Dynamic leader with proven track record of successfully managing projects and initiatives and achieving desired business objectives. Skilled in operations, leadership, developing and executing strategies, managing budgets and resources, and leading cross-functional teams. Consistently produces tangible outcomes that exceed expectations.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Program Administrator
Optum
04.2022 - 08.2023
Provided direct in-person and remote management; overseeing 3 clinical field based Palliative Care teams: located in Orlando, FL, Port St. Lucie, FL, and Jacksonville, FL
These teams combined included: 2 MDs, 6 NPs, 5 RNs, 5 LPNs, 2 SW, and 5 Office Representatives
Managed daily operations by implementing processes related to developing, managing projects, process/workflow improvements, protocols, Healthcare Information Technology strategies, and mentored direct reports all to produce maximum benefit of the program for chronically ill patients
Executed transformational adjustments to optimize scheduling to increase productivity, reduce costs, and ensure adequate coverage for the day
Utilize new technology and workflows, maintaining industry-leading revenue cycle performance metrics that led to the Orlando and Port St. Lucie teams to achieve 96% of consultation goals in 2022.
Developed, evaluated, and analyzed data for daily reports and projects to determine performance, metrics, census, and productivity to ensure program goals were met
Increased NPs performance to achieve over 100% of productivity in 2022 and 2023
Recruited, interviewed, onboarded, and trained new staff and Physicians while providing Human Resource obligations such as payroll, corrective action, and development plans
Collaborated weekly the Talent Requisition Team to discuss recruitment strategies and candidates
Collaborated daily with Florida’s Medical Directors and corporate leadership to ensure clinical decision support was provided and delivered in accordance to develop and implement business practices that enriches service delivery
Increased new patient referrals and patient census in Orlando by 50% by end of July 2023
Promoted the program at community outreach, traveled to meet and greets at local WellMed/Optum clinics to encourage the benefits of the program for patients in need of services.
Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
Practice Manager
United Cerebral Palsy of Central Florida
01.2020 - 03.2021
Provided direct management and oversight to the Pediatric Therapy team
Managed the daily operations, financial analysis, workflow improvements, and provided strategic leadership to direct reports
Ensured efficient PT, OT, and ST treatment was provided to children within an inclusive educational environment
Monitored the therapists’ schedules for maximum productivity
Onboarded and trained new staff to ensure all staff had departments’ resources, tools, and knowledge to provide successful treatment to all pediatric patients
Developed and analyzed reports to track productivity and review processes to identify and implement opportunities for treatment improvements and engage new patients that would benefit from the services
Collaborated with leadership monthly to create multiple improvement projects and capital budget planning to reduce cost
Evaluated monthly KPIs and metrics measurements
Registered and maintained patient records
Handled customer complaints, concerns, and payment collections.
Credentialing Provider Enrollment Analyst
UF Health Medical Staff Administration
12.2018 - 07.2019
Compiled and analyzed all credentialing and provider enrollment supporting information to assure that all medical staff and Allied Health professionals that provide medical care or treatment to patients throughout UF Health are continually credentialed and/or privileged in accordance with all statutory and accreditation requirements
Performed over 20 provider enrollment applications daily with state/government payers and maintained enrollment record data in group practice's billing database to assure accurate reimbursement for services
Attended monthly accreditation meetings to analyze all enrollment applications are processed correctly
Conducted managed care auditing processes in MSOW (Morrisey)
Conducted onsite and web meetings with managed care delegators and auditors to review documentation for provider files to send out annual auditing.
Claims Processor
UF Health Patient Financial Services
05.2017 - 12.2018
Expedited billing and collection processes in the Epic EMR system in a high-volume call center for the revenue integrity department.
Managed workload and priorities to meet claims processing meet deadlines.
Managed Cadence and Prelude work queues in Epic
Managed the scheduling work queues by meeting with the analyst to increase the efficiency of patient workqueues for missing authorizations and registration items.
Implemented workflow for the front-end staff to help increase authorizations on front end by creating training documentation.
Researched and reviewed bills in the revenue cycle system for completeness for Medicare, Medicaid, resolved customer denial inquiries, and commercial insurances to ensure payer specific guidelines are met for correct billing to third party payors.
Liaison to hospital billing department to decrease denial revenue.
Financial Specialist
UF Health Admissions Outpatient Arrangements
09.2012 - 05.2017
Led and supported 5 Financial Specialist team members by providing and demonstrating performance expectations, skill development, and processes for the Outpatient Rehab department.
Verified 50+ outpatient rehab accounts daily for Medicaid, Medicare, Auto, Workers Compensation, commercial, and managed care plans for outpatient rehab benefits.
Performed data validation, produced financial reporting and managed projects and related tasks to reduce costs and increase revenue.
Collected payments, obtained authorizations, registered hospital accounts in the Epic system, and offered financial counseling
Continuously answered incoming calls, checked patients in/out, scheduled appointments, scanned in referrals, called physician clinics, updated diagnosis codes and treatment plans, and updated clinicians plan of cares
Communicated and reported regularly to department management, coordinators, and other rehab clinics about authorizations, registration information, and department processes.
Education
Master of Business Administration (MBA) -
Saint Leo University
Bachelor of Science (B.S.) in Healthcare Management -