Revenue Cycle Management or Practice management

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    Narda T. Gordon241-07 Mayda RoadRosedale, NY 11422917-373-7209

    OBJECTIVE: Obtain a position as a Healthcare Manager in a company where I can utilize my education and expertise in revenue cycle and practice management.

    QUALIFICATIONS:

    Instrumental in increasing reimbursement and lowering account receivables. Skilled at analyzing financial data to improve insurance collections. Knowledgeable of non-par and par provider billing; Strong leadership skills, Great at investigating billing problems and formulating solutions, working knowledge of PowerPoint, excel and Touchpoint reporting program.

    EDUCATION:2010-present Mercy College- MA Healthcare Administration- Expected Graduation Spring of 20112006-2008 SUNY Old Westbury College - BS Sociology2000-2004 Nassau Community College a" AAS Liberal Arts

    Certificates:

    2008 Successful Spine CodingEMPLOYMENT

    3/2009-3/2010 Revenue Cycle Management Account Manager Hauppauge, NY

    Increasing clientsa revenue 10% by monitoring and analyzing denial trends, and also training their non-clinical staff on a more efficient way to work. Settingrealistic monthly financial goals for each team to reach. Weekly discussions with team leads and assistant mangers on projects that I designated to be completed. Monitoring charges and payments billed by the practice on a daily basis. Reviewing practice reports, comparing current month to prior month averages to determ

    ine trends and underperformance. Prepare action plans to get accounts back on track. Yearly fee schedule review. Quarterly site visit with clients to go over financial and operational performance. Review and negotiate contractual agreementsand non participating reimbursement. Evaluate claim that exceeds appropriate state guidelines.

    12/2008-2/2009 Innovative Anesthesia Solutions Office Manager Great Neck, NY

    2/2008-11/2008 Business Dynamics Limited Claims Auditor Garden City, NY

    Evaluate claim status that exceeds appropriate state guidelines, evaluate payments and identify reimbursement issues. Keeping accounts receivable in check by running reports and spreadsheets for review. Ensuring timely payment and challenge

    timely filing delays. Writing first and second level appeal for all insurance companies including workers compensation/no-fault.

    9/2002-6/2008 Hillcrest Radiology Associates Senior Biller Jamaica, NY

    Supervising a group of seven experienced medical billers on a daily basis, training new hires and retraining of current staff on how to write appeals to the insurance companies and effective ways to bill/collect. I kept track of the work flow by running monthly accounts receivable reports and delegating the work. Appea

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    l denial and payments from the insurance companies on behalf of the doctors. Dealing with Medicare, Medicaid, Workers Compensation and No-fault and Commercial insurance by following there guidelines and making sure that the doctoras are being reimbursed according to their fee schedule. Credentialing of the doctors, Negotiating payments with patients and insurance companies.

    1999-2002 Professional Billing Control Biller/Collector Freeport, NY

    Coding, posting payments and charges, helping patients with billing questions, appealing denials from insurance companies, patient collections, follow-up. Dealing with the doctors on a daily basis, training new employees, keeping up with monthly quotas.

    References Available Upon Request