More than 20 years healthcare business as well as some clinical background experience with strengths in process development and improvement, relationships development and management, contract negotiations, training, team leadership, government program and reimbursement methodology expertise, and medical revenue cycle management.
Leadership, Multimillion-dollar P&L management and reporting, Multi-unit Operation Management and Oversight, Negotiation Skills, Process Improvement
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Initiated corporate development of growth strategy, created policy and procedures, rolled out healthcare reform initiatives. Report directly to the Board of Directors, facilitate Board Meetings, facilitate communication and process and policy development for all 31 practitioners and 13 locations, Enhanced health insurance and managed care contracting, organizational financial management and reporting, corporate legal and financial liaison, oversight of pathology laboratory operations and revenue management
National Account Team Management, negotiated managed care contracts on all levels and with multiple provider types, Congressional Inquiry point of contact for all provider related issues, employee performance evaluations, Escalated issue resolution Provider data management Network development and management (national and regional levels) Evaluation and redesign of team monthly reporting process Oversight of provider education presentation enhancements Relationship management for 11 subcontractors with regional network responsibilities Responsible for monitoring and maintaining multiple metrics to meet and exceed government contract requirements and organization goals Promoted from Provider Education and Relations Manager to Network Contracting Manager December 2008 Promoted from Network Contracting Manager to Direct Contracting Manager Sept 2011.
Managed practice startup and enterprise operations, Regulatory Compliance Officer (OSHA, HIPAA), financial reporting, employee benefit development, Hospital relations liaison, provider credentialing (CAQH and hospital privileges)
Responsible for team of government payer billers and account resolution.
Managed entire site staff including 6 surgeons, 2 behavioral health professionals, nursing, dietitian, medical assistants, insurance specialists and front desk staff Responsible for clinic flow and efficiencies Responsible for meeting corporate goals and adherence to corporate procedural and policies compliance Maintained status of most profitable non-corporate site of 8 national locations
Emergency Department Medical Assistant and Admissions Specialist
IT Project Management
Supervisor of instructor team, Instructor of Medical Assisting and Phlebotomy Programs, Student externship coordination and evaluation,
Practice administrator of multiple surgeon specialty practice Supervision of practice office staff, billing processes Clinical duties included assisting surgical procedures, IM injections, phlebotomy, pharmaceutical supply management and dispensing Facilitated and managed computer system implementation Organized and facilitated move of practice location Managed all provider credentialing and updates for all payers and facility privileges Implemented process improvement to billing processes resulting in 33% AR reduction in 3 months.
Magna Cum Laude
New England Scholar Award, 1999 and 2000
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School Attended
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