November 2008-CurrentEMS ChiefAyden Rescue and EMS, Inc. | Ayden NC Develops EMS goals, policies, and practices; monitors progress; conducts on-going review and revision. Coordinates research, development, evaluation and recommendations regarding EMS equipment, practices, forms, and technology. Attends and participates on boards, committees and at meetings as a representative of the department at the local, regional and state Responds to inquiries and provides information. Responsible for maintaining and releasing EMS-related information, documents, and records (including Pre-hospital Care Reports) in accordance with applicable department policies and practices, local, state and federal regulations. Ensures that all EMS operation are performed per departmental policies and protocols and applicable legal requirements including the North Carolina Office of EMS, Pitt County Medical Control, Medicaid, and Medicare Regulations. Prepares an annual EMS budget, department annual report, and other reports and records. Recruits and interviews and performs performance evaluations of Paramedic interns and EMS personnel. Ensures controls are established, implemented and enforced regarding the use, dispersal, storage, documentation, procurement, and disposal of narcotics. Oversees and administers the Quality Assurance Program, Ride-Along Programs, Multiple Patient Casualty Plan, and the Paramedic Internship Program. Oversees the Infection Control Policy and oversees the Infection Control Officer who maintains all infection control records.
January 2001-November 2008Chief Operations OfficerMed 1 Medical Transport | Winterville NCMaintained working knowledge and compliance of any local, state, and national regulations identified as regulatory requirements. Oversight of the analysis of claims, encounters, and billing statements to minimize the risk of fraud, waste, and abuse. Created new policies and amend existing policies to improve operations as needed. Present recommendations on the operations of the organization and propose changes to mitigate risk and facilitate future growth. Directed all claims activities including overall review and approval of claims for processing and adjudication. Developed action and contingency plan to correct bottlenecks and backlogs, to reach productivity and meet contractual requirements. Managed the development, implementation, and on-going maintenance of claims handling systems, policies and procedures, and day-to-day functions. Fostered positive working relationships with all stakeholders to assure prompt communications regarding claims activities. Developed and implemented a disciplined performance review process to review the performance of balanced metrics to ensure department achieves goals. Assisted in the development of measurement tools to assess overall effectiveness in meeting its business plan objectives.