Experienced Hospital Administrator offering over 8 years of healthcare experience. Highly accurate and efficient with strong time management skills and reliable, hardworking nature.
Skills
Medical Software: EPIC, EZ-Access
Medical Billing
Leadership
Strategic Planning
Medical Records Review
Process Improvement
Team Management
Project Management
Work History
Ambulatory Site Administrator , 01/2018 to Current Health Alliance Of Hudson Valley – Margaretville, NY,
Accurately document and troubleshoot all onsite issues using EPIC
Generate reports to inform stakeholders and hospital executive teams of financial and patient statuses for various quality projects including DSRIP, PCMH, Meaningful Use, & Health First HQIP
Work with providers and site staff to define quality metrics and develop outcome reporting processes
Review charts for quality management and to gather data related to ambulatory department quality improvement projects
Oversee administrative EPIC functions such as schedule and WQ management, registration and related revenue cycle activities
Researched and compiled statistical data to support cost control and care improvement initiatives
Identified new methods to optimize site work flows and performance improvement design and development
Support operations; including hiring, training, and issuing disciplinary actions in compliance with institutional policies and requirements
Supervise staff of over 18 employees
Train direct reports on procedures, policies, and EPIC & Dentrix system applications to maximize department effectiveness
Utilized Dentrix software to manage onsite dental practice
Work with staff to prepare for Joint Commission, CMS & DOH surveys in order successfully meet compliance standards and required elements of performance elements
Ambulatory Care Manager , 10/2016 to 01/2018 Brookdale Hospital Medical Center – City, STATE,
Analyzed key performance indicators to assess and manage risk, evaluating patient care flows and created procedural changes to increase efficiency
Coordinated referrals to specialist, hospitalizations, ER visits, ancillary testing and other enabling services for patients
Educated and evaluated staff regarding care quality management regulations and standards of care
Provided direct supervision, ongoing staff development and continuing support and guidance
Redesigned workflow processes for patient access and back-end revenue cycle processes, resulting in reduction of denials
Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations
Developed and updated policies and procedures, maintained compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, administration and ambulatory liability
Ambulatory Care Patient Services Associate, 01/2011 to 10/2016 Brookdale Hospital Medical Center – City, STATE,
Conducted preliminary interviews from patients upon their arrival on date of service; validate patient demographics and activate patients in EPIC system
Verify patient insurance by confirming and documenting eligibility of coverage benefits, including coverage limits, patient responsibility, effective dates, and obtaining pre-authorizations when necessary
Record sensitive data into EMR, and enter billing information utilizing knowledge of ICD-10 codes; perform collections and cashiering functions when appropriate
Ensure that office dynamics and lines of communication are open between physicians, patients, hospital staff, and external healthcare personnel in order to communicate applicable medical information to appropriate parties and ensure smooth functioning of internal operations
Record, track, and prepare patient referrals for individuals who need second opinions with specialties
Upload and merge documentation from external facilities into EPIC system
Facilitate special projects in efforts to improve quality of care for patients and increase volume
Haitian French patient translator for physicians and staff
Education
Master of Science: Healthcare Administration, Expected in 2015 Central Michigan University - Brooklyn, NY, GPA:
Coursework in Managed Care: Origins, Organizations, and Operations, Community and Public Health,Legal Aspects of Health Services Organizations, Research Methods in Administration, Financial Analysis,Planning & Control, Strategic Planning for the Administrator, Applied Research Project in Administration
Bachelor of Science: Psychology, Expected in 2008 Oral Roberts University - Tulsa, OK, GPA:
Member of Freshman Leadership Council & Psi Chi , International Honor Society in Psychology
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