Professional Summary
Motivated healthcare financial accountant with over 20 years of experience. Implemented and automated monthly production reports from 2 weeks to 1 1/2 days. Analyzed over $240M in HMO claims monthly and reduced payment errors from 14% percent to less than 2%. Work with IT department to create and automate account payable reconciliation that eliminated paperwork.
WORK EXPERIENCE
Florida Department of Health, 1801 S.E. 32nd Ave, Ocala Florida 02/10-Present
Accountant 11 Supervisor
Supervise staff of ten. Develop, train and motivate staff members in duties including billing and posting of Medicare, Medicaid and private insurance claims correctly. Audit and review daily reimbursement payments from insurance companies including Medicare and Medicaid. Rebill denial claims after correction of errors. Handles special projects and assist Business Manager with special projects request from Medical Director.
Florida Department of Health, 1801 S.E. 32nd Ave, Ocala Florida 12/08-02/10
Accountant 1
Reviewed and analyzed paid claims from several commercial insurance payers including Medicare and Medicaid. Prepared monthly report to show payments received. Audited and reviewed denial claims and rebilled to appropriate insurance companies for payments. Posted weekly reimbursement payment to billing system.
Self –Employed 8/2007-12/2008
Independent Business Owner
Network Marketing of Discount Health Benefit through advertising, recruiting and training.
Humana Medical Plan, 3501 SW 160th Avenue, Miramar, Fl. 33027 9/99-10/2006
Sr. Financial Analyst /Sr. Accountant
Worked closely with manger and director to review financials for all HMO Physicians to ensure appropriate disbursement of funds. Reconciled accounts payable monthly disbursements. Prepared special financial trends for physicians, corporate, and department managers. Reviewed over $40M monthly cash distribution. Assisted in all aspects of monthly closing including running of financial reports and summarizing all monthly activities.
Plantation General Hospital 4/99-9/99
DSS Analyst
Responsible for analyzing hospital daily activities. Run queries for units to ensure operational target is achieved. Reviewed reimbursement guidelines to ensure payers contracts are administered correctly. Assisted in monthly closing.
Medpartners Medical Management, 1200 S. Pine Island Rd. Plantation, Fl. 3/98-4/99
Staff Accountant
Prepared and upload journal entries for month end closing. Analyzed monthly income statement and prepared financial statements. Reconciled general ledger and balance sheet. Prepared monthly variance analyses. Prepared annual budget. Assisted in department special projects.
Interim Services Inc; 1601 Sawgrass Corp Pkwy, Ft. Lauderdale Fl. 10/96-3/98
General Ledger Accountant
Reconciled general ledger accounts, prepared variance analyses and journal entries. Audited and adjusted accounts receivables. Processed accounts payables for customer. Monitored system reports for accuracy in accounts receivable aging.
Capital Factors Inc; 3500 Oakland Park Blvd, Ft. Lauderdal...
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