Experience

DermWellesley, LLC

• United States
• Medical Practices
• 1 - 100 Employee

• Practice Manager

  • Jan 2019 - Present



Joseph Upton, MD

• Chestnut Hill, Massachusetts

• Business Manager

  • Jun 2012 - Jan 2019

  Business manager for Plastic and Reconstructive Surgeon in a fast-paced office environment Prepares monthly and quarterly reports for review Interface with AMD, Chart Logic and computer IT personnel Review and modify fee schedule annually Negotiate with non-par insurance and Workman’s Compensation to achieve collection rate over 65% Reconcile patient accounts, denial management and patient complaints Hospital re-credentialing for BIDMC, BID-Needham, Children’s Hospital Boston and Shriners Assist with surgical scheduling for the 4 hospitals Manages accounts receivables with billing office, reducing denials by more than 75% Reduced accounts payable by 30% through cost-cutting measures Negotiates salaries and benefits for staff Interfaces with Children’s Hospital Boston, Beth Israel Deaconess, Shriners Hospital and Newton- Wellesley Hospital Coordinating international patients with Children’s Hospital for billing and collection reimbursement rate 90% of total charges Show less



Newton-Wellesley Hospital

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

• Patient Access Representative

  • Jun 2012 - Jan 2019

  Part-time - The Patient Access Representative is responsible for providing a 5-star patient experience and supporting Newton-Wellesley Hospitals Revenue Cycle Team through efficient collection and verification of demographic and insurance information while providing a welcoming environment to all patients and their guests who arrive for care.

• Office Manager - Department of Rehabilitation Services

  • Aug 1989 - Jun 2012

  Provided full-time practice management for outpatient Rehab Dept. Manages daily activities within department.Liaison between multiple departments - communicating system issues, troubleshooting and problem resolutionSupported development of X-Claim, Soarian Financials and Soarian Scheduling, to ensure compliance with billing and revenue managementAssessed patient needs to exceed customer expectationsPrepared annual budget for support staffManaged support staff of 12+ employees in addition to daily schedules, Completed payroll for 122 staff members of Department of Rehab. including support staff evaluation process and merit increasesParticipated in interview process along with peer interviewingWorked closely with revenue management to ensure optimal revenue collectionsPerformed insurance verification and prior authorizationsDenial management and patient complaintsCoordinated training material to train staff on new systemsDeveloped and monitors long term goals for support staff, staff orientationAnalyze and revising roles and responsibilities for staff to exceed customer needs and gain customer loyaltyDesign and implement process changes to improve revenue management (LEAN Six Sigma Project)Developed procedures within department to ensure billing accuracy and complianceProvided written and oral presentations as requested by Director regarding patient satisfaction Show less