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0-5 years of experience
Directed a 120 person medical team that provided Health Service Support to all U.S. service members, coalition forces and contractors, covering 11K square miles encompassing Southern Iraq and Kuwait.
- Served as the senior medical advisor/trainer for area of operation providing guidance on issues and courses of action to injuries and to identify and mitigate risk factors.
- Provided strategic vision, planning and operational leadership diagnosing gaps in healthcare and mitigating risk.
- Managed the maintenance and operational readiness of 37 vehicles and support equipment valued in excess of $12M with 100% mission capability during deployment.
- Developed and coordinated forward operating base (FOB) wide mass casualty plan and exercised plan quarterly, becoming the benchmark plan for area of operation.
- Procured and implemented contracts to replace equipment and supplies coordinating with local supply chain vendors.
0-5 years of experience
Responsible for all aspects of operations of a 113 bed Healthcare Center.
- Restructure of the entire clinical team which resulted in more efficient processes for higher quality outcomes
- Complete change in the associate culture and increased retention rate
- Overall significant improvement in the physical plant, placement of key department heads for overall improvement of services
- Successful implementation of a electronic ADL documentation system, successful transition to a new nurse call system
- Improved clinical outcomes, a 65% increase in referrals, currently running at 210% budgeted skilled census
- Building of key partnerships with referral sources and increased customer satisfaction.
10+ years of experience
Reserve Officer for Health Policy & Benefits Division of the Air Force Surgeon General. Office of the Surgeon General defines, executes and analyzes healthcare policy for Air Force Medical Service (AFMS) including 43K personnel at 75 medical facilities worldwide providing care to 2.6M covered lives with a $5.1B budget. Assisted Surgeon General and staff in devising, implementing and analyzing AF policy and programs concerning eligibility, entitlement and benefits; patient access and referral management; electronic health record management; managed care contract operations; and DoD HIPAA Privacy.
- Developed referral business rules/staffing models to monitor $350M at-risk private sector care.
- Evaluated business case submissions awarding $10M in funding to 23 clinics to improve patient flow and throughput.
- Created ROI tool to analyze outpatient visits captured from network providers.
- Drafted Air Force policy letter for Surgeon General on health plan member disenrollment; provided clear and uniform guidance throughout AFMS.
0-5 years of experience
Oversees facility operations for a multi-million dollar in-center healthcare company
- Drove clinical outcomes and led quality standards to turn around a troubled healthcare facility from worst to first in its Region in under 10 months
- Maintains a healthcare operation that is among the top 1/3 in the company in over 1600 in-center facilities
- Coaches and develops a care team to consistently rank among the top in its Region for key clinical, performance and financial outcomes
6-10 years of experience
Financial Director/Managed Care Director
- Administrative and financial responsibilities; complete month-end close for center; supervise assigned personnel; conduct briefing to attendees.
- Coordinated healthcare services for 90,000+ eligible beneficiaries.
- Planned, marketed, and implemented the Department of Defense Medicare HMO program.
- Managed budgets from $15M-$45M with no cost overages.
- Restructured a hospital to a clinic 13 months early; reduced FTEs from 435 to 282 with no loss of services; all activities completed under budget
- Coordinated $4.5M in outsourcing initiatives.
- Directed a human resource competency assessment team that assisted in obtaining JCAHO approval for the facility.
0-5 years of experience
Improved survey results.
- Improved customer service
- Enhanced the quality of care provided to residents and families
- Nurtured and educated existing staff in efforts to improve care provided
- Decreased expenses
- Successfully managed Return to Hospital (RTH) outcomes. Decreased RTH by managing resident care in house through best practices
- Maintained census and received multiple months of recognition for most improved and maintained census statistics
0-5 years of experience
Responsible for registering multiple emergency and non-emergency patients in a timely and proficient manner.
- Verified, research, and completed all paperwork and forms to bill all types of claims for reimbursement.
- Reviewed explanation of benefits (EOBs), researched reason for denial and made appropriate follow-ups.
- Ensured all reports were balanced appropriately at the end of my shifts.
- Handled multiple in-coming as well as out-going calls from various pharmacies in reference to patient prescriptions.
0-5 years of experience
- Performed as First Sergeant for 90 days and managed the third largest Dental Organization in the Army.
