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Professional Summary
  • Motivated Team Member eager to contribute to business success. Experienced in providing high quality customer solutions. Focused on customer satisfaction and Team productivity.
  • Customer focused business expert who is passionate about improving our business customer's lives.
  • Revenue and customer focus
  • Root cause discovery
  • Efficient multi-tasker
  • Project management
  • Customer oriented
  • Proficiency with CRM systems
  • Product knowledge
  • Optimizing business processes
  • Customer rapport
  • Account development
Work History
Business Expert Aug 2016 - Current
Apple Pty Ltd 367 George Street, Sydney
  • Introduce Apple solutions, technology and services to business customers
  • Inform business customers the complete suite of Apple business products and services to drive transformation
  • Identified client needs, built relationships and overcame objections to drive sales
  • Set up briefings with potential and current customers to discuss Apple's business products and services
  • Developed and handed 61 accounts to Growth spend level in 12 months
  • Member of a dynamic team that produced 4/6 best ever revenue quarters
Enterprise And Education Specialist Sep 2013 - Aug 2016
Apple Inc Martin Place, Sydney
  • Roll out project manager of Apple products within Australian schools for specifically for teachers
  • Day-to-Day operational support of post sales execution to Apple customers, covering Enterprise, Education as well as Reseller and Distribution channels
  • Partnered successfully with retail business to project manage migration of education customers to retail business
  • Spearhead cross-functional initiative to achieve migration of enterprise and government customers to retail and business or paper less ordering via Phoenix
  • Drove AU and NZ UAT program for onboarding of IBM as reseller and enterprise customer .
On-boarding Manager Jan 2011 - Jan 2013
Vodafone Hutchison Australia 40 Mount Street, North Sydney
  • Spearhead the development and optimisation of on-boarding of Vodafone business customers to Vodafone
Business Sales Program Manager Jan 2009 - Jan 2011
Vodafone Hutchison Australia 40 Mount Street, North Sydney
National Transition Project Manager Jul 2007 - Sep 2009
Vodafone Australia Chatswood
Billing Analyst Jan 2004 - Jan 2007
Vodafone Australia Chatswood
Business Pro Mar 2019 - Current
Apple Castle Towers Castle Hill, NSW
  • Evangelized Apple's value proposition for business with a focus on high potential business customers.
  • Mentored a dynamic team and fostered culture aligned with Apple Steps of Service

School Certificate 2008
Oakhill College Castle Hill, NSW

PRINCE2 - Foundation, Project Management: Project Management 2008
Yellowhouse Sydney

PRINCE2 - Practicioner, Project Management: Project Management 2008
Yellowhouse New South Wales
Diploma of Business Administration: Business Expected in 2021
Accredited Online Training Cairns QLD
This resume is created in 7 minutes.
A highly motivated LVN, passionate about nursing & patient care. Strong ability to communicate clearly & effectively among staff. Seeking a position within a professional facility that will allow opportunities for growth within the medical community.
  • Total patient care/assessment/vital signs
  • Performed IV/Blood Withdrawal
  • Processing lab requests/specimen collection
  • Developed and implemented nursing care plans
  • Wound care treatment
  • Bedside care/ADL's
  • Care of drainage systems
  • Medication Administration per Physicians orders
  • Exercise good judgement, safety and physical comfort for patients
  • Diabetes care/patient education
  • HIPAA Compliance
  • Strong work ethic
FaceN'Body Cosmetic Surgery Upland, CA Licensed Vocational Nurse 09/2019 to 03/2020

Practiced HIPAA confidentiality and safeguarded all patient-related information. Answered patient calls, identified issues, addressed patient care needs, collected vitals, dressed wounds, collected biological samples for laboratory testing. Performed daily patient charting. Provided Pre- and Post-Operative Nursing care. Provided training of JP Drain Care to patient. Performed removal of JP Drains/Sutures/Staples post surgery. Initiated Pre-Surgical IV Catheter administration.

Comcare Home Health Providers Glendale, CA Licensed Vocational Nurse 03/2018 to 03/2020

In-Home Patient Care, Wound Care Treatments, Profore Wrapping, Pressure Ulcers, Diabetic Ulcers, Surgical Wounds, Medication Management, Home Safety Evaluations, electronic documentation.

