Experience

Assembly Health

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

• Director of Client Services

  • Jul 2023 - Present

  APS Medical Billing

• Revenue Cycle Account Manager

  • Nov 2021 - Jul 2023

  Clinic Anywhere



TEMECULA VALLEY THERAPY SERVICES

• United States
• Medical Practices
• 1 - 100 Employee

• Director Of Operations

  • Feb 2020 - Oct 2021

  Temecula, CA Oversees and/or manages Practice Management using KPIs, Obtaining departmental KPIs from Managers/Leads, Analysis of KPIs, Increasing productivity, Creation & implementation of Policies and Procedures, Increasing overall profitability, Achieve budget projections, Ensuring compliance with clinic P&Ps, clinical standards and protocols, Communicating regularly with CEO and Clinical Directors determining the need for consultations and/or assistance, Overseeing management of Billing Dept and… Show more Oversees and/or manages Practice Management using KPIs, Obtaining departmental KPIs from Managers/Leads, Analysis of KPIs, Increasing productivity, Creation & implementation of Policies and Procedures, Increasing overall profitability, Achieve budget projections, Ensuring compliance with clinic P&Ps, clinical standards and protocols, Communicating regularly with CEO and Clinical Directors determining the need for consultations and/or assistance, Overseeing management of Billing Dept and authorizations staff, Overseeing management of Front Desk and PCC, Managing medical reviews/audits and denials in conjunction with Billing Manager and staff, Reviewing and initiating contracts with schools, insurance companies, etc., Management of all purchasing for all departments, Management use of software to optimize data quality, Management of Human Resources, Onboarding new hires and managing employee paperwork, Managing and tracking all PTO requests as well as any daily employee sick calls, Management of Payroll and overseeing banking deposits, Implementation and in depth knowledge of softwares used, in house IT support. Provider credentialing and contract maintenance. Knowledgeable, proficient and efficient in all aspects of administrative, scheduling and revenue cycle day to day operations. PPO, HMO, Medicare, Medi-Cal, county programs, school district billing (NPA) for ISAs and IEEs. OT, PT, ST and ABA. WebPt, Therabill, Raintree, Availity, Waystar

• Office and Billing Manager

  • Jan 2020 - Feb 2020

  Temecula, CA



Medical Practice Management Resources, Inc.

• Revenue Cycle Account Manager

  • Jan 2016 - Jun 2019

  Temecula, California Overseeing & maintaining operations of my department and team, both on and offsite, to include work allocation, problem resolution, performance evaluation, coding, billing, collections and revenue posting, time off – in office and remotely. Update and train on new/revised protocols, operating policies, systems and procedures, standards and techniques. Analyze trends that could or have affected revenue collection and provide directives on appropriate policy and procedure revisions, review… Show more Overseeing & maintaining operations of my department and team, both on and offsite, to include work allocation, problem resolution, performance evaluation, coding, billing, collections and revenue posting, time off – in office and remotely. Update and train on new/revised protocols, operating policies, systems and procedures, standards and techniques. Analyze trends that could or have affected revenue collection and provide directives on appropriate policy and procedure revisions, review operational data to assess need in policy and procedure revisions all towards the goal of reducing or preventing anything in the 90+ Category (days) from exceeding 15% of total outstanding revenue within the scope of our ability. Audit, monitor and improve efficiency of departmental operations. Collect and compile statistical data, analyze and prepare AR reports, financial reports and contracts. Assist with Revenue Month End processing and reporting. Monthly total gross collection rate goals averaged between 19% & 23%, month end financials per client at time of closing averaged 109% of goal for revenue and 132% of goal for charge totals. Develop and maintain relationships with 20+ clients plus their staff and patients, as well as other third-party vendors. Daily insurance facility charge billing including worker’s compensation, insurance & patient payment posting, A/R collections for commercial PPO insurances as well as Medicare & Workers Compensation, patient balances. Worker's Comp DRG negotiation for facility claims. Third party claims negotiations. Physician fee payment posting, charge posting & collections as needed. PPO, HMO, Medicare and Medicaid. Vision System, Medinformatix, Allscripts, AthenaNet, eClinicalWorks, IMS, HST Pathways, Office Ally, Trizetto, Availity RCM, Zirmed/Waystar, LaserFiche Show less



Temecula Attorney Services Company

• Operations Manager

  • Mar 2015 - Jan 2016

  Murrieta, California Bookkeeping, accounts receivable and payable, account management, payroll, data entry, banking, communications, advertising and media for both companies under Owner’s name.



Palomar Repeater, Inc.

• Project Coordinator

  • Aug 2014 - Oct 2015

  Murrieta, California Coordinated tasks with subcontractors, maintained schedule for CEO, research, dictation, tracked various activities using Excel 2013, created various graphs, maintained & shopped for office supplies, administrative duties.



Law Offices of David K. Demergian.

• Office & Operations Manager

  • Oct 2010 - Feb 2013

  Greater San Diego Area Answering multi-lined phone systems, payroll, accounts payable and receivable, office budget, bookkeeping, maintained and coordinated attorney’s schedule, provided administrative and secretarial support, dictation, records management, equipment and supply inventory and ordering, customer service/support both written and verbal.



Outpatient Surgery Center of Del Mar

• Medical Biller

  • Jul 2010 - Sep 2010

  Greater San Diego Area Daily insurance and patient payment posting, daily charge posting, A/R collections on private insurance and worker’s compensation and patient balances, Vision System.



Blue Phoenix Technologies

• Operations Manager/Accounts

  • Sep 2005 - Apr 2010

  Greater San Diego Area Coordinated/directed client, staff and subcontractors per company protocols/needs. Input and close all work orders, equipment and supply inventory and ordering, balance accounting books (QuickBooks) daily, maintained office budget, payroll, records and customer service. Accounts receivable/payable.



Practice Development Strategies Inc

• Medical Billing Specialist

  • Nov 2004 - Mar 2005

  San Diego, California HMO, PPO, Medicare, Medi-cal, Worker’s compensation insurance billing, patient billing, posting insurance and patient payment, patient collections & communications, written communications, insurance coding, aging reports, daily closes, month ends, deposits.



Dr. Bertha Gee-Lew & Dr. Carole Barish

• Medical Assistant

  • Mar 2003 - Feb 2004

  San Diego, California Patient History, vitals, urinalysis & cultures, catheterization assistance, breathing treatments, injections, hemoglobin & hematocrit, supply ordering, answered multi-lined phone systems, posting patient & insurance payments, patient & insurance billing, patient collections & communications, chart preparation, scheduling, RX refills, dictation & transcription, medical records, Medisoft



SKIN SURGERY MEDICAL GROUP, INC.

• Medical Assistant

  • Jan 2002 - Jan 2003

  San Diego, California Answered multi-lined phone systems, scheduling, posting patient payments, reminder card system, dictation & transcription, APEX, patient history, venipuncture, injections, surgical tray set-up, instrument sterilization, DTM, KOH, Mycosel, and fungal culture preparation.



Rand Recovery, Dr. Jerry Rand

• Medical Assistant/Medical Administrative Assistant

  • Jul 2001 - Oct 2001

  San Diego, California Answered telephones, scheduling, dictation & transcription, telephone triage, venipuncture, injections, vitals, insurance coding, urinalysis, patient history and communication, Medical Manager. (temp position)