- Prudently managed $450,000 annual operating budget and $2.2 million dollars worth of equipment.
- Developed readiness operating procedures which set the standard for units to follow; still in use today.
- Implemented a training database to ensure training requirements met and tracked accurately.
- Created a Business Case Analysis which improved efficiency and patient satisfaction.
- Prepared analytical reports to improve processes and ensure patient safety.
- Directly supervised Human Resources Department staff.
0-5 years of experience
Provided technical and administrative management of a medical treatment facility
- Settled patient complaints and provided patient advocacy
- Supervised 13 employees in a clinic providing healthcare for over 500 beneficiaries
- Determined daily personnel requirements
- Managed required training program
0-5 years of experience
- Developed a project on process improvement to minimize the patient waiting period using Arena simulation software and proposed viable solutions to optimize the system
- Optimized inventory planning for material management department to reduce cost
- Administered the EHR implementation process for Cardio Med Clinic
- Managed day-to-day office activities: establishing priorities, trouble shooting, patient scheduling, and insurance filing
- Received extensive training in purchasing, receiving; vendor and supply chain management
0-5 years of experience
Completed patient registration; scheduled consults and appointment for patients, and vendors
- Pulled and filed patient charts and records; performed data entry and distributed mail while maintaining appointments system and; answered multiple telephone lines
- Completed financial transaction reports
- Assisted in the training of volunteers and, or other staff as needed
- Supervised and delegated responsibilities, as appropriate, to office personnel/volunteers
- Managed, maintained and processed requests and proof of client and patient medical records
- Responsible for greeting and directing visitors, employment applicants, sales persons, clients and other persons
- Other duties as assigned
- HIPPA, OSHA regulation
6-10 years of experience
Acknowledged callers to determine the nature of their call providing first point of contact to answer inquiries, following up on claims or disputes.
- Followed up on records that were requested by the auditors
- Provided strong communication serving as key point of contact and facilitated responses for inquiries and data requested from both internal and external customers.
- Maintained productivity goals and standards set by the department.
- Created policy and procedures to be distributed to the department and new hires.
- Experimented with the IT teams on new databases to assure quality
- Trained new hires
0-5 years of experience
Professional healthcare clinician for 400 collegiate athletes which main duties included: Injury/Illness Prevention & Wellness Protection, Clinical Evaluation and Diagnosis, Immediate & Emergency Care, Treatment and Rehabilitation, and Organizational & Professional Health and Well-Being
- Lead insurance coordinator for all athletic injuries which included submitting and reviewing all claims
- Created the Mild Head Injury protocol that included conducting over 750 baseline tests for ImPACT
- Managed a team of 8 rehabilitation aides and budgeted all inventory
- Committee member for negotiating health insurance policies and budgeting the entire 3,255 student body for both primary and secondary policies
- Conducted well over 800 evaluations and rehabilitation programs per year to ensure patient is ready to return to play from both operative and non operative orthopedic injuries
- Accredited clinical instructor for Lewis University Athletic Training Program
0-5 years of experience
Supervised 25-30 people in the health care facility
- State of Texas certification for the C.L.A.S.S. Program
- Hired staff for the caseload that was assigned and maintained time sheets to assure accuracy for the staffing.
- Plan of Care
- Leadership skills demonstrated
6-10 years of experience
Responsible for all QuickBooks Applications, Transactions and Bank Reconciliations. Responsible for Medical Software Applications, Accounts Receivable, Accounts Payable, Reimbursement, Banking, Human Resources, Vendor Relations, Insurance, and Medical Claims Coding and Administration. Recruited and interviewed superior staff members. Developed and implemented HIPAA and OSHA Policies and Procedures. Health and Safety Management Coordinator.
- Prepared monthly revenue reports, account analyses, and reconciliation of various financial accounts. Resulted in significant quality improvement, accuracy, and beneficial financial data for daily operations and strategic business planning. Conducted data management analysis to ensure maximum reimbursement, identify trends, and coordinate revenue cycle processes.
- Planned and organized corrective action plans for activities and functions of organizational values and objectives. Processed claims and maintained production reports while administering insurance programs with Medicare, Medicaid, Private, Workers Compensation, Managed Care, and other major insurance companies.
