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Administrative Specialist / Admin Assistant Resume
CUSTOMER SERVICE REPRESENTATIVE Resume
Cynthia
US-New York-Westchester
Accounts Receivable Manager
Having numerous years working within practice management, medical patient accounting and reimbursement, I have had exposure to numerous practice management information systems and inpatient as well as outpatient billing practices within surgical, specialty and primary care environments in both private practice and non-profit organizations and carry strong organizational, written and interpersonal skills. Under my belt is a proven track record of minimizing loss while maximizing reimbursement. My goal is to secure a rewarding administrative position, which would allow me to utilize as well as build on my experience while offering growth, challenge and stability.
Manager of Accounts Receivable 7/2005 – 9/2008
THE JEWISH GUILD FOR THE BLIND, New York, New York
Major responsibilities include the total hands on management of billing and payment (in excess of $28M each month), and all accounts receivable functions for five separate and distinct health care service corporations providing multi-site adult day health care programs, rehabilitative service and NYS OMH & OMRDD medical clinic (D&TC) which includes various specialties as well as primary care, a multi-site Article 31 Clinic offering behavioral health services, continuing day treatment program, day treatment program, Medicaid Service Coordination services as well as NYS's premier Long Term Medicaid Managed Health Care Organization (LTMC). Duties also include system administration for multiple practice management or billing systems, training and supervision of all billing staff as well as collection efforts and claiming/follow-up for New York State and Massachusetts Medicaid, Part B Medicare, 3rd party payors, Early Intervention, CACFP program and state contract billing. Performed all system management pertaining to HIPAA initiatives for electronic claiming, ICD-9 and CPT-4 coding compliance, and liaison to Agencies non-A/R staff with respect to training for front office functions at service locations. Performed reconciliation of G/L functions with senior accounting staff, interaction with internal auditing staff and in-between various software vendors and state agencies to meet federal and state regulations. This position reports directly to the VP of Finance for all related corporations.
Director of Accounts Receivable 4/1997 - 7/2005
Jewish Board of Family & Children's Services, Inc., New York, NY
Successfully managed A/R and Collections Departments performing centralized automated mental health billing and collection for 14 out-patient clinic sites as well as back office billing for all RTF, RTC, ICF, Intensive Support Apartment Programs, HIV, Community Residences, CDT, IRA and Waiver Programs to NYS Medicaid with annual revenues totaling $85M+. Centralization of Managed Care Payment Posting Department for management reporting and maximization of HMO, Medicare and 3rd Party Reimbursements. Oversee J/E preparation, cash receipt reconciliation and claim follow-up. Ongoing reconciliation of subsidiary ledgers to G/L, Policies and Procedures, liaison to NYS Medicaid and outside Recovery Agents. Training of all off-site billing staff. Responsible for all Managed Care, Medicare and Private Insurance billing and collection functions and system file maintenance. Coordination of MSO including complete patient accounting functions for 2 separate agencies.
Director of Administration/Practice Manager 11/1995 - 4/1997
Butterfield Prompt Care Center/HVHC Physicians PC, Cold Spring, NY
Responsibilities include planning, start-up and operations of Article 28 D&TC as well as multi-site/multi-specialty private medical practice. Performed start up planning, physician credentialing for Managed Care, established policies and procedures for Article 28 Diagnostic & Treatment Center, on-site Human Resource functions including staff recruitment and training, set-up and maintenance of management information and patient accounting system. Set-up of Medicaid Rate Code Billing System, liaison for NYS DOH and parent hospital (reporting to VP Administration & VP of Finance), preparation and maintenance of payroll records, on-site inventory and purchasing system, medical records system, quality assurance plans, process improvement plans and telephone systems. Total staff compliment 47.
Revenue Manager 9/1994 - 11/1995
Planned Parenthood of New York City, Inc., New York, NY
Supervision of Revenue Accounting and Data Entry Departments as well as indirect training and supervision of Clinic Business Managers, Cashiers and Patient Service staff in 3 large off site clinic locations. Completion of Medicaid Cost Report, A/R analysis. Also responsible for Medicaid and 3rd party claims submissions and follow-up. Liaison to NYS Medicaid and Department of Health. Performed research and implementation of automated patient accounting system for 3rd party billings. Maintenance of fee schedules, ICD-9 and CPT-4 system tables and negotiations with Managed Care entities.
Billing and Collections Supervisor 6/1990 - 9/1994
Ossining Open Door Health Centers, Ossining, New York
Responsibilities included supervision of fully automated patient accounts/billing system, statistical support, system table maintenance if ICD-9 and CPT-4 update, collections, HMO contract negotiations, monitoring utilization of capitated plans, ongoing training and support of billing, cashiers and clinic patient service staff.
Patient Accounts Manager/Bookkeeper 10/1979 - 7/1986
Cardiovascular & Thoracic Surgical Group, P.C., Roslyn, New York
Direct supervision of accounts payable and accounts receivable functions, medical and surgical claims submission through payment application and review/appeal. Performed bi-weekly analysis of accounts receivable balances and initiated claims follow-through procedures to maximize revenue. Responsible for maintenance of O/R and conference schedules, manual payroll for 16 persons as well as recruitment and training of all office support personnel.
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