Experience

LifeCare Alliance

• United States
• Wellness and Fitness Services
• 1 - 100 Employee

• EHR & Healthcare Billing Manager

  • Jul 2019 - Present

  Remote EHR - System Administrator • EHR Administration – Administer all aspects of EHR system. Collaborate with IT Director on major changes in functionality of EHR system. • End User Support – First line support for EHR for practice management and clinical operations. • Documentation – Develop and maintain training documents and standard operating procedures for EHR. • Staff Training – Conduct regular staff training on utilization of the EHR. • Process and Procedure Implementation –… Show more EHR - System Administrator • EHR Administration – Administer all aspects of EHR system. Collaborate with IT Director on major changes in functionality of EHR system. • End User Support – First line support for EHR for practice management and clinical operations. • Documentation – Develop and maintain training documents and standard operating procedures for EHR. • Staff Training – Conduct regular staff training on utilization of the EHR. • Process and Procedure Implementation – Develop process and procedure protocol as relates to medical programming and EHR utilization, to maximize and improve organizational workflow of medical programs. Revenue Cycle Management • Medical Credentialing – Management of provider medical credentialing • Medical Billing – Preparation, submission and resubmission of medical claims • Patient Accounts – Maintain patient accounts. Process financial assistance requests as needed. • Payer Contracting – Management of insurance payer contracting. Fiscal • Accounts Receivable / Cash Receipts – Post A/R and cash receipts for medical programs and record to appropriate programs and accounts. Maintain A/R, including new account set-up, and collections of past-due balances. Document, prepare and post journal entries in conjunction with month-end accounting close of financial statements. Respond to requests of external auditors. • Adjustments, Write-Offs – Post adjustments and write-offs for medical revenue • Year-End Analysis – Perform year-end analysis for programs, accounts and payers. Perform audit between systems of accounting software and electronic health records. Post adjustments where needed to maintain accuracy between systems. Business Analytics Aggregation of health-related data, including summarization, presentation and analysis. • Fiscal • Patient demographics • Program performance • Risk Analysis • Budget Analysis • Expense Analysis • Ad hoc reporting as requested, for funders, community partners and grants reporting.

• Billing & Credentialing Specialist

  • Aug 2017 - Jul 2019

  Columbus, Ohio Revenue Cycle Management • Medical Credentialing – Management of provider credentialing with insurance companies. • Medical Billing – Preparation and submission of medical claims. Follow-up with denied or underpaid claims, and resubmission of claims. • Patient Accounts – Maintain patient accounts.Process financial assistance requests as needed. • Payer Contracting – Management of payer contracting between group (LifeCare Alliance) and payers, including maintaining current… Show more Revenue Cycle Management • Medical Credentialing – Management of provider credentialing with insurance companies. • Medical Billing – Preparation and submission of medical claims. Follow-up with denied or underpaid claims, and resubmission of claims. • Patient Accounts – Maintain patient accounts.Process financial assistance requests as needed. • Payer Contracting – Management of payer contracting between group (LifeCare Alliance) and payers, including maintaining current contracting as well as initiating new contracts. Fiscal • Accounts Receivable / Cash Receipts – Post A/R and cash receipts for medical programs and record to appropriate programs and accounts. Maintain A/R, including new account set-up, and collections of past-due balances. Document, prepare and post journal entries in conjunction with month-end accounting close of financial statements. Respond to requests of external auditors. • Adjustments, Write-Offs – Post adjustments and write-offs for medical revenue as extracted from EHR. • Year-End Analysis – Perform year-end analysis for programs, accounts and payers. Perform audit between systems of accounting software and electronic health records. Post adjustments where needed to maintain accuracy between systems. Business Analytics Aggregation of health-related data, including summarization, presentation and analysis. • Fiscal – Charges, payments, write-offs, adjustments, average revenue per encounter (ARE), payer hierarchy • Patient demographics – Payer class, Age, Race/Ethnicity, Gender • Program performance – Service units, patients served, program delineation, service delineation, • Risk Analysis – Chart audits, appointment analysis • Budget – Assist in the development of annual program budgets based on previous year’s revenue per payer class. • Expense Analysis – Perform analysis between revenue and directly related expenses, as requested. • Ad hoc reporting as requested, for funders, community partners and grants reporting.

