PATIENT SERVICE SUPERVISOR Resume Example
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PATIENT SERVICE SUPERVISOR
Professional Summary
Strategic Operations Manager with more than 15 years of experience leading and overseeing Clinical and Operational business activities. Strong history of devising precise and targeted business operations plans, managing all departments, reviewing performance and driving change. Forward-thinking leader with expertise in setting goals, and quality standards. Innovative Leader dedicated to boosting all areas of operations and business administration. Dedicated and dependable with proven success in implementing cost-reduction initiatives savings and drive the skills and knowledge to resolve complex issues and challenges. I would like to advance my career where I can utilize my extensive skills and management experience.
Skills
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Work History
PATIENT SERVICE SUPERVISOR07/2007 to 01/2009
Pediatric Home Service – Beaumont , TX
Pediatric Home Service – Beaumont , TX
- Supervised ten employees in assisting patients and reviewing their confidential electronic medical records, assessing employee performance and designing professional development plans.
- Taught conflict resolution strategies to staff and patients.
- Identified and resolved simple software and hardware issues for computer and electronic medical documents.
- Facilitated a monthly meeting for the entire clinic for internal and external growth information.
BILLING MANAGER01/2009 to 11/2013
Cargomatic – Houston , TX
Cargomatic – Houston , TX
- Administered daily operations, strategic planning, process improvement development, data entry, patient's registration, pre-certification, insurance claims and benefits processing, charge authorization, coding, and ICD 10.
- Directed and trained staff on system upgrades, presenting Electronic Health Records system integration to prospective physicians at the hospital for billing purposes.
- Reconciled accounts payable/receivables for multiple offices in different parameters.
- Piloted the development of a patient collection strategy, increased collection by 85% over 12 months.
ASSISTANT BUSINESS OPERATION MANAGER11/2013 to 06/2017
Verizon Communications – Humble , TX
Verizon Communications – Humble , TX
- Led the allergy center out-patient clinic, surgical group, pediatric, infectious disease and adult sleep center including training staff on HIPPA compliance, policies, and procedures.
- Implemented policies and procedures, best practices, and standards are implemented while leading business process improvement initiatives for billing purposes.
- Eliminated operational inefficiencies (e.g.
- Overlap in scheduling) by effectively managing the pediatric surgical group, advised staff on hospital preparation for surgery, leading system integration efforts to capture patient data, interpreting policies and procedures to employees for HIPAA compliance, and built collaboration among clinical departments, key stakeholders, and end users.
- Regulated pediatric and adolescent sleep center operations and processes, ensuring the effectiveness of the patient sleep study, insurance, benefits, and procedure authorization, as well as managed operational budgets, patient processing, insurance eligibility benefits, and physician scheduling.
BUSINESS OPERATIONS MANAGER06/2017 to Current
NATIONAL SPINE AND PAIN CENTERS – City , STATE
NATIONAL SPINE AND PAIN CENTERS – City , STATE
- Deliver quality services that meet the needs of patients, providers, and the whole organization while adhering to rules and regulations for medical and specialty office operations.
- Spearhead all administrative and clinical direct reports, modifying systems, and managing equipment, payroll, and new patient P&L budgets and HR duties.
- Execute projects, such as the new UDS protocol, pilot team for Business Optimization, meeting for MIPS, and 100% Klaser Therapy Revenue.
- Managing multiple projects, risk identification and contingency plan.
- Profit and Loss analysis for the Actual vs.
- Budget Revenue and Forecasting next year New Consult.
- Institute and maintain an effective compliance communication program for the organization.
- Responsible for the key performance indicators at the center and for staff retention and morale such as Growth, Contract Fulfillment, Finance/Reimbursement/Profitability.
- Payer mix analysis and Management pack to determine payment and reimbursement between private vs.
- Government insurance.
- Conducting regular medical records and coding compliance by reviewing, ensuring proper coding before submitting claims to insurance.
- Weekly meeting with the providers to discuss their RVU (Relative Value Unit) in determining the status of the volume of patients and their bonuses.
Education
MASTER OF BUSINESS ADMINISTRATION (M.B.A: Project Management2018University of Phoenix-
City,
State
PROJECT MANAGEMENT CERTIFICATION2016University of Phoenix-
City,
State
BACHELOR OF SCIENCE OF BUSINESS ADMINISTRATION (B.S.B.A: Management2015University of Phoenix-
City,
State
Accomplishments
- ADDITIONAL CREDENTIAL, ACCOMPLISHMENT AND TECHNICAL PROFICIENCY.
- BLS Certification (June 2020), Class IV Therapeutic Laser Certified K-Laser USA (May 2018).
- Recipient of the Customer Service Award for the outstanding service 2017 with NSPC.
- Ranked number 1 in EBITDA Revenue throughout DMA area for Q1 and Q2 2019.
- Top 2 in NPS (Net Promoter Satisfaction), 192% increase in NPC that led to number 1 in all DMV locations for P&L with NSPC.
- Recognized for upgrading Epic EHR and Allscript Practice Management system, increasing processes and revenues by 100% with FNA.
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Resume Overview
School Attended
- University of Phoenix
Job Titles Held:
- PATIENT SERVICE SUPERVISOR
- BILLING MANAGER
- ASSISTANT BUSINESS OPERATION MANAGER
- BUSINESS OPERATIONS MANAGER
Degrees
- MASTER OF BUSINESS ADMINISTRATION (M.B.A : Project Management 2018
PROJECT MANAGEMENT CERTIFICATION 2016
BACHELOR OF SCIENCE OF BUSINESS ADMINISTRATION (B.S.B.A : Management 2015
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