Montgomery Street, San Francisco, CA94105, resumesample@example.com
Experience
01/2019 to CurrentPractice AdministratorCityblock | , ,
I am responsible for the overall operations, development and success of our group practice.
I act as an information resource and ambassador to patients, the general public, billing, Physicians and staff.
Manage 4 physicians, 3 nurse practitioners, and 1 PA: monthly physician and mid-levels schedules and call schedule, physician and mid-level patient assignment.
Manage physician and mid-level executive payroll.
Process profit and loss statements, ensuring medical record documentation meets both facility and practice billing requirements, case management coordination, and compliance.
Assist with utilization review and payer denials and maintain immigration paperwork and processes for VISA physicians:.
Inform providers of medical record deficiencies and monitoring until 100% completion facilitating interdisciplinary communication.
Quality reporting for CMS and any quality issues pertaining to the physician practice, assisting physicians as needed and notifying of any notices, meetings, and changes in processes,.
Serve as liaison between facility nursing supervisors, department directors, and administration& vendors.
Coordinate and complete all new hire documents, including contracts, credentialing, enrollment, and malpractice insurance.
Arrange and assist with new provider interviews, orientation, and scheduling, and reviewing and analysis of CPOE, HCAHPS, and other facility data reports regularly.
Ensure office is opened and closed daily, as per established schedules, Interview, hire and train new staff in accordance with HR guidelines.
Manage daily staffing to ensure optimal operation of the practice.
Regularly review productivity and make staffing adjustments as needed.
Monitor and approve timecards and track licensure requirements for staff.
Conduct regular staff meetings and annual performance evaluations for the administrative team.
Maintain and monitor A/R and A/P.
01/2018 to 01/2019Director of Clinical OperationsAmita Health | , ,
Manage patient access Referrals.
Front desk functions Patient Volume.
Front desk collections Authorizations.
Manage daily clinical operations VFC.
Staffing Scheduling.
HR functions Manage daily ops.
01/2016 to 01/2018Revenue Cycle DirectorBio-Rad Laboratories | , ,
Direct operations including staffing, training, and scheduling of providers, revenue cycle team, x-ray/lab personnel, information technology initiatives and human resources.
Oversee approximately 100 employees including 17 physicians and mid-levels across 6 locations; performed Human Resource functions including recruiting, hiring, separation, benefit enrollment, onboarding, and employee relations.
Manage provider contracting and credentialing with all payers including contract negotiation.
Facilitate insurance policy renewals and negotiations including malpractice, professional and general liability, directors and officers, workers compensation, and medical.
Utilize analytics to identify areas for improved claim rejections, wait times in clinic, provider coding trends, accounts receivable aging, collections.
01/2006 to 01/2016Senior Billing ManagerMikel | Fall River, MA,
Developed efficiency-enhancing workflow and process improvements that made it possible to accommodate increasing responsibilities necessitated by workforce functions.
Decreased Account Receivables by implementing needed controls on staff developing and training, faculty documentation and standardizing timely billing decreasing charge lag days and improved revenue margin.
Increased and improved the overall revenue of two multi-specialty surgical departments by bringing expert billing staff, monitoring, and overseeing overall front office staff and coordinating in-house billing functions.
In the course of the four-month L6S testing stage the average aging days improved by 15%, a calculated ROI was 343% with a total cost savings of $4,464
Key Accomplishments:.
Increased collections by over 45% in 2007; sustained level of receipts without additional personnel.
Increased practice satisfaction ratings from 75% to 95% in the LTC Reimbursement division.
Reduced error and denial rates from over 30% to 8% by improving continuing education and training functions.
Work History
01/2019 to CurrentPractice AdministratorOptimum Care Hospitalist Group PLLC | ,
I am responsible for the overall operations, development and success of our group practice.
I act as an information resource and ambassador to patients, the general public, billing, Physicians and staff.
Manage 4 physicians, 3 nurse practitioners, and 1 PA: monthly physician and mid-levels schedules and call schedule, physician and mid-level patient assignment.
Manage physician and mid-level executive payroll.
