LiveCareer-Resume
Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Education and Training
Expected in
Certificate of Completion: Health Information Technology - Coding Certificate Program:
Rowan College of Burlington County - Mount Laurel, NJ
GPA:
Expected in
MA: Administrative Management/Public Administration
- ,
GPA:
Administrative Management/Public Administration
Expected in
BA: Social Science/Political Science
Bowie State University Clarion University of Pennsylvania - Bowie Clarion, MD PA
GPA:
Social Science/Political Science
Skill Highlights
  • Professional Summary
  • Strategic healthcare professional with over 10 years in Operations Leadership: Medical Practice Management, Hospital Administration, Behavioral Health, and Medicare Services
  • Core Qualifications
  • Patient Centered Quality Home
  • Population Health Management
  • Medicare and Medicaid Services
  • Regulatory Compliance
  • Performance and Quality Improvement
  • Electronic Health Records
  • Reimbursement Methodologies
  • ICD-10-CM, ICD-10-PCS, HCPCS (CPT-4)
  • Medical Terminology
  • Anatomy and Physiology
  • Accountable Care Organization
  • Revenue Cycle
  • Meaningful Use
  • Health, Disability, and Life Insurance
  • Physician Quality Reporting System Microsoft Office Suite, Lawson, IDX, EPIC, NextGen, DocuTap, Virtual Physician Assistant (VPA), Business Objects, Navinet, Medview, SAM, STATT, Press Ganey, Hyperion, Infoview, Patient Safety Net, SharePoint.
Professional Affiliations
American Health Information Management Association (AHIMA), 2014-current American Society for Quality (ASQ), 2013-current American College of Health Care Executives (ACHE), 2006-current. 2 Jessica Claire
Professional Experience
01/2016 to Present
Practice Manager Aids Healthcare Foundation Brooklyn, NY,
  • Manage administrative operations in a "patient centered medical home practice (PCMH) model for quality and safety, accessible services, coordinated, and comprehensive care.
  • Complete and comply with different payer quality reporting measures.
  • Provide hands-on operational support to employees for optimal customer service.
  • Revised, developed, and restructured workflow for continuous quality improvement and desirable outcomes.
  • Address patient complaints immediately for service recovery.
  • Investigate and resolve charge discrepancies and billing matters.
  • Train, and educate employees in areas of improvement, through staff meetings, individual supervision, and rounding.
  • Employee professionalism and engagement have shown significant improvement.
  • Ensure healthy and safe environment of care through system and facility maintenance.
  • Educate employees on the organization's clinical policies and procedures, and healthcare regulations.
  • Improved EHR documentation, including appropriate and timely completion and update of care guidelines, patient communication, provider inbox and provider approval queue (PAQ).
09/2012 to 01/2016
Healthcare Operations Professional University Of Pennsylvania Health System Sewell, NJ,
  • Provide professional advice and recommendations for healthcare providers to overcome challenging operational problems.
  • Streamline the complexities of the day-to-day operations to drive short and long-term financial growth.
  • Assess workplace health, safety and wellness processes in which employees work, and the physical factors that support or hinder productivity and employee health.
  • Initiate and develop strategies for agency-wide commitments, appropriate safety and health training; and the development of standardized policies and procedures.
  • Foster an environment where strong and professional relationships thrive.
  • Improve quality of care through continuous quality improvement activities.
  • Train and develop clinical staff, management, and support staff on current healthcare regulations and requirements.
  • Provide clients with healthcare exchange-based products and services.
  • Educate and enroll benefit recipients in various Medicare Plans.
01/2008 to 07/2012
Senior Practice Manager Key Tronic Corporation , TX,
  • Managed day-to-day operations of 3 practice locations in gynecology, gynecologic surgery, obstetrics, and maternal and fetal medicine.
  • Provided operational leadership for 40 FTEs, including medical practitioners and support staff.
  • Successfully managed the practice finances and revenue cycle, including 50,000 annual RVUs and $9M appropriate in-patient and out-patient billing.
  • Reduced billing errors by 15%.
  • Facilitated monthly financial meetings to analyze detailed monthly financial reports.
