Experience

First Coast Cardiovascular Institute

• Billing Manager

  • Dec 2022 - Present



Self-employed

• Revenue Cycle Consultant

  • Jun 2022 - Dec 2022

  End to end Revenue Cycle Consultant specifically in eClinicalworks Creating easy to follow workflows and training on optimization of eClinicalworks PM System Reviewing Client KPIs and digging deep to find the Root cause End to end Revenue Cycle Consultant specifically in eClinicalworks Creating easy to follow workflows and training on optimization of eClinicalworks PM System Reviewing Client KPIs and digging deep to find the Root cause



ML Medical Billing/Coronis Health

• Northbrook, Illinois, United States

• Senior Revenue Cycle Manager/ECW Client Onboarding Manager

  • Oct 2018 - Jun 2022

  * Onboarded/Transitioned New ECW Clients into Coronis Health RCM * Assisted practices with eCW implementation and optimization * Train Account Managers/AR teams on ECW and Revenue Cycle Processes * Manage up to 5 medical practices' revenue cycles. * Created easy to follow workflows for the offshore teams to share Best Practices for them charges, posting and AR follow-up * Assisted providers with insurance credentialing and EDI enrolment * Analyzed practices'… Show more * Onboarded/Transitioned New ECW Clients into Coronis Health RCM * Assisted practices with eCW implementation and optimization * Train Account Managers/AR teams on ECW and Revenue Cycle Processes * Manage up to 5 medical practices' revenue cycles. * Created easy to follow workflows for the offshore teams to share Best Practices for them charges, posting and AR follow-up * Assisted providers with insurance credentialing and EDI enrolment * Analyzed practices' insurance revenue, denials, and charges to create workflows to exceed Coronis Health’s standard KPIs. * Coordinated revenue meetings to keep practices apprised of any issues that may hinder payment and cause unnecessary financial delays. * Researched and Solved setup problems in the eCW system and informed on the best practices for proper billing, coding, and claim submission. * Promoted teamwork and established trust with each practice to ensure their financial success. * Served as a liaison between the practice and the operations team to solve workflow issues and decrease turnaround time for insurance payments. * Produced daily, weekly and monthly practice reports for management and practice. * Led a team of 3 Account Managers and assisted them with client revenue issues. * Maintained Insurance AR over 60 days below 15% Show less * Onboarded/Transitioned New ECW Clients into Coronis Health RCM * Assisted practices with eCW implementation and optimization * Train Account Managers/AR teams on ECW and Revenue Cycle Processes * Manage up to 5 medical practices' revenue cycles. * Created easy to follow workflows for the offshore teams to share Best Practices for them charges, posting and AR follow-up * Assisted providers with insurance credentialing and EDI enrolment * Analyzed practices'… Show more * Onboarded/Transitioned New ECW Clients into Coronis Health RCM * Assisted practices with eCW implementation and optimization * Train Account Managers/AR teams on ECW and Revenue Cycle Processes * Manage up to 5 medical practices' revenue cycles. * Created easy to follow workflows for the offshore teams to share Best Practices for them charges, posting and AR follow-up * Assisted providers with insurance credentialing and EDI enrolment * Analyzed practices' insurance revenue, denials, and charges to create workflows to exceed Coronis Health’s standard KPIs. * Coordinated revenue meetings to keep practices apprised of any issues that may hinder payment and cause unnecessary financial delays. * Researched and Solved setup problems in the eCW system and informed on the best practices for proper billing, coding, and claim submission. * Promoted teamwork and established trust with each practice to ensure their financial success. * Served as a liaison between the practice and the operations team to solve workflow issues and decrease turnaround time for insurance payments. * Produced daily, weekly and monthly practice reports for management and practice. * Led a team of 3 Account Managers and assisted them with client revenue issues. * Maintained Insurance AR over 60 days below 15% Show less



