Experience

Lexington Plastic Surgeons/Dr. Michael E. Jones

• United States
• Medical Practices
• 1 - 100 Employee

• Director of Revenue Cycle Management

  • Feb 2020 - Present

  Facility & Professional Credentialing Weekly KPI reporting Reviewing of charge capture Prior authorization/post-authorization/Predetermination Operation Oversight / In & out-of-network Billing Denials and appeals Management Insurance contract Negotiations & Third-party insurance negotiation· Expert Medical Billing and Coding knowledge Expert Professional and Facility Billing Healthcare Legal Disputes Revenue cycle analysis and reporting Network Arbitration Revenue Recoveries States Insurance Division, ERISA, and OIG. Show less



Compass Medical Billing Services

• United States

• Chief Executive Officer

  • Jun 1999 - Present



Sadick Dermatology and Research Group

• United States
• Research Services
• 1 - 100 Employee

• Director of Revenue Cycle Management

  • Feb 2018 - Apr 2020

  Led Revenue Cycle Management for dermatology Practices for two locations, with 8 Billing personnel. Develops and implements new procedures to improve the quality and quantity of work processed. Implemented insurance matrix and improved Financial Responsibility Form; streamlined communications and balance collection. Administered and submitted MIPS and MACRA; achieved end-of-year incentive with an (87% score). Implemented new processes to improve accounts receivable, resulting in 80% recovery of lost funds Show less



Dagan MD PC

• New York, New York, United States

• Practice Administrator

  • Jan 2014 - Oct 2019

  Oversee the day-to-day operations for ENT and Facial Reconstructive Surgery Practice. Develop and implement office policies and procedures. Developed budgets, and cost analysis, and implemented office procedures for ensuring the quality of care and risk management. • Oversees the day-to-day operations with a $600k operating budget. • Led an eight-person team of physician assistants, clerical, and billing staff. • Played a key role in generating $800k monthly revenue by coordinating, providing financial counseling, and scheduling 32 surgeries per month. • Achieved a 61% increase in revenues within the first six months by improving billing accuracy and adding new revenue streams. • Generated $450k in cosmetic sales within three months. Show less



Omnicare Multispecialty center

• Brooklyn NY

• Vp Operations

  • 2012 - May 2018

  Article 28 Surgical Center Article 28 Surgical Center



First Choice Medical Billing and Consulting Service

• Brooklyn, New York, United States

• Business Consultant

  • Jun 1999 - Dec 2016

  • Managed front/back office for physicians’ practices, Credentialing, Supervised and trained a staff of (16) full-time employees. • Manages a total of (28) twenty-Eight private Practices and (5) five Radiologist Practices and, (3) Hospital physician practices. • Reviewed historical records, current operational data, and forecasting information to identify and capitalize on system enhancement opportunities. • Communicates revenue performance to the leadership and Finance department as well as assists in identifying/implementing improvement opportunities • Develops and implements new procedures to improve the quality and quantity of workflow. Ensure policies are communicated and administered consistently • Monitors daily operating activities of assigned department and makes suggestions necessary for improved workflow, efficiencies, and revenue. • Monitored registration representatives to ensure patient records are established timely and accurately. Show less



Carefusion Healthcare Management Group

• Greater New York City Area

• Owner

  • May 1999 - May 2016

  Performance Measurement Process Analysis,Charge Capture Review Workflow Design -Billing Audits -Coding Audits - AR Managements -System Implementations/Proposal Review -Training Programs -Managed Care Contracting -Credentialing Services -Compliance Audits Reviews -Compensation Plans -Incentive Structures -Salary Analysis -Payroll Services Performance Measurement Process Analysis,Charge Capture Review Workflow Design -Billing Audits -Coding Audits - AR Managements -System Implementations/Proposal Review -Training Programs -Managed Care Contracting -Credentialing Services -Compliance Audits Reviews -Compensation Plans -Incentive Structures -Salary Analysis -Payroll Services



NY MEDICAL SKIN SOLUTIONS

• NY NY

• Manager/ Consultant

  • 2011 - 2014



Lenox Hill Hospital

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

• Office Manager

  • Jun 2010 - Aug 2012