- Managed clinical project team members for appropriate and timely completion of projects and supervised project timeline development and maintenance. Internally interfaced data management and business operations. Maintained high level of professional expertise through familiarity with clinical literature, resources, procedures, and processes.
- Strong business management, technical, human resource, problem solving and decision making skills. Results driven orientation with consistent success in maximizing operations and improving bottom-line profitability. Annual clients' revenues exceeded $1.5 million.
- Restructure patient accounting operations and design/implement policies, procedures, and processes that improve coding, collections, and reduce account receivables. Audit healthcare claims and maintain production reports while administering insurance programs with Medicare, Medicaid, Private, Workers Compensation, Managed Care, and other major insurance companies. Data Management Processes for monthly and annual reporting and budget analysis. Effective interaction with monthly and annual financial and personnel reporting, regulatory reporting, internal and external auditors.
- Build work teams, collaboration, and accountability that consistently exceed goals for productivity, efficiency, and quality of operations. Make recommendations to business associations, staff personnel, and management on identified opportunities for policy, procedure and process improvement. Communicate the results of audit and consulting projects via written and verbal presentations. Negotiate complex situations and sensitive situations with a win-win attitude.
- Implemented training and incentive programs to enhance performance, quality and efficiency to improve morale, satisfaction, customer service and profitability.
- Reduced operating costs and improved marketability through the strategic integration of management functions into one centralized organization utilizing existing staff and resources. Enhanced Purchasing and Inventory.
- Negotiated managed care contracts with third party administrators and insurance companies. Established service delivery protocols and pricing systems. Maintained current Credentialing, Licensure, and Personnel Reporting Records.
0-5 years of experience
Created processes and procedures for new patients administration
- Patient data management
- Manage inventory and procurement of medical supplies
- Conducted patient interviews to elicit registration information
- Implemented effective system for the sterilization of surgical instruments
- Develop and implemented strategic goals related to management of the department; provided managerial support in the development of academic, outreach and research programs
- Oversaw financial management of all sources of funding and handled other related duties as needed, including oversight of professional billing
- Develop successful adverting campaign designed to recruit new healthcare best practices
6-10 years of experience
Train and deploy operationally ready professional personnel while delivering effective, high quality, family centered care to 90,000 beneficiaries.
- Experience with using CHCS with scheduling and canceling the appropriate appointments with the appropriate providers, as well as submitting referrals.
- Provided diagnoses and treated patients with chronic and acute health problems, including MI, arrhythmias, asthma, COPD, and pneumonia.
- Provided education and training to over 200 staff members and military students on IV insertion, EKG, incision and drainage and dressing changes.
- Provided emergency care services and health promotions activities for 90,000 beneficiaries on the largest Navy training base.
- Earned the Outstanding Volunteer Service Medal in October 2012
- Earned the Military Healthcare Innovation Program Award in March 2010
- Earned 4 Navy and Marine Corps Achievement Medals from 2005-2010
0-5 years of experience
Extensive experience in interpreting and articulating complex regulations, instructions and benefits to diverse populations
- Value and empower staff to reduce the cost of staff turnover by encouraging continuing education, teaching stress management techniques, assisting staff in developing and meeting personal life goals by envisioning and planning a career with the company
- Asking for and implementing their input on team efficiencies and competency development
- First-hand experience in the love, enjoyment and care of seniors. For five years, dedicated career to making a difference in healthcare with the passion for learning and practicing new methods of healthcare
- Event planning, community networking and excellent homemaking skills to ensure a well-managed, environment filled with love, creativity, laugher and kindness for both residents and staff
- Productivity efficiency assessments to reduce and manage staff and purchasing expenses
- Safety and disaster review, planning and implementation
0-5 years of experience
- Maintained patient/employee confidentiality while inputting creating, modifying, merging, and deleting information in the electronic health care record.
- Managed and monitored the patient information technology reports to ensure corrections on medical record were performed in a timely manner. Adjusted operations to foster improvements in this area and keep goals established so patient care would not be affected.
- Assisted in patient complaints/satisfaction reports for the hospital. Ensured patient care stayed a priority for all providers involved in care.
- Gathered data and developed quick reference cards for individuals to use when inputting patient information into the electronic medical record. These cards helped prevent unnecessary errors from being inputted into the electronic medical record.