• Office Manager (Central Ohio Diabetes Association)

  • Sep 2016 - Aug 2017

  Columbus, Ohio Medical Billing – Process insurance claims to payers such as Medicaid, Medicare and private insurance companies; monitor insurance reimbursements; research and report billing variances; create client statements. Program Development and Support – Research information for the development of new programs or services, and assist education director with implementation. Edit grant proposals, summary reports, marketing materials, and fundraising documents; manage day-to-day front-office… Show more Medical Billing – Process insurance claims to payers such as Medicaid, Medicare and private insurance companies; monitor insurance reimbursements; research and report billing variances; create client statements. Program Development and Support – Research information for the development of new programs or services, and assist education director with implementation. Edit grant proposals, summary reports, marketing materials, and fundraising documents; manage day-to-day front-office administrative operations. Develop clinical documents for diabetes education program. *Central Ohio Diabetes Association is an agency of LIfeCare Alliance



Jewel Enterprises Worldwide

• United States
• Strategic Management Services
• 1 - 100 Employee

• Business Strategist

  • Jul 2012 - Jul 2016

  New York, NY; Kansas City, MO; Des Moines, IA; Columbus, OH Business Analytics • Developed and executed a company-wide data collection program for all admin and clinical programs. • Wrote a 40-page manual for the data collection program, and trained staff on the data collection and reporting processes and procedures. • Collected and aggregated data for the following areas: Finance (profitability, cost analysis, budget to variance, diversity of revenue, financial performance); Clinical Programs (demographics, outcomes, discharge patterns);… Show more Business Analytics • Developed and executed a company-wide data collection program for all admin and clinical programs. • Wrote a 40-page manual for the data collection program, and trained staff on the data collection and reporting processes and procedures. • Collected and aggregated data for the following areas: Finance (profitability, cost analysis, budget to variance, diversity of revenue, financial performance); Clinical Programs (demographics, outcomes, discharge patterns); Human Resources (employee demographics, workforce gap analysis, employee grievances, staff turnover rate, exit interviews, employee satisfaction survey); and Risk Prevention (incidents, accidents and grievances, file audits, training/licensure) • Extracted data from the RCM software (Care Cloud) PQI Program Lead • Facilitated monthly, quarterly and annual strategic planning meetings wherein I presented data reports to executive leadership team, and developed strategies to grow and improve existing mental health programs. • Facilitated implementation of company goals, and assisted with the execution of performance improvement plans. Project Manager – National Accreditation I functioned as a Project Manager and oversaw a team of staff members wherein we worked to obtain the certificate of national accreditation for the organization. Our work resulted in the company being awarded their 3-year certificate of national accreditation from Council on Accreditation, while receiving the highest rankings in every category. We fulfilled the following objectives: • Implementation of over 300 standards in the areas of financial management, human resources, governance, counseling services, training and supervision, client rights, ethical practice, administrative and service environment, and risk prevention. • Implementation of 45+ policies and procedures. • Development of five clinical and administrative manuals. • I trained 150+ staff members on the new standards and procedures. Show less