MedAmerica Billing Services, Inc.-Ontario, CA Medical Billing Specialist 09/2009 to 03/2018 ​Expertise include filing ER Outpatient Claims/Appeals for all Commercial/Government/Workers Compensation payers
Heritage Park Nursing Center-Upland, CA 05/2017 to 09/2017

Long Term Care Hospital

Inland Valley Rehabilitation-Pomona, CA 08/2016 to 04/2017

Sub Acute, SNF, Alzheimer Unit, Long Term Care Hospital

Education and Training
License: Licensed Vocational Nurse 2017 American Career College, Ontario, CA, United States
Certification: Medical Billing/Coding 2009 American Career College, Ontario, CA, United States Medical Billing/Coding Specialist
  • California Vocational License/Registration Number: VN695497
  • IV Therapy/Blood Withdrawal Certified
  • CPR/BLS Certified
  • Medical Billing/Coding Certification
This resume is created in 7 minutes.
Professional Summary

Driven and dedicated healthcare/billing and  Revenue Cycle AR Manager with over 20 years hands-on experience in fast-paced medical and hospital environments. Accountable and responsible with a strong focus on patient wellness. Extensive experience managing large‐scale projects from the requirements gathering phase to completion. I am highly skilled in tracking details, communicating deadlines, and following‐up with internal and external partners to ensure on‐time completion. Self-motivated service-focused professional seeking to leverage both experience and education as a Medical Billing Manager and Revenue Cycle AR Manager. Detail-oriented and organized individual who exemplifies professionalism, and an ability to manage multiple projects and tasks at any given moment. Demonstrated history of successful financial management and customer service, while maintaining a positive company image. Highlighted leadership qualities and the ability to work with individuals from varying backgrounds, while promoting team values. Driven partner eager for professional growth, increased responsibility, and the opportunity to apply extensive experience in a challenging environment.

Business Management 1987 Queens- Borough Community College Queens , NY
High School Diploma 1985 Erasmus Hall High School Brooklyn, NY
On Going Education 2006 Oncology-Hematology Mangers of New York (HOMNY)

Member of Not-for- profit organization providing ongoing education, resources, and support for Hematology and Oncology management professionals. 

Skill Highlights
  • Staffing management ability
  • Proven patience and self-discipline
  • Conflict resolution
  • Patient-oriented
  • Personal and professional integrity
  • Financial aptitude
  • Sound decision making
  • Critical thinking proficiency
  • Proficient in Oncology & Hematology Billing
  • Proficient in Collections and insurance A/R  
  • Claims analysis and review specialist
  • Staff training and development
Professional Experience
Revenue Cycle AR Manager -BC/BS 10/2017 to Current ProHealth Care Associates, LLC New Hyde Park, NY
  • Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency. 
  • Review insurance short pay and denials.
  • Analyzed and reported on billing cycle data to inform management.
  • Oversaw complete lifecycle of revenue operations.
  • Monitored revenue and compared to targets to address any variances., and the resolved actual-to-budget variances.
  • Managed billing and collection processes as part of a  team.
  • Boosted job efficiency by working closely with other analysts so that tasks and processes could be streamlined and duplication was avoided. 
  • Presented regular status updates including workflow recommendations to senior management.
  • Detailed all key revenue cycle information into thorough presentations to deliver to executives and the management team.
  • Managed the financial and statistical data analysis for a  annual revenue-producing business to provide detail on KPIs.
  • Monitored revenue status and created detailed reports for senior management.
  • Updated patients accounts with interactions, payments and personal information.
  • Collaborated with carriers to resolve discrepancies in insurance payments.
  • Documented and tracked customer account details using GE Centricity.
  • Resolved routine and complex issues by performing detailed research.
  • Managed denials, late payments, extensions and other special circumstances by following up with relevant parties.
  • Answered patients questions and addressed problems and complaints in person and via phone.
  • Identified new techniques that would improve workflows and addressed them with team members.
Oncology Hematology Billing Manager 06/2016 to 10/2017 ProHealth Care Associates, LLC New Hyde Park, NY
  • Carefully selected, developed and retained qualified staff.  
  • Responsible for Overseeing entire billing department for company's Oncology Hematology billing.
  • Responsible for performing all aspect of insurance A/R and Collections.
  • Prepared patients financial responsibilities and ensure payments are been made in a timely manner.
  • Oversees preauthorization/Referral for all Oncology medications and Chemo therapy treatments.
  • Oversees 14 billers and collectors.
  • Responsible for all external insurance appeals.
  • Conducted probationary and annual performance evaluations of all billing staff.
  • Review and approve time cards for processing by payroll department.
  • Identifies and resolve patient billing complaints
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Senior Medical Biller/Collector 11/1999 to 06/2016 ProHealth Care Associates, LLC New Hyde Park, NY
  • Initiated priority billing plans, analyzed outstanding accounts and set up procedures for prompt reimbursement for services rendered.
  • Introduced a wide range of billing methods, which increased billing procedures by 40%.
  • Directed aspects of financial reporting, accounts payable and accounts receivable.
  • Performed heavy accounts receivable follow up.
  • Prepared and organized patient's information.
  • Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
  • Evaluates patient's financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
Insurance verification Specialist 09/1987 to Current Northwell Hospital New Hyde Park, NY
  • Pre-register patients for surgery.
  • Responsible for advising patients prior to surgery of all financial responsibilities.
  • Effectively served as an advisory resource by providing patient/family experience expertise.
  • Responsible for insurance verification prior to surgery.
  • Follow specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information. 
  • Ensure that all patient and insurance data was updated regularly and carefully inputted into the company's computer system.
Finance Representative 10/1994 to 11/1999 Parker Jewish Institution for Rehabilitation New Hyde Park, NY
  • Responsible for billing and collections.
  • Responsible for performing all aspect of insurance A/R and Collections.
  • Prepared patients financial responsibilities and ensure payments are been made in a timely manner.
  • Reconciled monthly A/R.