Process profit and loss statements, ensuring medical record documentation meets both facility and practice billing requirements, case management coordination, and compliance.
Assist with utilization review and payer denials and maintain immigration paperwork and processes for VISA physicians:.
Inform providers of medical record deficiencies and monitoring until 100% completion facilitating interdisciplinary communication.
Quality reporting for CMS and any quality issues pertaining to the physician practice, assisting physicians as needed and notifying of any notices, meetings, and changes in processes,.
Serve as liaison between facility nursing supervisors, department directors, and administration& vendors.
Coordinate and complete all new hire documents, including contracts, credentialing, enrollment, and malpractice insurance.
Arrange and assist with new provider interviews, orientation, and scheduling, and reviewing and analysis of CPOE, HCAHPS, and other facility data reports regularly.
Ensure office is opened and closed daily, as per established schedules, Interview, hire and train new staff in accordance with HR guidelines.
Manage daily staffing to ensure optimal operation of the practice.
Regularly review productivity and make staffing adjustments as needed.
Monitor and approve timecards and track licensure requirements for staff.
Conduct regular staff meetings and annual performance evaluations for the administrative team.
Maintain and monitor A/R and A/P.
01/2018 to 01/2019Director of Clinical OperationsJust Kids Pediatrics LLC | ,
Direct operations including staffing, training, and scheduling of providers, revenue cycle team, x-ray/lab personnel, information technology initiatives and human resources.
Oversee approximately 100 employees including 17 physicians and mid-levels across 6 locations; performed Human Resource functions including recruiting, hiring, separation, benefit enrollment, onboarding, and employee relations.
Manage provider contracting and credentialing with all payers including contract negotiation.
Facilitate insurance policy renewals and negotiations including malpractice, professional and general liability, directors and officers, workers compensation, and medical.
Utilize analytics to identify areas for improved claim rejections, wait times in clinic, provider coding trends, accounts receivable aging, collections.
01/2006 to 01/2016Senior Billing ManagerUniversity of Oklahoma Health Sciences Center | Oklahoma City, OK
Developed efficiency-enhancing workflow and process improvements that made it possible to accommodate increasing responsibilities necessitated by workforce functions.
Decreased Account Receivables by implementing needed controls on staff developing and training, faculty documentation and standardizing timely billing decreasing charge lag days and improved revenue margin.
Increased and improved the overall revenue of two multi-specialty surgical departments by bringing expert billing staff, monitoring, and overseeing overall front office staff and coordinating in-house billing functions.
In the course of the four-month L6S testing stage the average aging days improved by 15%, a calculated ROI was 343% with a total cost savings of $4,464
Key Accomplishments:.
Increased collections by over 45% in 2007; sustained level of receipts without additional personnel.
Increased practice satisfaction ratings from 75% to 95% in the LTC Reimbursement division.
Reduced error and denial rates from over 30% to 8% by improving continuing education and training functions.
Education
Expected in Master of Healthcare Administration | SOUTHERN NAZARENE UNIVERSITY, Bethany, OklahomaGPA:
Expected in Bachelor of Human | Resource ManagementSOUTHERN NAZARENE UNIVERSITY, Bethany, OklahomaGPA:
Expected in Lean Six Sigma green belt certification for Healthcare
ICD-10
Medicare Part A & B Workshop
CMS Evaluation & Management Seminar | , , GPA:
Summary
Experienced medical office executive with substantial emphasis in leadership, business strategy, process improvement, and change management. I excel in operational efficiency, fiscal management & budgeting, with a strong and effective focus on utilizing Lean Six Sigma techniques and analytics to increase efficiency, productivity, and profitability.
Highlights
Leadership Process Flow Improvement Patient Access
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School Attended
SOUTHERN NAZARENE UNIVERSITY
SOUTHERN NAZARENE UNIVERSITY
Job Titles Held:
Practice Administrator
Director of Clinical Operations
Revenue Cycle Director
Senior Billing Manager
Degrees
Master of Healthcare Administration
Bachelor of Human
Lean Six Sigma green belt certification for Healthcare
ICD-10
Medicare Part A & B Workshop
CMS Evaluation & Management Seminar