HEART OF FLORIDA HEALTH CENTER, INC

• Ocala, Florida Area

• Revenue Cycle Manager

  • May 2018 - Jan 2019

  Responsible for overseeing 7 Medical billers and coders Ensuring all claims are billed within 48 hour timeline Analysis of AR to recover outstanding monies Keeping days in AR under 30 days Training users to use Eclinicalworks more efficiently and effectively Implementing new processes to streamline revenue flows Escalating credentialing or denial projects to payers for resolution Implementation of new Sliding Fee processes to promote POS payment from patients… Show more Responsible for overseeing 7 Medical billers and coders Ensuring all claims are billed within 48 hour timeline Analysis of AR to recover outstanding monies Keeping days in AR under 30 days Training users to use Eclinicalworks more efficiently and effectively Implementing new processes to streamline revenue flows Escalating credentialing or denial projects to payers for resolution Implementation of new Sliding Fee processes to promote POS payment from patients Manage patient account escalations to resolve issues and clarify account balances owed Develop training for billers and coders to utilize them more efficiently Create a true team environment in the department to accomplish set goals Show less Responsible for overseeing 7 Medical billers and coders Ensuring all claims are billed within 48 hour timeline Analysis of AR to recover outstanding monies Keeping days in AR under 30 days Training users to use Eclinicalworks more efficiently and effectively Implementing new processes to streamline revenue flows Escalating credentialing or denial projects to payers for resolution Implementation of new Sliding Fee processes to promote POS payment from patients… Show more Responsible for overseeing 7 Medical billers and coders Ensuring all claims are billed within 48 hour timeline Analysis of AR to recover outstanding monies Keeping days in AR under 30 days Training users to use Eclinicalworks more efficiently and effectively Implementing new processes to streamline revenue flows Escalating credentialing or denial projects to payers for resolution Implementation of new Sliding Fee processes to promote POS payment from patients Manage patient account escalations to resolve issues and clarify account balances owed Develop training for billers and coders to utilize them more efficiently Create a true team environment in the department to accomplish set goals Show less



PedIM Healthcare

• Crystal River, Florida

• Medical Billing Manager

  • Nov 2016 - May 2018

  • Hired/Trauned/ Supervised 6 medical billers for 10 Urgent Care Centers, 2 Pediatric and Internal Medicine practices, 1 lab, and other ancillary services • Trained all personnel on correct billing procedures including ICD 10, CPT, and HCPCS coding practices, and ensured completion of accurate claims in a timely manner • Educated providers and billers on coding issues and chart documentation errors found while auditing charts and providing correct coding solutions to avoid red flags at… Show more • Hired/Trauned/ Supervised 6 medical billers for 10 Urgent Care Centers, 2 Pediatric and Internal Medicine practices, 1 lab, and other ancillary services • Trained all personnel on correct billing procedures including ICD 10, CPT, and HCPCS coding practices, and ensured completion of accurate claims in a timely manner • Educated providers and billers on coding issues and chart documentation errors found while auditing charts and providing correct coding solutions to avoid red flags at the payers • Revised Fee Schedules to ensure all charges are reasonable and customary by utilizing available allowable fee schedules from payers • Analyzed denials and ensured all denials were followed up on and appeals were filed as needed • Worked with the Accounting team to ensure all payments were posted timely and correctly Worked with insurance Payers to negotiate reimbursement contracts • Implemented a Collections process for enhanced revenues • Audited Provider charts to ensure Correct Coding Initiatives and documentation requirements are met on claims • Increased billing department revenue from 2016 to 2017 by $1.85 million by creating strict denial management processes and taught Correct coding initiatives in the facilities Show less • Hired/Trauned/ Supervised 6 medical billers for 10 Urgent Care Centers, 2 Pediatric and Internal Medicine practices, 1 lab, and other ancillary services • Trained all personnel on correct billing procedures including ICD 10, CPT, and HCPCS coding practices, and ensured completion of accurate claims in a timely manner • Educated providers and billers on coding issues and chart documentation errors found while auditing charts and providing correct coding solutions to avoid red flags at… Show more • Hired/Trauned/ Supervised 6 medical billers for 10 Urgent Care Centers, 2 Pediatric and Internal Medicine practices, 1 lab, and other ancillary services • Trained all personnel on correct billing procedures including ICD 10, CPT, and HCPCS coding practices, and ensured completion of accurate claims in a timely manner • Educated providers and billers on coding issues and chart documentation errors found while auditing charts and providing correct coding solutions to avoid red flags at the payers • Revised Fee Schedules to ensure all charges are reasonable and customary by utilizing available allowable fee schedules from payers • Analyzed denials and ensured all denials were followed up on and appeals were filed as needed • Worked with the Accounting team to ensure all payments were posted timely and correctly Worked with insurance Payers to negotiate reimbursement contracts • Implemented a Collections process for enhanced revenues • Audited Provider charts to ensure Correct Coding Initiatives and documentation requirements are met on claims • Increased billing department revenue from 2016 to 2017 by $1.85 million by creating strict denial management processes and taught Correct coding initiatives in the facilities Show less