    References available upon request
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Driven and Dedicated business professional with over 15 years of administrative support experience and 10 years of office management experience. I am personable, have a positive attitude and interact well with clients and coworkers. Team leader who is able to motivate a positive work environment and maintain critical thinking skills essential to providing competent and dignified patient care. Exceed in resolving provider and member challenges in utilizing health benefits to the fullest, directing member to appropriate specialist providing innovative solutions, systems and process  improvements proven to increase efficient, customer satisfaction.

  • Policy/program development
  • Staffing management ability
  • Patient-oriented
  • Relationship and team building
  • Staff training and development
  • Insurance Billing Experience
  • Medical Assistant Experience
  • Authorization submissions
  • Medical Terminology
  • Report and Document Preparation

  • Accounts Payable/ Receivable
  • Organize Physicians Schedule 
  • Schedule appointments and Surgeries
  • Eligibility Verification and Referrals
  • Grievance Responses
  • Inventory Management
  • Evaluations and Payroll
  • Over 10 years Experience in Office Management
  • Over 15 years experience as medical assistant
  • Proficiency in Microsoft Office
Office Manager 12/2005 to Current Chapparel Medical Group Pomona, Ca
  • Manage two offices with a staff of 12 and 6 providers that specialize in Internal Medicine, Endocrinology, Rheumatology and Primary Care.
  • Carefully selected, developed and retained qualified staff, as well as train new staff.
  • Responsible for payroll and time cards
  • Completed billing and daily deposits, monthly office logs and grievance responses
  • Purchase equipment, medications, and office supplies for the office.
  • Coordinate insurance audits, and office in-services
  • Collaborate meetings between physicians and vendors
  • Organize physicians schedules and assign patients

