Experience

PRECISION HEALTHCARE MANAGEMENT LLC

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

• Practice Advisor

  • Sep 2005 - Present

  - Works extensively with payer contracts for large physician practices and analyzing and adjudicating rate arrangements. - Negotiate payer rate increases for physician practices and secure better contract terms for groups by incorporating COLAs and other protective language in contracts to guard against bundling and other reimbursement cuts. - Expertise in physician billing systems including utility set-up, denial management, payment compliance monitoring, billing workflow, and report writing. - Involved in payer contract issues, bundling & coding issues, and denial issues for large physician practices. - Routinely completes reimbursement audits to confirm rates are in compliance with carrier contract. Show less


Children's Health Associates
• United States
• Hospitals and Health Care
• Unit Leader

  • Mar 2001 - Mar 2005

Temple University Hospital
• Hospitals and Health Care
• 700 & Above Employee
• Senior Systems Analyst

  • Sep 1998 - Oct 1999


Allegheny Health, Education and Research Foundation

• Operations Support Manager

  • Oct 1997 - Aug 1998

• Account Executive

  • Oct 1994 - Oct 1997