SlipChip

• United States

• Medical Billing Consultant

  • Dec 2017 - Feb 2018

  Researched and provided important lab billing information for decision makers developing new Point of Care lab technology. Researched CDC CLIA waived tests, payer reimbursement guidelines, payer contracting processes and billing procedures for these new tests. Researched and provided important lab billing information for decision makers developing new Point of Care lab technology. Researched CDC CLIA waived tests, payer reimbursement guidelines, payer contracting processes and billing procedures for these new tests.



ELP Lawyers - Eggnatz, Lopatin & Pascucci, LLP

• Florida

• Expert Witness

  • May 2017 - May 2017

  Researched and reported customary and ordinary charges for decision makers regarding a Medical Law Suit. Researched and reported customary and ordinary charges for decision makers regarding a Medical Law Suit.



eClinicalWorks

• Westborough MA

• Revenue Cycle Manager

  • Mar 2015 - Oct 2016

  *Managing 10 to 12 medical practices' revenue cycles. *Training new medical practices for the Go Live phase of the revenue cycle on eClinicalWorks software. *Assisting providers with insurance credentialing and EDI enrollment. *Analyzing practices' insurance revenue, denials, and charges to create work flows to exceed industry standard KPIs. *Ensuring stability of practice revenue to promote success after transition to post Go Live phase. *Coordinating weekly and monthly revenue… Show more *Managing 10 to 12 medical practices' revenue cycles. *Training new medical practices for the Go Live phase of the revenue cycle on eClinicalWorks software. *Assisting providers with insurance credentialing and EDI enrollment. *Analyzing practices' insurance revenue, denials, and charges to create work flows to exceed industry standard KPIs. *Ensuring stability of practice revenue to promote success after transition to post Go Live phase. *Coordinating weekly and monthly revenue meetings to keep practice apprised of any important issues that may hinder payment and cause unnecessary financial delays. *Researching and Solving setup problems in the eCW system and informing on the best practices for proper billing, coding, and claim submission. *Promoting teamwork and establishing trust with each practice to ensure their financial success. *Serving as a liason between the practice and the operations team to solve work flow issues and decrease turnaround time for insurance payments. *Producing daily, weekly and monthly practice reports for management and practice. *Working with clients for an average of 12 weeks to meet KPIs necessary for transition to next phase of account management. Show less *Managing 10 to 12 medical practices' revenue cycles. *Training new medical practices for the Go Live phase of the revenue cycle on eClinicalWorks software. *Assisting providers with insurance credentialing and EDI enrollment. *Analyzing practices' insurance revenue, denials, and charges to create work flows to exceed industry standard KPIs. *Ensuring stability of practice revenue to promote success after transition to post Go Live phase. *Coordinating weekly and monthly revenue… Show more *Managing 10 to 12 medical practices' revenue cycles. *Training new medical practices for the Go Live phase of the revenue cycle on eClinicalWorks software. *Assisting providers with insurance credentialing and EDI enrollment. *Analyzing practices' insurance revenue, denials, and charges to create work flows to exceed industry standard KPIs. *Ensuring stability of practice revenue to promote success after transition to post Go Live phase. *Coordinating weekly and monthly revenue meetings to keep practice apprised of any important issues that may hinder payment and cause unnecessary financial delays. *Researching and Solving setup problems in the eCW system and informing on the best practices for proper billing, coding, and claim submission. *Promoting teamwork and establishing trust with each practice to ensure their financial success. *Serving as a liason between the practice and the operations team to solve work flow issues and decrease turnaround time for insurance payments. *Producing daily, weekly and monthly practice reports for management and practice. *Working with clients for an average of 12 weeks to meet KPIs necessary for transition to next phase of account management. Show less



Ohio Northeast Health Systems, Inc.

