPIC system.-Cycle feedback to the staff and management regarding work flow, quality, productions and work performance as necessary.-Investigate payment exceptions and provide resolution to requestor as appropriate.-Ensure Hyland OnBase documentation indexing processes are followed.-Monitor and assist with training of new associates and the continued development of existing personnel.-Utilize and customize EPIC analytic reports to reconcile and monitor all cash deposit revenue, production standards and audit.
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PBS Associate (A/R)
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May 2012 - Jan 2015
-Responsible for processing and posting cash payments, adjustments and denials; including insurance and patient payments to patient accounts.-Collect, interpret, and apply insurance company EOBs to accounts.-Investigate and reconcile accounting errors identified by audit and process account adjustments to ensure accuracy and increase customer service.-Provide analytical reports to management identifying opportunities for improvement.-Consistently meet and exceed daily production quotas while maintaining quality of work.-Act as a mentor for colleagues and assist with training of processes and technologies.
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Physician Recruiter
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Aug 2011 - Dec 2011
Solicited and negotiated physician employment contracts in multiple coverage areas including Puerto Rico, The Virgin Islands, Mexico City, Costa Rica and Massachusetts.Pioneered physician recruitment of Puerto Rico contracting over thirty doctors in four months.Established business relationships through travel and correspondence with physicians.Approved credentialing documents and facility compliance requirements of providers.
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Medical Billing Specialist
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May 2009 - Aug 2011
Compiled analysis of billing irregularities, interpreted results and distributed findings to coworkers and management personnel for monthly review.Liaised with multiple billing departments to settle claim processing exceptions.Proposed process improvements to reduce assessed risks and improve internal controls.Resolved billing inaccuracies through consultations with veterans.Processed up to 1000 HCFA claims per month for accounts payable.Monitored accounts receivable invoicing practices to ensure accurate billing.Reviewed medical records to verify coding costs compared to HCFA invoice.Utilized the Centers for Medicare & Medicaid Services database to audit Medicare rate compliance and claim processing protocols.
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Assistant Manager
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Jun 1998 - Feb 2009
Managed staff of fifteen employees to fill business needs on an ongoing basis.Hired and mentored new personnel in operation procedures and business practices.Developed digital record system to assist with sales and revenue data processing, inventory tracking, and personnel data updates improving reporting time by 75%.Analyzed account irregularities and reconciled G/L as needed.Oversaw asset management and asset reconciliation and acquisitions.Earned funds for college expenses as bartender then promoted to manager during education.Maintained and provided minor repairs to the facility to reduce costs.Certified by the Texas Alcoholic Beverage Commission.
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Toys R Us
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Brownsville, Texas Area
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Store Director
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May 1980 - Sep 1997
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Brownsville, Texas Area
Operated several stores ranging from $6-11M in sales revenue.Coordinated the opening of three multi-region stores within a three year period.Managed broad range of store operations including budget preparation, cash control, inventory, invoicing, payroll, and human resource management. Conducted fiduciary analyses of financial data including Profit and Loss Statements, Retail Inventory Reports, and Expense Payable Accounts to assess financial trends and adjust business strategies for maximizing sales and profits.Trained colleagues, managers, and supervisors on “Effective Management Skills” through employee continued education program. Relocated to Brownsville, New Orleans, McAllen, Laredo, and Houston.
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Education
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1998 - 2002University of Houston, C.T. Bauer College of Business
Bachelor of Business Administration, Finance and Accounting
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