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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

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 ValleyMargaretville, 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 CenterCity, 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 CenterCity, 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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Resume Overview

School Attended

  • Central Michigan University
  • Oral Roberts University

Job Titles Held:

  • Ambulatory Site Administrator
  • Ambulatory Care Manager
  • Ambulatory Care Patient Services Associate

Degrees

  • Master of Science
  • Bachelor of Science

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