Experience

NANI - Nephrology Associates Northern Illinois / Indiana

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

• Director of Revenue Cycle

  • Jan 2017 - Present

  -Overseeing of billing procedures, cash posting and denial management for over 97 providers in 15 regions.-Analytic reporting for AR assessments, calculating RVU's to evaluate provider productivity, identifying payer mix per each regions geographical location for accurate projected revenue and production trend comparisons to ensure all billing is captured with no cash oversights. -Management of staff and workflow procedures for maximum production.-Weekly/monthly pivots and AR summaries provided to Directors and CFO.-File maintenance for practice management application.-Assisting Operations with front end procedures to ensure full revenue cycle success. Show less

• Team Lead

  • Dec 2014 - Dec 2017

  -Successfully lead the largest region within the corporation by streamlining processes, ensured proper training of team and established symbiotic relationships with the offices.-Accurately billed, managed denials, reversed decisions on appeals, posted payments, reconciled offsets, tracked missed charges, managed refunds processes and implemented collection procedures with agencies and law firm.

• Special Projects Coordinator

  • Nov 2011 - Nov 2014

  -Assisted in all areas of revenue cycle when needed.-Identified problems within workflow.-Massive clean-up on outstanding AR.

• Credentialing Specialist

  • Nov 2010 - Dec 2011

  -Successfully credentialed providers with Medicare, Medicaid, commercial and managed care payers.-Set up provider data in credentialing program application.



Medicus Consulting & Outsourcing, Inc.

• Oak Forest, Illinois, United States

• Owner

  • 2004 - 2011

  -Provided physician and non‑physician healthcare providers of various fields with all aspects of outsourced billing; including provider credentialing. -Consistently trained clients and staff on software and appropriate coding requirements. -Entered daily billing and claim follow-up. -Properly maintained patient accounts for accuracy. -Posted insurance payments and adjustments. -Met with clients monthly for collection analysis. -Credentialed and re-credentialed providers with various insurance companies. Show less