Experience

Maryknoll Fathers and Brothers

• United States
• Religious Institutions
• 100 - 200 Employee

• Senior Manager

  • Sep 2009 - Present

  •Administer benefits to priests and brothers, manage provider/facility relationships, and lead daily operations and initiatives•Oversee budgets, variance analysis, and reporting for six units with annual budget of $12+ million•Manage and direct all operations for the Health Finance unit and staff; indirectly manage 70+ nursing and care providers•Optimize insurance plans and healthcare practitioners and facilities for patients’ care; lead claims processing efforts; manage vendor/service agreements by defining scope of work for Procurement.•Evaluate spending and processes. Create and implement strategies to streamline operations and reduce costs•Initiated numerous negotiations with providers and facilities that have saved the organization $2.7M+, including reducing spending by $20K+ per year by switching to a new medical waste provider•Serve as primary point of contact to internal and external auditors in monitoring financial processes and record resulting in audits with unqualified/clean opinions•Work with assisted living center clinical staff, including physicians, to ensure staffing, supply, and technology needs are met•Continually improve department policies and procedures; maintain policy documentation•Assess the need for new technologies, collaborate with IT and Procurement to draft RFPs, lead software conversions, evaluate vendors on a scorecard basis, and facilitate staff training•Coached and developed motivated teams, cultivated an inspired culture, creating a group recognized for exceptional performance, interdepartmental collaboration, and strong external relationships•Engaged with nurses to provide essential guidance and support during leadership transitions•Implement inventory management system to accurately track medical supplies from purchase to patient use to ensure availability of supplies and reduce waste. Secured stakeholder consensus and buy-in internal audit to redesign workflow and create seamless communications with bill-pay software Show less

• Manager

  • Dec 2006 - Sep 2009

  • Managed daily operation of Health Finance Unit and staff• Analyzed, tracked and reported on all medical expenses, types and trends of illness, utilization of services, and cost containment initiatives• Audited claims adjudicated by claims examiners for accuracy to ensure compliance with all fee schedules and payment guidelines • Negotiated and expanded preferred provider network to maximize savings

• Assistant Manager

  • Aug 1998 - Dec 2006

  • Reviewed and adjudicated all Medicare claims• Processed all medical refunds and created refund reports• Communicated daily with providers and facilities to rectify billing issues• Supervised claims examiners

• Secretary/Claims Examiner

  • Jun 1998 - Aug 1998

  • Opened and sorted mail on a daily basis• Prepared checks for mailing• Performed routine clerical functions including filing, typing meeting minutes, and ordering office supplies• Processed basic medical and dental claims

• Accounting Clerk

  • Jun 1997 - Jun 1998

  • Managed all debits and credits to internal bank accounts• Recorded and maintained journal of daily activity onto mainframe • Analyzed even exchange and accounts receivable on quarterly basis



NewYork-Presbyterian Hospital

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Registration Clerk

  • Sep 2016 - Mar 2020

  • Accurately pre-registered patients by verifying insurance benefits and eligibility, explaining test preparation, answering questions, effectively communicating payment responsibility, and ensuring appropriate orders/prescriptions are attached to patient encounters • Provide superior level of customer service in answering telephone calls and directing patients to appropriate staff • Accurately pre-registered patients by verifying insurance benefits and eligibility, explaining test preparation, answering questions, effectively communicating payment responsibility, and ensuring appropriate orders/prescriptions are attached to patient encounters • Provide superior level of customer service in answering telephone calls and directing patients to appropriate staff