Life-Line Resources, LLC

• Individual and Family Services
• 1 - 100 Employee

• Business Strategist

  • Dec 2009 - Jul 2012

  Des Moines, Iowa Project Management I functioned as a Project Manager and oversaw a team of staff members wherein we worked to obtain the certificate of national accreditation for the organization. Our work resulted in the company being awarded their 3-year certificate of national accreditation from Council on Accreditation, while receiving the highest rankings in every category. We fulfilled the following objectives during this project: • Implementation of over 300 standards in the areas of financial… Show more Project Management I functioned as a Project Manager and oversaw a team of staff members wherein we worked to obtain the certificate of national accreditation for the organization. Our work resulted in the company being awarded their 3-year certificate of national accreditation from Council on Accreditation, while receiving the highest rankings in every category. We fulfilled the following objectives during this project: • Implementation of over 300 standards in the areas of financial management, human resources, governance, counseling services, training and supervision, client rights, ethical practice, administrative and service environment, and risk prevention. • Implementation of 45+ policies and procedures. • Development of five clinical and administrative manuals. • Training of over 150 staff members on the new standards and procedures. Business Development / Strategic Planning • Developed and executed a company-wide data collection program for all administrative and clinical programs. • Wrote a 40-page manual for the data collection program. • Facilitated implementation of company goals, and assisted with the execution of performance improvement plans. • Facilitated monthly, quarterly and annual strategic planning meetings wherein I presented data reports to executive leadership team and program managers, and developed strategies to grow and improve existing mental health programs. • Functioned as a central hub liaison of key decision makers, including the owners, finance department, clinical director and operations manager. • Created clinical forms that were used for clinical sessions. Data Analytics & Business Intelligence • Collected and aggregated data, and wrote monthly, quarterly and annual data reports for: Finance, Clinical Programs, Human Resources and Risk Prevention. • Extracted data from the revenue cycle management software, and various data spreadsheets; aggregated data and presented results. Show less



SBR multisports

• Office Manager

  • Sep 2005 - Oct 2009

  Greater New York City Area As the Office Manager of a high-end retail shop in Manhattan, I worked with the company President to help company reach short-term and long-term business goals through management and careful analysis of financial data, staff productivity and merchandise sales trends and reporting. Was integral in helping the company reach a 1,600% revenue growth over a four-year period. Financial Management • Managed cash flow of $4M annual revenue, business bank accounts, and business line of credit.… Show more As the Office Manager of a high-end retail shop in Manhattan, I worked with the company President to help company reach short-term and long-term business goals through management and careful analysis of financial data, staff productivity and merchandise sales trends and reporting. Was integral in helping the company reach a 1,600% revenue growth over a four-year period. Financial Management • Managed cash flow of $4M annual revenue, business bank accounts, and business line of credit. • Reviewed and recorded all financial transactions in accounting software, including $4M annual accounts receivable and $400k - $950k annual accounts payable. • Prepared financial statements for CPA to file tax returns; filed documentation for quarterly sales tax. • Managed payroll for all staff. Data Analytics & Business Intelligence • Utilized financial reports to create monthly and annual PNL reports, to analyze profit margin and sales growth, and to identify sales trends. • Extracted sales data from the POS software; prepared monthly and annual sales reports that were used for selecting future inventory. Human Resources Management • Managed the hiring, interviewing, training and terminating of staff. • Managed employee benefits. • Performed quarterly staff evaluations, and made recommendations to company President. • Wrote company policy & procedure manuals. Sales & Purchasing • Worked with company Purchaser to predict future sales trends based on data reports. • Advised Purchaser on inventory selections for next season. • Negotiated profit margins, payment terms and purchase discounts with vendors of several high-end, international companies at the annual trade show in Las Vegas. Show less



New York State Psychiatric Institute

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Laboratory Monitor

  • 2003 - 2004

  Greater New York City Area Assisted with research in the Substance Abuse Research Center on the long-term cognitive and physiological effects of marijuana use and withdrawal for dependent individuals. Responsibilities included implementation of day-to-day research goals, monitor research subjects, record results of research. Worked under supervision of Dr. Carl Hart.



US Air Force Reserve

• United States
• Armed Forces
• 1 - 100 Employee

• U. S. Air Force Reserves

  • 2001 - 2004

  Bronx, NY Served at detachment 560 in Bronx, NY and received an honorable discharge after three years of service. Trained officer candidates for active duty service.