• Youngstown, Ohio Area

• Billing Specialist

  • Aug 2009 - Mar 2015

  *Served as OH Medicaid Insurance Specialist for Accounts Receivable and Revenue Cycles *Posted insurance payments for six company sites in MicroMD and NextGen Billing systems *Managed daily denied claims and monthly A/R breakdown *Utilized vast Federally Qualified Health Center (FQHC) experience and knowledge *Operated as part of a billing team alongside the CFO to exceed weekly goals in revenue *Communicated with insurance company representatives to ensure accurate… Show more *Served as OH Medicaid Insurance Specialist for Accounts Receivable and Revenue Cycles *Posted insurance payments for six company sites in MicroMD and NextGen Billing systems *Managed daily denied claims and monthly A/R breakdown *Utilized vast Federally Qualified Health Center (FQHC) experience and knowledge *Operated as part of a billing team alongside the CFO to exceed weekly goals in revenue *Communicated with insurance company representatives to ensure accurate processing and payment of claims *Adjusted claims in Quadax to ensure corrected claims are released to payers timely *Corrected claims on Insurance websites, especially OH Medicaid (MITS), for prompt payment *Downloaded electronic remits from insurance websites and Quadax for downloading into EPM Show less *Served as OH Medicaid Insurance Specialist for Accounts Receivable and Revenue Cycles *Posted insurance payments for six company sites in MicroMD and NextGen Billing systems *Managed daily denied claims and monthly A/R breakdown *Utilized vast Federally Qualified Health Center (FQHC) experience and knowledge *Operated as part of a billing team alongside the CFO to exceed weekly goals in revenue *Communicated with insurance company representatives to ensure accurate… Show more *Served as OH Medicaid Insurance Specialist for Accounts Receivable and Revenue Cycles *Posted insurance payments for six company sites in MicroMD and NextGen Billing systems *Managed daily denied claims and monthly A/R breakdown *Utilized vast Federally Qualified Health Center (FQHC) experience and knowledge *Operated as part of a billing team alongside the CFO to exceed weekly goals in revenue *Communicated with insurance company representatives to ensure accurate processing and payment of claims *Adjusted claims in Quadax to ensure corrected claims are released to payers timely *Corrected claims on Insurance websites, especially OH Medicaid (MITS), for prompt payment *Downloaded electronic remits from insurance websites and Quadax for downloading into EPM Show less



Pease & Associates

• Cleveland/Akron, Ohio Area

• Tax Accountant

  • Dec 2008 - May 2009

  *Prepared Trial Balances and recorded AJE's to reconcile book income to taxable income for preparation of client tax returns *Updated client list in computer system for use in new allocation of client list amongst tax staff *Researched relevant tax topics and orally presented report to tax staff for use in client tax preparation *Analyzed upcoming financial changes for clients to allow for tax savings for the following year tax returns. *Prepared and submitted client tax returns… Show more *Prepared Trial Balances and recorded AJE's to reconcile book income to taxable income for preparation of client tax returns *Updated client list in computer system for use in new allocation of client list amongst tax staff *Researched relevant tax topics and orally presented report to tax staff for use in client tax preparation *Analyzed upcoming financial changes for clients to allow for tax savings for the following year tax returns. *Prepared and submitted client tax returns or applied for extensions when needed Show less *Prepared Trial Balances and recorded AJE's to reconcile book income to taxable income for preparation of client tax returns *Updated client list in computer system for use in new allocation of client list amongst tax staff *Researched relevant tax topics and orally presented report to tax staff for use in client tax preparation *Analyzed upcoming financial changes for clients to allow for tax savings for the following year tax returns. *Prepared and submitted client tax returns… Show more *Prepared Trial Balances and recorded AJE's to reconcile book income to taxable income for preparation of client tax returns *Updated client list in computer system for use in new allocation of client list amongst tax staff *Researched relevant tax topics and orally presented report to tax staff for use in client tax preparation *Analyzed upcoming financial changes for clients to allow for tax savings for the following year tax returns. *Prepared and submitted client tax returns or applied for extensions when needed Show less