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.
Skills
Accreditation support
Healthcare delivery
Personnel management
Patient safety
Facility oversight
Regulatory requirements
Staff supervision
MS Office
Health information systems
Patient relations
Experience
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.
Education and Training
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:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