- Monitored time-card submittal for patient registration area and assisted employees that were unfamiliar with the process.
0-5 years of experience
120 bed licensed SNF; part of a CCRC community
- High volume of Medicare and HMO's; Kaiser preferred partner
- Average rate of monthly admissions low 80's YTD for 2013
- $12 million annual operation
- Exceeded NOI goals by $300K for 2012
0-5 years of experience
Organize and enter confidential and classified customer information
- Effectively and Accurately Process Medicaid Documents
- Review Customer's financial information to determine the appropriate program to meet customer needs.
- Responsible for determination of citizenship eligibility through MNOV/FL System
- Professionally handle requests from customers through outbound calls to ensure that issues are resolved both promptly and thoroughly.
- Access and fulfill customer needs while educating the customer where applicable to prevent the need for future contacts
- Other specialized functions performed as necessary
0-5 years of experience
113 beds including skilled and long-term
- CCRC campus with IL/AL, Healthcare Center
- Increased skilled average from 23 to 30 in 90 days
- Providing stable leadership during period of uncertainty and change
0-5 years of experience
Managed all aspects of 72 bed Personal Care unit and a 39 bed Secured Dementia Unit.
- Duties included staffing, hiring, scheduling, coaching, disciplines, maintaining staff training records, and maintaining documentation for the Department of Public Welfare.
- Attended York College while managing 72 bed Personal Care unit, upon completion of classroom course, worked with the Healthcare Administrator to complete 18 month internship in skilled care.
- Managed two Personal Care units. (Separate buildings).
6-10 years of experience
- Processed all insurance authorizations, claim forms, insurance and patient billing, reimbursement claims and collections processing.
- Managed accounts payable/receivable and expense-control procedures, including bank and account reconciliation, cash receipts, disbursement, finance charges, billing invoicing, purchase order and inventory verification, and preparation of daily bank deposits.
- Direct all areas of regulatory compliance, managed care contracts, and medical staff credentialing requirements.
- Liaison between physicians and employees and patients to ensure proper lines of communication critical in addressing problems and issues requiring immediate attention and resolve.
- Increased timely insurance billing by implementing electronic billing.
- Responsible for developing, maintaining, and researching marketing.
- Interviewed, hired, trained and evaluated all employees.
- Responsible for all medical transcribing.
0-5 years of experience
Performed cash application functions relevant to patient financial services
- Balanced control logs and daily deposits
- Accurately identifies and posts payment and adjustment transactions to patient accounts, client accounts, and to the general ledger
- Posted electronic remits from third party payers to the patient accounting system
- Completed control log and balancing receipts for bank deposit; Verified patients insurance and payments through Misys PM
0-5 years of experience
Proficiency with McKesson, MISYS, Microsoft Outlook, and SoftMed Computer Software Programs.
- Two years additional experience with HIPAA Privacy Laws and JCAHO Inspections, patient assistance, and customer service in civilian healthcare facilities.
- Expert accurate creation, maintenance, and retrieval of patient records, charts, and reports from other departments, i.e., pulling and distribution to departments, clinics, labs, records requests, merging of duplicate medical records numbers, and filing.
- Provision of records to other healthcare providers and insurance companies. Assistance to physicians and other staff as needed.
- Management of walk-in, facsimile, and telephone requests for release of information.
0-5 years of experience
Verified and faxed forms to doctor offices
- Updated patients doctor's information in computer
- Made copies and mailed forms to doctor offices
- Answered phone, transferred calls, and made calls
- Handled other administrative tasks as required
0-5 years of experience
- Responsible for gathering, analyzing and evaluating data for developing new processes and procedures.
- Prepared budgets and maintained financial records to ensure budget goal where achieved monthly.
- Worked with medical staff to coordinate day-to-day activities of medical patients.
- Responsible for setting up and working with team to interview new hires for multiple departments.
- Worked with internal and external supplier to maintain proper inventory levels for all healthcare supplies.
- Responsible for supervising and managing clerical and administrative staff.
- Also, responsible for reviewing, updating and modifying procedures on a regular basis in order to stay in compliance with corporate standards.
