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Click here or scroll down to respond to this candidate1Candidate's Name
Cell PHONE NUMBER AVAILABLE EMAIL AVAILABLESelf-driven, experienced Senior Practice Administrator with 20 years experience in a high functioning medical office and hospital setting. Enthusiastic, organized leader with a strong background in professional staff development and team building.SKILLS Highly Organized Office Administrator Customer Service Excellence LEAD Academy Graduate Outpatient JCAHO task force HIPAA Education Workgroup Physician Credentialing Medical Coding/Billing EMR experience using Athena,Nextgen, Epic Program Manager for BreastfeedingInitiative Telehealth Medicine Staff Wellbeing Project Winner MY Chart, Patient Portal Pilot Program S.C.O.P.E: Safety Certification Practice Transformation Coach Record Keeping/Payroll with PeopleFluent, Compass and ADP Staff Recruiting/Hiring/Terminations Community Service Projects Procurement using PeopleSoftEXPERIENCEDecember 2018-PresentSenior Practice Administrator; Capital Womens Care, Silver Spring/Rockville, MD. Strong business and financial acumen, managing 1.6-million-dollar monthly revenue. Interview, hire and train new staff in accordance with HR guidelines. Ensure background screenings and drug testing is completed before hiring using Edge, and I 9 verifications. Manage daily staffing to ensure optimal operations of 3 busy OB GYN practices, with 10 providers and 30 support staff. Regularly review productivity and adjust staffing as needed. Monitor and approve leave requests, payroll, FMLA and short-term disability for employees and physicians. Renew CLIA lab licenses, CPR certifications, OSHA and HIPAA compliance training, physician CDS, DEA, professional licenses, and any other requirements for OB/GYN medicine. Create policies and procedures for staff to track vaccinations, IUDs, implantable contraceptive devices and other injectables including in-office procedures for proper billing. Conduct regular staff meetings, annual performance evaluations, provider group meetings and schedule necessary training for new devices and regulations. Create and review budgets, profit and loss statements and strategic growth plans, including marketing. Track insurance and patient payments and balance accounting for accuracy. Project upcoming revenue changes based on expected OB deliveries, and surgical consults. Create practice call-schedules for physicians coverage at Holy Cross Hospital. Review monthly billing charges, review avoidable adjustments, analyze insurance appeals, and conduct random audits of E.H.R. documentation for proper billing and charting accuracy. 2August 2014-November 2018Practice Manager for Womens Center for Pelvic Health, Bay Area Midwifery and Interim Manager for Surgical Specialist/Bariatric Program at Anne Arundel Medical Center, Annapolis, MD. Lead in the development of an annual operating budget for each practice by forecasting Capital Budget requests, annual operating budget margins with review of overall expenditures. Developed standard operating procedures for regulated and non-regulated spaces for all clinical based procedures. Created S.O.P.s for all non-clinical duties including surgical scheduling, front desk, appointment scheduling, patient tracking, billing, documentation, and end of day procedures. Maintained appropriate documents and licenses required for compliance. Reviewed employee weekly schedules including clocking in and out, vacation request, FMLA time off, and CLB levels in People Fluent. Processed all medication supplies and office supply orders with payment processing through PeopleSoft. Reviewed financial and billing information with providers on a regular basis or accuracy using Epic and Athena. Created various monthly run charts based on KPIs. Developed various analytical reports. Created schedule templates to ensure profitability based on volume. Assisted in quality enhancement programs and A3/Lean projects / 90-day quality improvement projects. Entered daily office and surgical billing for 14 ensuring encounter documentation was completed and coding was correct. Participated in Joint Commission sweep rounds in various hospital departments. Hired and training development created for all new staff yearly reviews. Lead monthly staff and provider meetings with Director, Marketing, Foundation and Chairman June 2012 August 2014Clinical Manager; Mid Atlantic Urology Associates, LLC. Greenbelt, Md 20770 Maintained daily operations of a 12-physician urology practice with over 50 employees spread out over 8 office locations. Conducted monthly meetings with staff members and team leaders to improve patient communications and care. Supervised all staff including satellite offices ensuring training and coaching of department personnel. Communicated with physicians, hospitals, insurance companies, and family members to meet all patient care needs. Prepared various reports for quality control, billing accountability and electronic health. record reporting. Immediately addressed and resolved patient problems. Maintained front office operations with company objectives, streamlined the flow and enhanced patient services. Purchased all drugs and medical supplies for the practice. Maintained CLIA certificates and OSHA guidelines for operating a state licensed clinical lab using the i1000 Abbott machine. Created templated physicians schedules including 8 satellite offices and two surgery centers, using Nextgen and Athena. Reviewed medical records for coding accuracy before billing out office and surgical claims while adding proper modifiers based reflective to the scenario. Developed a self-pay fee schedule with prepayment plans for all Self Pay patients. Submitted reports to collection agency for delinquent patient payments. Developed workflow for new 10,000 sq. ft office, creating policies and procedures for staff and physicians.3June 2007 June 2012Office Manager/Billing Specialist/Surgical Scheduling Murdock Urology Associates, LLC. Greenbelt, Md 20770 Helped open solo practice for previous partner of Urology group. Physician credentialing and contract negotiation with insurance companies, hospitals, and surgery centers. Scheduled all surgical procedures for two Urologists, verifying all insurance benefits, obtaining authorizations, performing predetermination of benefits for "special procedures" for medical necessity. Front desk receptionist, medical assisting when needed and answered phones to schedule appointments and triage problem calls. Medical coding and billing, claims follow up and appeals if necessary. Collected patient co-pays, account balances and posted payments. Completed weekly, monthly, and quarterly reports for physician meetings. Maintained physician licenses, DEA, CDS, and board certifications. Patient-physician liaison for all billing, surgery, and medical questions, was the main point of contact for all problem solving.July 1999 June 2007Surgical Scheduling/Medical Billing representative for Dr.s Werner, Murdock and Francis/ Private Urology Medical Group in Greenbelt, MD 20770 Scheduled all surgical procedures for three Urologists, verifying all insurance benefits, obtaining authorizations, performing predetermination of benefits for "special procedures" for medical necessity. Medical coding and billing, claim follow up, pre-authorizations and appeals if necessary. Collected patient co-pays and outstanding balances. Medical collection calls for high patient balances due to deductibles and coinsurances. Created payment plans for outstanding balances and elective non-covered surgeries. Physician credentialing with insurance companies, hospitals, and surgery centers. Rotated time learning as a medical assistant, front desk representative and call center staff when needed.April 1995- July 1999Surgical Posting/Operating Room Front Desk Cheverly, Md 20785 Posted all surgical cases for the Operating Room, Trauma Center, Cath lab and OB cases. Contacted surgical representatives for all orthopedic cases, and other specialty cases requiring equipment.Education 2019Eastern Gateway Community College, Steubenville, Ohio Associate in business administration, Eastern Gateway Community college GPA 4.0 Interests and Activities: Participated yearly with the United Way Campaign Became co-chairmen of annual cancer awareness walk. Assisted homeless residents at the Annapolis Lighthouse Shelter through volunteering cooking meals or gathering professional donated attire for residents to use during job interviews. Volunteered at the Chrysalis House for incarcerated women, often drug addicted mothers regain sobriety while living with their children in this group home. Participated in the Employee Giving Champion, and Local Family Christmas Giving Project I enjoy scuba-diving, ATVs, fishing, boating, target shooting and being outdoors. |
