1. Experienced Positive Go-Getter Looking for
Management Position in the Medical Health Field
Susie Lerner
2076 Attache Court
Clearwater, FL 33764
(727) 542-0797
SusieLerner@GMail.com
Professional Experience
8/27/12 – Current
Gastroenterology & Oncology Associates
Oncology Administrator
 Responsible for management of all Oncology staff, to include nurses, billing, referral,
front desk, & MAs’
 Directly overseeing 15+ staff; responsible for payroll, schedules, audits, A/P, HR
duties, ordering of oncology drugs, oversight of outsourced billing company (Athena),
and implementation to EMR
 Directly responsible for the daily operations of all depts and staff at 2 office locations
 Monitoring Oncology drug costs vs payer reimbursement to ensure no financial losses
 Responsible for biweekly review/approval of all outstanding A/P items
8/23/11 – 8/24/2012
Surgery Partners
Commercial Collections Division Manager/Co-Manager of Governmental Collections Division
 Responsible for management of all Commercial, Attorney, and Self Pay Collection
Teams
 Co-management duties for all Governmental Teams (Medicare, Medicaid, Tricare,
W/C)
 Directly oversee 20+ staff; responsible for payroll, schedules, audits, & special
projects/assignments
 Reporting directly to the VP of Revenue on a weekly basis regarding status of
collections projects,
daily cash, and training/staffing issues
 Responsible for assisting in the implementation of a new Emdeon-based
correspondence database to move to a paperless correspondence/denial work flow
via a payer based work queue
 Tasked to set up a new daily Collections Metrics Board to show a daily snapshot of
claims dropping daily to each outstanding collection bucket (31 days, 32-60 days,
60-90 days, over 120 days) used to report to Corporate on a weekly basis
 Responsible for training new staff on 2 existing Practice Management Systems
(Intergy/Sage & HST)
 Work directly with Managed Care Senior Manager regarding identified payer
trends/issues and then
working with local Provider Relations Representative to get issues resolved and
claims reprocessed in the most efficient and timely manner
 Responsible for working side-by-side with Billing Dept Manager to ensure that all
electronic submission batches are sent in a timely manner and are reconciled with
our clearinghouse to avoid issues with claims not making it to the intended payers
6/13/11 - 8/21/11
Gulf Coast Jewish Family Services Clearwater, FL
Temporary Billing PM System/Process Consultant

2.  Temporary consultant position to assist a community mental health facility with the
same PM system issues (Avatar), that I had personally experienced during my
previous employment
 Responsible for clean-up/assistance of initial PM System set-up that was completed
incorrectly and has therefore, caused a lot of claim submission issues.
 Assistance with both front end and back end processes to ensure a smoothly run
intake process where all necessary billing information is collected at the front end.
 Assistance with the implementation of fee schedules into new PM system
5/3/10 - 5/31/11
Suncoast Center, Inc Pinellas Park, FL
Reimbursement Manager
 Responsible for entire management of billing and collection staff
 Reporting directly to the CFO & CEO on a weekly basis regarding status of current
billing projects, weekly revenue, and status of new billing Practice Management
implementation updates & corrections.
 Responsible for hiring of all new staff, along with weekly/monthly supervisions with all
staff, as well as yearly reviews and probationary reviews.
 Assist in IT aspects of PM System implementation and set-up of all insurances, fee
schedules, and electronic (837) file submissions.
 Delegation of daily/weekly projects due to initial billing set-up issues
 Payroll and time approval for entire department
 Complete billing set-up in Practice Management System (NetSmart/Avatar)
 Implemented electronic billing on new EMR system and implemented a clearinghouse
to improve timely filing/payments along with ability to receive ERA's
 Creation of monthly A/R's for collection staff review
 Identifying process issues in both front end duties/responsibilities and in
billing/accounting processes
 Responsible for electronic billing submissions for all insurance payers
5/2007 - 5/2010
US Oncology, Inc Clearwater, FL
Governmental Supervisor/Manager
 Responsible for management of governmental insurances(Medicare and Medicaid)
 Perform daily and weekly Q&A's on team members to help identify training issues
 Run A/R reports to identify and catch billing issues early in order to correct and
resolve major issues
 Responsible for updating of all new Medicare LCD's, change in CPT codes, change in
ICD9 coding, and any new policies implemented by Medicare and Medicaid
 Ability to work and resolve any denials/billing issues for both payers
 Responsible for appeal template creations for Medicare on specific coding issues
4/2006 - 4/2007
HCA, Inc. Palm Harbor, FL
Governmental Billing Specialist
 Responsible for solving all edits via SSI billing system to ensure that hospital claims
go out clean
 Knowledgeable in all areas of Medicare denials; including overlaps with home
healthcare, skilled nursing facilities, and other hospitals
 Responsible for auditing of claims to ensure all charges were billed accordingly to
services performed
 Accountable for productivity of at least 100 accounts per day worked and have
reached and exceeded this expectation daily since end of training

3.  Responsible for accurate communication, with ancillary departments at 22 hospitals
owned by HCA, in order to ensure proper edits are resolved
 Knowledgeable in 6 different programs used daily to include our Host system, Artiva
collections system, Data Exchange Tool, E-trans Medicare's on-line claims tool, and
First Coast's on-line claims tool
Education : St. Petersburg College, AA Degree in Elementary Education
University of South Florida, 1 semester short of BA Degree in Elementary
Education
Professional References
Michelle Melching (727) 744-3562
Maria Lodge (727) 327-7656
Marcie Greer (727) 734-7440