0-5 years of experience
Managerial leader of Policies and Procedures team
- Maintained personnel file for retention purposes
- Coordinated meetings with contract staff and employees
- Utilized Cradle Solutions billing software to create and prepare daily patient claims
0-5 years of experience
Provided administrative support to management team.
- Provided prompt, courteous and benefit information to customers.
- Provided administrative support to my manager.
- Expedited benefits packages to customers on a weekly basis
0-5 years of experience
Responsible for completing marketing analyzes to identify current home care trends present
- Responsible for creating and implementing a successful marketing plan to increase brand visibility
- Conducted quarterly budget analyze to strategically identify cost effective metrics to ensure financial growth is consistent.
- Responsible for cross referencing profit & loss statements against annual budget to ensure funds are allocated appropriately
- Responsible for creating and implementing policies& procedures for the Human Resources Department, Staffing, marketing and Nursing Departments.
- Responsible for overseeing, hiring, recruiting, retention and termination of office and field staff
- Responsible for overseeing office staff payroll & client billing functions
- Developed and nurtured business relationships with referral sources
- Developed training materials for office & field staff to increase job effectiveness and patient satisfaction
- Ensured Corporate Social Responsibility was upheld throughout the communities receiving home care services
0-5 years of experience
Monitor the Healthcare mailbox and forward to the appropriate credentialer.
- Communicate with recruiters and employees regarding expired credentials.
- Enter updated employee information in KSN.
- Verify candidates education, certification or license and verify current and past employment and professional references.
- Conduct background screenings for potential candidates.
- Monitor training completion per the Joint Commission Regulation.
- Conduct monthly audits on healthcare employees.
6-10 years of experience
Collection of patient specimens needed for testing
- Assist patients in all phases of personal hygiene
- Took vital signs and tested patients glucose levels
- Transported patients to and from Doctor/Dentist Offices
- Generated new potential clients to increase company revenue
- Training of new employees
0-5 years of experience
Serve as the interface for patients, doctors, and nurse practitioners
- Monitor provider schedules to ensure efficient patient flow
- Maintain patient files including electronic medical records within HIPAA guidelines
- Schedule and confirm patient appointments
- Update demographics and insurance information, obtain patient referrals, and follow up with patients as needed
- Selected as a "Medical Home" team member
0-5 years of experience
Processed payments deposits from insurance companies and self-payments
- Prepared collection reports, insurance verification
- Assured pre-authorizations, insurance and coverage
- Processed insurance billing codes using, CPT-4, ICD-9-CM and HCPCS
0-5 years of experience
Provides healthcare administrative support for doctors and nurse practitioner in the Department of Obstetrics and Gynecology.
- Trains new administrative staff on database and scheduling procedures.
- Schedules physician calendars, surgeries, clinical procedures, arrange and coordinate all preoperative appointments, contact primary care and request necessary referrals for testing and for gathering all results from preoperative appointments before surgery, and faxing the information to surgical unit.
- Receives calls and takes messages as necessary.
- Pre-certifies all surgical procedures.
- Utilizes computerized scheduling systems to prepare and distribute appointment notices, to obtain and process referral requests and to provide patients with pre-surgery instructions.
- Forwards surgical orders to the surgery unit.
- Mails out clinical correspondence for physicians.
- Assists reimbursement specialists with corrected coding for pending diagnosis/procedures.
0-5 years of experience
Organization, direction, and coordination of administrative functions of the medical clinic.
- Administrative functions may include direction of resources, human resources and information resources management, logistics, facilities and health care environment management and health services administration.
- Responsibility for strategic and tactical planning, systematic internal reviews, community outreach, advertisement, and website design.
- Payroll, credentialing, scheduling, hiring, firing, and physician recruiting.
0-5 years of experience
- The focus encompassed on optimization of performance in General and surgical practices. The measures and indicators include quality of care, patient experience, total medical expense management and care retention.
- Managed development of effective communication methods to keep staff and others informed about improvement activities of the practice.
- Taught anatomy, physiology and medical ethics to nursing students.
- Performed other duties as a general physician.
- Responsible for acquisition of high quality equipment and supplies at optimum cost
0-5 years of experience
Hire and train new employees.
- Evaluate the training needs of staff.
- Manage finances and budget of the facility including utility bills, patient fees and billing.
- Create work schedules for employees.
