Leadership Team, The Mind Behind RSSC

• 20+ years in healthcare operations and revenue cycle management

EDUCATION

• Doctoral Degree — Saint Thomas University, Leadership Management (Sabbatical)
• Master’s Degree — Nova Southeastern University, Education Leadership (Graduated)
• Bachelor’s Degree — Barry University, Health Service Administration (Graduated)
• CERTIFICATIONS
• – Project Management Professional with Microsoft Project (renewal pending)
• – AACP Code of Ethics
• – Medical Terminology
• – Billing Compliance
• – Business Healthcare
• – Charter School Education
• – Teaching Certification
• – Toastmasters Speaker Member

Knowledgeable, visionary, and successful communicator with excellent qualities in relationship improvement. Innovative involvement in project management and in businesses with local, State, and Federal regulatory-related organizations — CMS, AAAHC, URAC, and NCQA. A reputation for effectiveness and efficiency. Well-organized improvement of policies and procedures. Remarkable structural, financial-related management, and relational abilities.       Technical Fluency:  

CBO, UB04, CMS 1500 claim forms, ICD-10, CPT4, and HCPCS coding; Medicare Parts A, B, D, Medicaid, TPA, PPO, HMO, POS, FFS, DRG, International, Self-pay, Supplemental, PSN, CMS network programs, and Stop Loss Claims.                  

Project & Program Management · Revenue Cycle Management · Finance & Risk Management · Marketing & Marketing Technology · Tactical Development · Resolution Analysis · Contract Negotiation · Leadership · Account Management · Provider Credentialing · Human Resources · Quality Management · Communication · Teamwork · Critical Thinking · Time Management · Adaptability  

Platform IP & Innovation  

Knowledge Graph Engine · Framework and Risk Management · Healthcare Regulatory Compliance Management Platform · Method for Intelligence in Revenue Cycle Management