Insurance Billing Dept 02/2003 to 11/2005 USC University Alhambra, Ca
  • Insurance Biller worked with over 100 accounts on daily basis
  • Collaborated with insurance companies in receiving the proper reimbursement
  • Experience in working with HMO, PPO, Workers Compensation and Transplant Accounts
  • Excellent written skills in preparing appeal letters
  • Created daily stats reports for management that helped reduce inaccuracies
  • assistant to Department Manager
  • Maintained positive attitude and produced high-quality work
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Responsible Medical Billing Specialist with excellent communication skills demonstrated by 20 years of experience in healthcare. Patient-focused skilled at medical billing and office management. Office computer systems MS Office, Allscripts, PPlus, Medisoft, Medics Elite, Invision and Veeva.
  • Maintains strict confidentiality Good written communication
  • Medical Manager Software Team player with positive attitude
  • Managed care contract knowledge Strong work ethic
  • Electronic Medical Record (EMR) software Patient-focused care
  • HIPAA compliance Strong planning skills
  • Operations management
  • Results-oriented
  • Computer proficient
  • Reports generation and analysis
  • Financial records and processing
  • Training and development
Billing Manager Oct 2017 to Current
  • Germantown Physical Therapy Germantown, MD Efficiently performed insurance verification and pre-certification and pre-authorization functions.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
  • Consistently informed patients of their financial responsibilities prior to services being rendered.
  • Meticulously tracked and resolved underpayments.
  • Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.
  • Carefully prepared, reviewed and submitted patient statements.
  • Applied payments, adjustments and denials into medical manager system.
  • Posted charges, payments and adjustments.
  • Completed appeals and filed and submitted claims.
  • Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
  • Thoroughly reviewed remittance codes from EOBS/AR's.
  • Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
  • Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
  • Thoroughly investigated past due invoices and minimized number of unpaid accounts.
  • Performed full-cycle medical billing in a fast-paced medical billing company.
Medical Billing Manager Aug 2016 to Current
Washington Medical Group Washington , DC
  • Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
  • Serves as the practice expert and go to person for all coding and billing processes.
  • Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.
  • Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.
  • Follow up on claims using various systems.
  • Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
  • Prepares and analyzes accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice Administrator.
  • Collects and compiles accurate statistical reports.
  • Audits current procedures to monitor and improve efficiency of billing and collections operations.
  • Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
  • Participates in the development and implementation of operating policies and procedures.
  • Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
  • Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
  • Keep up to date with carrier rule changes and distribute the information within the practice.
Reimbursement Counselor Aug 2015 to Current
Mental Health Drugs Rockville, MD
  • Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program Effectively utilizes various means for collections including but not limited to phone, fax, mail, and online methods.
  • Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
  • Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payers.
  • Researches and resolves any electronic claim denials Provides exceptional customer service Answers inbound phone calls Maintains confidentiality/HIPPA in regards to patient account Processes any necessary insurance/patient correspondence Ensured the accuracy of public information and materials.
Billing Manager Jan 2014 to Jan 2015
Robinwood Orthopaedics Hagerstown, MD
  • Collect and post patient payments and answer any billing questions Follow-up on all self-pay claims Monitor collections Managing and directing the office daily operations and programs Managing the office human resources to include recruitment, coaching and counseling, and employee development Managing the financial performance of the office Overseeing office billing performance Claims Processing Issue insurance refunds Identify and issue patient refunds Initiating and organizing all paperwork pertaining to the admission of patients, following up with calls to patients Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations.
Medicare Recovery Resolutions Specialist Jan 2013 to Dec 2013
Frederick, MD
  • Make a minimum of 30-40 outbound calls a day Complete a minimum of 20 investigation records a day Evaluate data and submit updates to Medicare Constantly meeting productivity goals Work with several computer systems Excellent customer service skills.
Medical Billing Specialist Apr 2010 to Jan 2013
Dr. Farhad Naseh Gaithersburg, MD
  • Appeal all unpaid medical claims Verify patients insurance information Post payments/ Collections insurance and patient Follow up on A/R reports Financial Reports prepared for the doctor and the accountant Excellent customer service.
Reimbursement Specialist Apr 2003 to Mar 2010
Maryland Respiratory Group Frederick, MD
  • Work on special projects with the insurance companies Work on A/R reports Appeal all unpaid medical claims Send out claims electronically Assist patients with medical assistance applications Post insurance and patient payments.
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Professional Summary

