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CURRICULUM VITAE
JASON ALAN BERSTEIN, M.D., M.S., HSA
CAREER OBJECTIVES
Apply my balanced clinical and administrative education and experience to Health Care Systems.
Such a position will challenge and enhance my critical thinking skills so that I may continue to be
a credible and creative liaison between corporate and clinical components. My career Mission
Statement is to align, in a mutually beneficial manner, the administrative, regulatory, and financial
aspects of health care with its fundamental clinical dynamic - the physician/patient relationship.
EDUCATION
Undergraduate: Brown University, Providence, Rhode Island Sc.B. 1980
Medical School: Brown University, Providence, Rhode Island M.D. 1985
OB-GYN Residency: Providence Hospital, Washington, D.C. 1985-86
Affiliate of Georgetown University; OB-GYN
OB-GYN Residency: University of Medicine and Dentistry of New Jersey 1986-90
Robert Wood Johnson Medical School, New Brunswick, NJ
Graduate School Salve Regina University, Newport, Rhode Island MS 2005
Degree: Master of Science Health Services Administration
EMPLOYMENT
2/13/2006- 1/19/2016 MEDICAL RESOURCES LLC
MEDICAL CENTER ASSOCIATES (as of 7/1/2008)
MEDICAL CENTER AFFLIATES (as of 1/5/2015)
(Corporate name changes)
EMPLOYER DESCRIPTION:
Multi-Center Medical Services Organization in Palm Beach and
Broward providing Primary Care to Medicare patient population
under Medicare Part C/Medicare Advantage/HMO At Risk line of
business affiliated with Humana.
ROLES AND RESPONSIBILITIES:
-Provider Relations
Credentialing with CAQH, AHCA
Licensure/Certification Monitoring
Facility Business Tax Receipts/CLIA
Liaison with Insurance Plan and Hospitalists
-Specialist Network Contracting
Communication with Specialists to grow and build Delivery
System/Specialist Referral Network
Negotiating contracts with Specialists, Ancillary Services, and
Hospital Based Providers: Capitation Agreements, MOA/LOA,
FFS
-Referral System Supervisor
Monitor Referrals to Specialists/Ancillary Services/Hospitals
for appropriate patient care and insurance parameters.
Review Referrals for CPT/ICD 10 in coordination with Coding
and Billing Team
Aggregate track and trend utilization using Data Bank for Claims
Analysis. Adjustment of Specialist network accordingly
Formulate Private Pay Fee Schedule incorporating RBRVS system
-Hospital Admissions
monitoring on daily and aggregate basis to
identify prevention issues, reallocation of clinical
resources
Case Management opportunities
-Compliance Team- Clinical input into HIPAA/OSHA/Medicare policies formulation
and implementation
PROFESSIONAL LICENSES AND BOARD CERTIFICATION
State of Rhode Island MD 1989 (active through 6/30/10
voluntary change to inactive honorary
emeritus status 7/1/10
Diplomate: American Board of Medical Examiners 1986
Diplomate: American Board of OB-GYN 1992
CONTACT INFORMATION
Jason Berstein, M.D., M.S., HSA
6375 Indian Wells Blvd
Boynton Beach, Florida 33437
Cell Phone: 561-271-7325 Email: jabmd58@yahoo.com
REFERENCES
Toni Teresi CEO
Medical Center Affiliates
9960 Central Park Blvd N Suite 450
Boca Raton, Florida 33428
Office 561 353 1225
772 559 0485

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CV 3 2016

  • 1. CURRICULUM VITAE JASON ALAN BERSTEIN, M.D., M.S., HSA CAREER OBJECTIVES Apply my balanced clinical and administrative education and experience to Health Care Systems. Such a position will challenge and enhance my critical thinking skills so that I may continue to be a credible and creative liaison between corporate and clinical components. My career Mission Statement is to align, in a mutually beneficial manner, the administrative, regulatory, and financial aspects of health care with its fundamental clinical dynamic - the physician/patient relationship. EDUCATION Undergraduate: Brown University, Providence, Rhode Island Sc.B. 1980 Medical School: Brown University, Providence, Rhode Island M.D. 1985 OB-GYN Residency: Providence Hospital, Washington, D.C. 1985-86 Affiliate of Georgetown University; OB-GYN OB-GYN Residency: University of Medicine and Dentistry of New Jersey 1986-90 Robert Wood Johnson Medical School, New Brunswick, NJ Graduate School Salve Regina University, Newport, Rhode Island MS 2005 Degree: Master of Science Health Services Administration EMPLOYMENT 2/13/2006- 1/19/2016 MEDICAL RESOURCES LLC MEDICAL CENTER ASSOCIATES (as of 7/1/2008) MEDICAL CENTER AFFLIATES (as of 1/5/2015) (Corporate name changes) EMPLOYER DESCRIPTION: Multi-Center Medical Services Organization in Palm Beach and
  • 2. Broward providing Primary Care to Medicare patient population under Medicare Part C/Medicare Advantage/HMO At Risk line of business affiliated with Humana. ROLES AND RESPONSIBILITIES: -Provider Relations Credentialing with CAQH, AHCA Licensure/Certification Monitoring Facility Business Tax Receipts/CLIA Liaison with Insurance Plan and Hospitalists -Specialist Network Contracting Communication with Specialists to grow and build Delivery System/Specialist Referral Network Negotiating contracts with Specialists, Ancillary Services, and Hospital Based Providers: Capitation Agreements, MOA/LOA, FFS -Referral System Supervisor Monitor Referrals to Specialists/Ancillary Services/Hospitals for appropriate patient care and insurance parameters. Review Referrals for CPT/ICD 10 in coordination with Coding and Billing Team Aggregate track and trend utilization using Data Bank for Claims Analysis. Adjustment of Specialist network accordingly Formulate Private Pay Fee Schedule incorporating RBRVS system -Hospital Admissions monitoring on daily and aggregate basis to identify prevention issues, reallocation of clinical resources Case Management opportunities
  • 3. -Compliance Team- Clinical input into HIPAA/OSHA/Medicare policies formulation and implementation PROFESSIONAL LICENSES AND BOARD CERTIFICATION State of Rhode Island MD 1989 (active through 6/30/10 voluntary change to inactive honorary emeritus status 7/1/10 Diplomate: American Board of Medical Examiners 1986 Diplomate: American Board of OB-GYN 1992 CONTACT INFORMATION Jason Berstein, M.D., M.S., HSA 6375 Indian Wells Blvd Boynton Beach, Florida 33437 Cell Phone: 561-271-7325 Email: jabmd58@yahoo.com REFERENCES Toni Teresi CEO Medical Center Affiliates 9960 Central Park Blvd N Suite 450 Boca Raton, Florida 33428 Office 561 353 1225 772 559 0485