- Work to develop effectiveness and quality in delivering healthcare services.
- Compile and interpret medical forms.
- Maintained accurate records of treatments and medications.
- Implemented health care policies and procedures.
0-5 years of experience
Maintain records of patient care, condition, progress, or problems to report and discuss observations with supervisor or case manager.
- Check patients' pulse, temperature, and respiration.
- Provide patients with help moving in and out of beds, baths, wheelchairs, or automobiles and with dressing and grooming.
- Care for patients by changing bed linens, washing and ironing laundry, cleaning, or assisting with their personal care.
- Entertain, converse with, or read aloud to patients to keep them mentally healthy and alert.
- Administer prescribed oral medications, under the written direction of physician or as directed by home care nurse or aide, and ensure patients take their medicine.
- Plan, purchase, prepare, or serve meals to patients or other family members, according to prescribed diets.
- Accompany clients to doctors' offices or on other trips outside the home, providing transportation, assistance, and companionship.
- Direct patients in simple prescribed exercises or in the use of braces or artificial limbs.
- Provide patients and families with emotional support and instruction in areas such as caring for infants, preparing healthy meals, living independently, or adapting to disability or illness.
0-5 years of experience
Opening office, getting patients records ready, getting treatments rooms ready.
- Greet patients, provide initial paperwork, and obtain copies of insurance and identification cards
- Setting up new patients accounts
- Complete cash control log
- Maintain complete and accurate documentation
0-5 years of experience
Supervise over 45 partners
- [company name] to provide quality care for elders
- Orient partners to philosophy of healthcare setting
- Manage payroll
- Budgeting control
- Help maintain state and federal regulations for healthcare facility
0-5 years of experience
Supervise over 45 partners
- [company name] to provide quality care for elders
- Orient partners to philosophy of healthcare setting
- Manage payroll
- Budgeting control
- Help maintain state and federal regulations for healthcare facility
6-10 years of experience
- Plan, direct, coordinate and supervise the delivery of healthcare to the facility with all necessary elements available in order to ensure the best patient care.
- Implement and establish objectives in regards to patient fees, policies/procedures and budgets/reports.
- Interprets and sustain compliance with laws that affect any affiliated healthcare providers, administrators and organizations.
- Direct activities in such areas as surgery, nursing, health information, medical records and therapy.
0-5 years of experience
Worked closely with the healthcare staff and management team.
- Resolved day-to-day administrative workload using own initiative, in consultation with a member of the management team as necessary
- Oversee the delivery of high quality service
- Maintain diaries and arrange appointments for management team.
- Make effective use of IT systems, electronic diaries, databases, spreadsheets and filing systems.
0-5 years of experience
- Daily administrative support to Risk Manager and Chief of Staff of Wilford Hall Medical Center.
- Responsible for researching and processing potential medical malpractice claims.
- Revamped and maintained a database, using Microsoft Access, of outstanding claims and incidents.
- Created/presented historical PowerPoint presentations quarterly for Board of Directors
- Coordinated multi-departmental meetings, set up Tiger Team meetings and Sentinel Event Team Meetings.
- Acted as legal aid and Liaison to Base Legal Office when working on malpractice cases.
- Meticulously notified hospital personnel of medical equipment, etc., product recalls
- Responsible for data input and tracking of medical equipment for the Food and Drug Administration.
- Responsible for transcribing and typing a variety of correspondence, forms, reports and other clerical duties.
0-5 years of experience
Referral and Pre-Certification Coordinator for any Medical Procedure
- Front Desk Coordinator
- Medical Data Entry with Practice Management
- Microsoft Office and Excel
- Billing ICD 9, G-codes and CPT codes knowledge
- Medical Eligibility and Verification experience using all Health Insurance Organizations Web portals
- Insurance claims and filing
- EMR Chart Logic
- Healthcare knowledge with all Regulations, Laws and Programs
- HIPAA and OSHA Compliant
- Experience in Workers Compensation, IME, Depositions, Telephone conferences and Auto PIP insurance Coordination
0-5 years of experience
Serve as instructor for bachelor level healthcare administration courses.
- Utilize Engrade for gradebook and online learning tools.
- Utilize Campus Vue
- Utilize technology to enhance higher learning.
