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Detail-oriented Medical and Health Services Manager passionate about facilitating excellent patient care. Adept at designing and implementing policies and procedures. Motivated team builder and supervisor focused on driving team collaboration.
- Accreditation support
- Healthcare delivery
- Personnel management
- Patient safety
- Facility oversight
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- Regulatory requirements
- Staff supervision
- MS Office
- Health information systems
- Patient relations
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Nursing Staff Coordinator, 10/XXX8 to Current
Harris Health System – Houston, TX,
- Directed staffing resources to facilitate rotational deployments.
- Determined minimum staffing requirements for each nursing job class by examining unit-staffing patterns.
- Monitored nursing schedules to verify hours and prevent unauthorized overtime.
- Coordinated and scheduled clinical, dietary and facility staff to achieve optimal coverage for all shifts.
- Maintained schedules in Staff Anywhere with master copies, adjustments and notes.
- Reorganized schedules quickly to coordinate responses to emergencies, shortages and other immediate staffing needs.
- Communicated with nursing management to identify and adapt to changing staffing needs.
- Communicated with patients with compassion while keeping medical information private.
- Reviewed and assessed staff processes, reducing hazards posed for residents and staff while promoting regulatory compliance.
- Participated in meetings with department heads to discuss census information, admissions and discharges for residents.
Medical Billing and Collections Specialist, 04/XXX7 to Current
Air Methods – Dodge City, KS,
- Participated in educational opportunities, including workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
- Reviewed legal claims for accuracy and issues.
- Gathered information to produce accounts payable reports for review.
- Checked claims coding for accuracy with ICD-10 standards.
- Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity.
- Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Reconciled codes against services rendered.
- Facilitated payment of invoices due by sending bill reminders and contacting clients.
- Submitted claims to insurance companies.
- Expedited payments by verifying accuracy and currency of vendor information.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Created receiving reports and updated vendor balance sheets to record accounts payable.
- Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Performed insurance verification, pre-certification and pre-authorization.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
Practice Manager of Operations, 04/XXX0 to Current
Davita – Lafayette, IN,
- Communicated with patients with compassion while keeping medical information private.
- Cultivated close working relationships with the entire staff, including Providers, Nurses and Techs.
- Addressed any patient or team member concerns immediately.
- Oversaw 26 assistants, technicians and office administrators.
- Complied with OSHA and HIPAA regulations.
- Supported the entire practice's staff, which boosted efficiency and improved the overall process flow.
- Mentored and coached interns and newly hired team members on office procedures and computer systems.
- Ordered all supplies needed and kept tabs on inventory levels.
- Coordinated financial operations, including budgeting, accounting, expenses and financial reporting.
- Created and maintained electronic record management (EMR) systems to store data and develop reports.
- Consulted with clinicians to develop business strategy.
- Motivated staff by offering direction and providing constructive feedback.
- Created and implemented policies and procedures for effective practice management.
- Checked entire office and waiting areas regularly to provide clean and organized surroundings.
- Resolved conflicts promptly among physicians, nurses and other healthcare employees to keep workflows on task.
- Formulated and implemented testing and interpretation practices and procedures to maintain standards of care and quality assurance benchmarks.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Facilitated peer-to-peer conflict resolution.
- Managed operations in accordance with budget requirements.
- Created and implemented policies and procedures for effective pharmacy management.
- Recruited and hired intelligent clinical and administrative staff to bolster skills set of already talented team.
- Initiated training and education programs for supporting healthcare staff.
Medical Assistant, 05/2007 to 04/XXX0
Witham Health Services – Indianapolis, IN,
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analyses.
- Partnered with healthcare and administrative staff to create patient-centered, inviting and supportive environment for patients and families.
- Efficiently performed insurance verification and pre-certification and pre-authorization functions.
- Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
- Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
- Prepared prescription refill requests on behalf of physician to prevent lags.
- Coordinated and executed medical waste disposal according to governmental and organizational standards.
- Followed all principles of asepsis and infection control to meet patient safety guidelines.
- Sterilized instruments and disposed of contaminated supplies in adherence to OSHA regulations.
- Printed and filed examination data records according to HIPAA patient standards.
- Performed, validated and reported laboratory tests for prognosis, diagnosis, treatment and research.
- Performed preliminary physical tests, such as taking blood pressure, weight and temperature, accurately recording results in patient history sumJessica.
- Reviewed treatment sheets for consistency, completeness and accuracy.
- Transmitted physician's orders to patients, counseling on execution and addressing follow-up questions.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Batch-scanned and indexed patient charts to improve data availability while maintaining security.
- Kept facility stocked with necessary supplies, equipment and instruments.
Medical Billing And Coding : Medical Billing And Coding , Expected in 05/XXX1
Star Career Academy - Newark - Newark, NJ
GPA:
Bachelor of Arts: Healthcare Management , Expected in 06/XXX4
William Paterson University Of New Jersey - Wayne, NJ
GPA:
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