Conscientious, personable, energenic Administrator, with 20+ years of experience in a professional office setting. Motivated self starter who's earned a reputation for being proficient hard working, and reliable.
  •    Personal and professional integrity
  •    Staffing management ability
  •    Proven patience and self-discipline
  •    Motivation techniques specialist
  •    Conflict resolution
  •    Critical thinking proficiency
  •    Patient oriented
  •    Financial aptitude
  •    Relationships and team building
  •    Staff training and development
Work History
Clinic Administrator
November 2016 to Current
Doran Clinic For Women Ames, IA
  •  Responsible/accountable for leading and managing a physician clinic, of 23 employees.
  • Instrumental in defining the mission, goals, budget, and performance standards for the clinic and communicating to the staff.
  • Use skills in planning, organizing, delegating, and supervising.
  • Work effectively with physicians, staff, patients, public and external agencies.
  • Ability to take initiative and exercise independent judgement, decision- making and problem solving expertise.
  • Lead employees to accomplish all job objectives; inspires confidence and motivation, clearly define expectations, and maintains personal effectiveness under pressure.
  • Develop and monitor and analyze budget and financial information.
  • Knowledge of legal issues in all aspects of operations to ensure compliance with regulatory agencies and rights for all patients.
  • Skills which are pertinent to areas of responsibility.
  • Develop and monitor standards that comply with safety, infection control and patient relation standards.
  • Maintain aesthetic environment for the clinic 
  • Supervise, hires, assigns counsels disciplines and discharge employees
  • Maintain 97% or better adjusted net collection rate.
  • Demonstrate working knowledge of the practice management system.
  • Knowledge of all Insurance Companies, guidelines; clinic billing procedure.
  • Knowledge with regard to diagnostic and procedure coding, and reimbursement.
  • Reconciles, receipts, ensures accounts receivable at less than 60 days of average monthly charges.
  • Maintain confidentiality, develop policies and procedures.
  • Manage Accounts Receivable
  • Prior Authorizations
  • Credentialing of Providers
  • Knowledge of Insurance Company Reimbursements, standards of coding and payment process
  • Extensive knowledge of CPT & ICD10 coding
  • Reconcile daily charges and receipts
  • Pay corporation bills, maintain the checkbook
  • Develop and implement office policies and procedures
  • Address all patient questions and concerns with billing, insurance,payments
  • Manage providers state , federal and pharmacy license
  • Develop procedure charges by RVU's
  • Formulate objectives and processes
Patient Care Coordinator
March 2011 to October 2014
LE Delucca MD FACS Fort Dodge, Iowa
  • Complete responsibility of front office duties, which included posting charges and receipts
  • Balance day sheet
  • End of day close, bank deposit
  • Managing multiple phone lines, patient data entry, insurance eligibility, coding
  • billing, insurance, patient education.
Business Manager
October 2006 to April 2011
Iowa Oto Head & Neck Specialists PC Fort Dodge, Iowa Job responsibilities mirror those of Iowa ENT
Billing Manager
March 2001 to October 2007
Fort Dodge, Iowa
  • Complete responsibilities of coding, billing, insurance reimbursement.
  • Entering charges, receipts, working denials, filing of electronic claims
Clinic Administrator
October 1994 to January 2016
Iowa ENT & Sinus Surgery Center Fort Dodge, IA
  • Responsible for the operations and administration side of a medical practice.
  • Ensures office is running smoothly by supervising office staff, hires, terminates, and train employees.
  • Oversee all patient insurance and billings, practice financials.
  • Coding for all office, surgical, inpatient and outpatient charges.
  • Process all insurance.
  • Post all charges and receipts.
  • Expense control.
  • High level of confidentiality, following HIPPA standards.
  • Electronic filing of insurance and billing, working all denials of claims.
  • Conduct monthly staff meetings, provider and employee participation.
  • Formulate objectives and processes.
  • Address all patients with concerns on billing, insurance, payments
  • Schedule appointments & surgeries
  • Maintain Electronic Medical Record
  • Perform data entry and processing
  • Developed and produced all office brochures
  • Provided educational material for patients
  • Develop and implement office policies and procedures
  • Supervise receptionists, nurses, and all ancillary employees
  • Establish, maintain employee files, reflecting salary, benefits, PTO
  • Access employee performance
  • Marketing Practice and Practice Enhancement
  • Managing local office and two outreach clinics
  • Maintain practice network system, updating all software
  • Providers credentialing, managing state, federal and pharmacy license
  • Maintain speadsheet per insurance company, CPT code, reimbursement
  • Develop procedure charges by RBRV's
  • Conduct weekly staff meetings, summarizing weekly schedule, important issues to address
  • Formulate objectives and processes​
Registered/Certified Dental Assistant
October 1977 to March 1991
Dr John & Joyce Garton Fort Dodge, Iowa
Lead dental assistant, chairside assistant
  • Lead chairside assistant
  • Practicing four handed denistry
  • Taking impressions, pouring models
  • Taking x-rays, periapicals, panorex
  • Developing, mounting x-rays
  • Developing a treatment plan & payment plans for patients
  • Dental Insurance, Prior Authorizations
  • Appointment Scheduling, managing.
  • Multiple phone lines, posting charges and receipts, sending statements, accounts receivable and payable, bank deposit.
  • Purchasing supplies, complete inventory.
Taking online classes : Healthcare Iowa Central Community College Fort Dodge, IA Healthcare
Associate of Applied Science : Denistry, 1977 Iowa Central Community College Fort Dodge, IA Dentistry
High School Diploma : 1975 Fort Dodge Senior High School Fort Dodge, IA
Professional Organizations
Association of Otolaryngology Administrators
Allscripts SuperUser Manager
Leadership Program
MAD Make a Difference Fort Dodge
Volunteer Groups
Eucharistic Minister
Hospice Volunteer
Coats For Kids
Chaired Relay For Life 6 years
Personal Values
Integrity and Honesty
Excellence Driven
Open Communication
Innovation and Creativity
Continuing Education
Yearly attendance to Administrative Academy of Otolaryngology
Listing of CEU's, most current
Karen Zupko, Coding Management, Changing Healthcare, Modifier Usuage
Coding correctly-Are you leaving money on the table
Otolaryngology Coding-Physician Documentation Does It match level of service charged? You be the expert
Electronic Health Record-Don't get caught duplicating
CMS Meaningful Use
Are you ready for ICD10?
Managing Medicare and Medicaid
Managing difficult staff
Are staff doing their jobs?
Reimbursement in 2016
Hiring, Training, Staff Development
Organizational and Cultural Effectiveness
Improving Patient Experience
Advanced ICD 10, Critical Documentation, Improvement for Providers
PQRS made easy
Mastering ENT coding
Marketing Your Practice
Are You Overstaffed?