Experience

CarePartners Pharmacy

• United States
• Pharmaceutical Manufacturing
• 1 - 100 Employee

• Revenue Cycle Manager

  • May 2022 - Present



Premier Specialty Infusion

• United States
• Pharmaceutical Manufacturing
• 1 - 100 Employee

• Revenue Cycle Manager

  • Oct 2017 - May 2022

  Responsible for entire revenue cycle, apprx $5mil in monthly revenue for all payors;medicare, medicaid, commercial, goverment and prescription . Billing, collections, cash posting, audits, denials and appeals and month close reporting. Developed policies and procedures as well as helped with merger with PromptCare and transition from CareTend to CPR+. Responsible for entire revenue cycle, apprx $5mil in monthly revenue for all payors;medicare, medicaid, commercial, goverment and prescription . Billing, collections, cash posting, audits, denials and appeals and month close reporting. Developed policies and procedures as well as helped with merger with PromptCare and transition from CareTend to CPR+.



Walgreens Infusion/Option Care Enterprise

• Reimbursement Supervisor

  • May 2015 - Oct 2017

  overseeing collection’s team of 10 for WI, IN and IL Medicaid, Commercial and Managed Care payors for 3 branchesapproving write offs due to financial hardship, third party collections, payment monitoring, authorizations, rates and contractual obligationsauditing high dollar claims and reviewing top ten payors/patientsperforming month end/close reporting for General Manager and monthly pathway calls with WI, IN and IL officesmanaging productivity, timecards and time off requests approvalsmaintaining and implementing Policy and Proceduresperforming yearly performance reviewsassisting with hiring process/training, coaching



Advocate Sherman Hospital

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

• Collections Supervisor

  • Apr 2013 - Feb 2016

  overseeing collections team of 7 for government, non-government and managed care payorsacting supervisor for a billing team of 8 (selfpay, commercial, Medicaid and Medicare) maintaining overall A/R goal under 20%managing denial/appeals task forceworking closely with management to ensure proper reconciliation of billing, coding preparing month-end reportingperforming account audits, approvals of financial assistance, settlementsdetermining write offs due to charities, third party collections, payment monitoring, bad debt, contractualsmonitoring progress of collection agencies’ effortscreating, maintaining and implementing Policy and Proceduresmanaging productivity, timecards, time off requestsperforming yearly performance reviewsassisting with hiring process/training



Walgreens Infusion and Respiratory Svcs

• Corporate Reimbursement Team Lead

  • Jun 2009 - Feb 2013

  attaining collection goal of 36% or higher per monthcollecting on Self/Patient Pay for 5 branches for a total between 800-1000 patientsworking closely with nationwide branches to ensure proper reconciliation of billing and/or secondary payorsdetermining write offs due to financial hardship, third party collections, payment monitoring, small balances, deceased patients, bankruptcy, and performing cash movestaking inbound callsmaking outbound calls on an average of 60-70 calls per dayhelping with cash posting when needed



Addus Healthcare, Inc

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

• Collections Team Leader

  • Feb 2006 - May 2009

  overseeing 4 collectorspreparing monthly financial review notes for Directorsreviewing contracts and rateskeeping A/R under 60 dayscollecting on private, commercial, Medicare-like HMOs and governmental institutions i.e. VA. appealing incorrect processing of claims and/or denials due to rates and filling limitationsposting payments adjusting off claims due to no authorizations, supporting documentation and ratesworking closely with nationwide branches and billers to ensure proper reconciliation of invoicesworking between two systems to ensure smooth transition of clients/accounts from old onto new system



Dr. Javed Bangash, MD

• Collections Manager

  • Jun 2005 - Feb 2006

  billing , codingposting and adjustment of paymentscollecting on private and commercial accountspreparing charts and covering for reception/front desk billing , codingposting and adjustment of paymentscollecting on private and commercial accountspreparing charts and covering for reception/front desk



Paige Personnel Temporary Services

• Intake Coordinator

  • Apr 2005 - Jun 2005

  Intake Coordinator Temp for Hines and Associatesdealing directly with case management, utilization review, hospitals, doctor's offices and patients. Intake Coordinator Temp for Hines and Associatesdealing directly with case management, utilization review, hospitals, doctor's offices and patients.



Tracker Industries, Inc

• Accounts Manager

  • Dec 2002 - Mar 2005

  supervising 3 collectorsoverseeing five out-of-states officespurchasing, scheduling of pallet recovery preparing analysis for financial meetings collections, database management, high-level data entryaccounts payable and receivable supervising 3 collectorsoverseeing five out-of-states officespurchasing, scheduling of pallet recovery preparing analysis for financial meetings collections, database management, high-level data entryaccounts payable and receivable



Stratgeic Business Concepts

• United States
• Alternative Dispute Resolution
• 1 - 100 Employee

• Reimbursement Team Leader

  • May 2000 - Oct 2002

  consulting for Caremark-on site for eight months (total of $1,000,000 collected in outstanding AR); CM Healthcare, Gateway Homecare, First Choice Healthcare, AMI.overseeing reimbursement/collections processreviewing and resubmitting of claims 365 days and olderidentifying incorrect payments per contractappealing past filling limit claimsdetermining responsibility of balances, i.e. patient responsibilityadjusting payments/contracted ratescollecting on an outstanding AR.



Home Solutions Systems Corp

• Performance Improvement/Quality Assurance Coordinator

  • Aug 1997 - Oct 2000

  attaining proper documents for JACHO requirementscoordinating of pharmacy licensure and local pharmaciesoverseeing the Variance and Satisfaction Process to ensure best quality and coordination of patient, customer, physician and case manager satisfactioncreating and updating Infection Control, and Fire and Safety Planstracking documentation necessary during patient care, preparing reports, updating Patient Censusmaintaining and revising job descriptions and Policy and Procedure Manualimplementing Strategic Health Care Program by measuring Outcomes activities consisting of Financial Data, Utilization Data, and Infusion Therapy to name a few duties performed by PI Coordinator.