  • Provided root causes and resolutions for variances.
  • Developed practice budgets, of which ended favorably by 8.5% for 3 consecutive years following inception of position.
  • Monitored and maintained regulatory compliance and requirements: staff onboarding, appointment and credentialing, training, best practices, professional licenses and certifications, continuous medical education (CME) credits, OSHA, HIPAA, PHI, CMS guidelines, labor laws, etc.
  • Successfully led the practice conversion from IDX to EPIC Ambulatory Practice Management (APM) and Electronic Medical Records (EMR) systems.
  • Developed and implemented clinical improvement projects and innovative programs; formed the practice clinical effectiveness and quality improvement (CEQI) team for quality control and improvement, and risk management.
  • Defined and implemented innovative measurements of performance standards that improved practice efficiencies.
  • Performed practice evaluations and audits for organizational and regulatory compliance.
  • Maintained patient and customer focus, safe, and friendly environment of care.
  • Partnered and collaborated with corporate and clinical leadership, physicians and mid-level practitioners.
  • Increased staff motivation and engagement through individual staff supervision, on-site training, in-services, and performance award system.
  • Staff turnover was at an all-time of 2%, and staff training and educational compliance at 97% -100%.
  • Replaced costly temporary/agency hours, with more cost-effective skilled personnel.
  • Monitored databases to keep track of practice inventory.
  • Managed practice facilities, leases, and vendor contracts.
10/2005 to 07/2007
Program Administrator CHILDREN'S NATIONAL MEDICAL CENTER , STATE,
  • Provided operational leadership for the divisions of Nephrology, Pulmonology, and 6 satellite locations.
  • Managed a clinical team of attending physicians, nurse practitioners, fellows, clinical and administrative support staff.
  • Maintained regulatory compliance, on-boarded new fellows, attending physicians, and mid-level practitioners.
  • Conducted operational audits, and ensured readiness for The Joint Commission reaccreditation, and the Department of Health inspection.
  • Provided on-site staff training and development of personnel.
  • Mentored front-line leaders and supervisors.
  • Developed and implemented new patient scheduling guidelines that led to improvements in clinic flow, and coordination of care.
  • This became a standard for the Call Center, and a model for managers.
  • Developed department budgets, coordinated research and grants.
  • Implemented a step-down inpatient program, freeing up beds for very sick patients.
  • Revised department policies and procedures.
  • Performed analysis to address patient billing and reconciliation, which led to improvement in capturing and resolving charge inefficiencies.
Skills
APM, administrative, administrative support, Streamline, Anatomy, agency, Behavioral Health, billing, budgets, Business Objects, Call Center, clinical leadership, CMS, contracts, conversion, CPT, clients, customer service, databases, Department of Health, documentation, Electronic Health Records, Electronic Medical Records, staff training, facility maintenance, financial, financial reports, focus, grants, gynecology, Health Information Technology, Hyperion, ICD-10, inspection, Insurance, inventory, Lawson, Leadership, Regulatory Compliance, Medical Terminology, meetings, exchange, Microsoft Office Suite, 97, SharePoint, obstetrics, organizational, Patient Safety, personnel, Physiology, policies, Press, processes, Coding, Quality, Quality Improvement, quality control, reporting, research, risk management, safety, scheduling, staff supervision, Strategic, supervision, surgery, workflow

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Disclaimer

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 scorecould be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

resume Strength

  • Clear Contact Info
  • Formatting
  • Personalization
  • Target Job

Resume Overview

School Attended

  • Rowan College of Burlington County
  • Bowie State University Clarion University of Pennsylvania

Job Titles Held:

  • Practice Manager
  • Healthcare Operations Professional
  • Senior Practice Manager
  • Program Administrator

Degrees

  • Certificate of Completion: Health Information Technology - Coding Certificate Program
  • MA
  • BA

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: