Highly skilled healthcare professional with over 10 years of experience in patient access, business office, and case management areas. Proven ability to recommend efficient, cost-effective utilization of resources within the continuum of care. Expertise in evaluating, assessing, planning, and facilitating care plans, as well as obtaining and validating insurance prior authorizations and pre-certifications for inpatient and outpatient services. Strong communicator with a focus on optimizing resource consumption and reimbursement.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Epic Cadence/Prelude Analyst
Selected for special assignment to support implementation of new Epic Cadence/Prelude system enterprise wide.
Successfully met demands of a tight go-live timeline of less than 90 days (about 3 months).
Managed account receivable functions, leading an eight-person team of medical billers and insurance collectors to meet performance targets.
Conducted routine audits to pinpoint areas for department improvement in information systems security, policy and procedure compliance, and service delivery.
Served as a hands-on leader and mentor, driving continuous improvement.
Worked as an Epic Cadence/Prelude Analyst.
Selected for a special assignment to support the implementation of the new Epic Cadence/Prelude system enterprise wide.
Met demands for a tight go-live timeline of less than 90 days (about 3 months).
Senior Registration Specialist
Led patient registration across multiple clinics while supporting initiatives for quality assurance and process optimization.
Played critical role in seamless launch implementation of BOC Epic practice management system, enhancing outcomes in appointment scheduling, patient registration, and front office workflows.
Navigated system testing processes to guide procedural improvements and offered technical support for issue resolution.
Developed and helped training sessions to support integration of process government insurance program requirements.
Interim Program Chair, MA/MOA
Remington College
01.2024 - Current
As the program chair for the Medical Assistant and Medical Office Administration programs at Memphis Remington College, I oversee administrative and educational tasks. My responsibilities include:
Assist with orienting new instructors, provide in-service training, offer guidance during the hiring process, and support instructors. Make recommendations on instructor status changes and evaluate instructors in classroom and clinical settings.
Collaborate with healthcare facilities to arrange hands-on experience.
Lead Medical Office Administrator Instructor
Remington College
01.2023 - 04.2024
Managed daily administrative tasks for the Medical Office Administration program, focusing on medical office operations, including medical terminology and basic medical coding.
Curriculum Development: Design and enhance the Medical Office Administration program curriculum.
Student Support: Provide individualized guidance and mentorship to support student success.
Assessment and Evaluation: Evaluate student performance and provide constructive feedback.
Collaboration: Work closely with other instructors and administrative staff.
Medical Center Manager
Sanitas
01.2021 - 01.2023
As the Center Manager, I successfully oversaw the daily operations of a multi-specialty clinic, including Pediatrician, Family Medicine, and Urgent Care services. My responsibilities included:
Provided medical specialists, staff, and providers with the necessary resources to meet patient needs and financial goals. Ensured a positive impact on Sanitas Organization.
Directed a team of 4 providers and 12 support personnel, keeping adequate staffing levels. Implemented work schedules and fostered a teamwork-oriented environment. Conducted performance evaluations and made recommendations to improve team effectiveness.
Helped in policy and procedure manual development. Managed daily cash reconciliation and ensured petty cash accountability. Collected and sent monthly statistical reports to Upper Management.
Developed progressive departmental goals and effective performance measures. Recommended procurement of supplies, equipment, and necessary modifications for practical operation.
Analyzed and enhanced departmental productivity. Monitored physicians’ productivity data and member services. Issued prompt referrals.
Supported updated licenses and in-service documentation for regulatory compliance. Fostered open communication with the assistant administrator on daily operational matters. Scheduled supervision and staff meetings.
Prioritized patient satisfaction, ensuring a positive experience for all.
Practice Administrator
University Clinical Health, Neurology
01.2020 - 01.2021
Oversee day-to-day operations of Neurology Department, promoting excellence in all aspects of patient care
Revised departmental policies and procedures to better meet patient needs and physician obligations to quality of care.
Spearheaded initiatives to elevate compliance with TN OSHA regulations.
Streamlined workflows to boost efficiency core office processes.
Selected to serve as member of committee tasked with enhancing employee engagement across the organization.
Leveraged staff training to improve AR missing charge reporting, POS collections, and payroll approval outcomes.
Supervisor, Medical Office Assistants
University Clinical Health, Ophthalmologist
01.2017 - 01.2020
Directed daily operations for patient admission, overseeing a team of 12 medical office administrators and call center staff for a group of ten providers.
Managed and supervised daily operations effectively.
Led and managed staff, implemented new policies, and fostered a positive work environment.
Communicated clearly with staff, physicians, and patients.
Utilized electronic health records (EHR) systems and other medical software.
Handled billing, accounts receivable, and financial processes.
Demonstrated strong organizational skills to manage and supervise daily operations effectively.
Created a culture of engagement and growth through training and development activities, resulting in a maintained staff turnover rate.
Applied understanding of healthcare practices and terminology to manage operations efficiently.
Elevated patient satisfaction scores for both the department and the organization by implementing key improvements in workflows to meet the demands of scheduling over 150 patients per day.
Successfully curbed data input errors through simplification of standard operating procedures and call center processes.
Achieved an outstanding 95% collection rate for billing and accounts receivable for three consecutive years.
Managed account receivable functions, leading eight-person team of medical billers and insurance collectors to meet performance targets.
Conducted routine audits to pinpoint areas for department improvement in information systems security, policy and procedure compliance, and service delivery.
Served as hands-on leader and mentor, fostering continuous improvement in team and individual contributions.
Data Conversion Analyst
BMG, Walker Healthcare Staffing
05.2015 - 06.2015
I leveraged my expertise as a Medical Office Professional to resolve complex data integration issues and provide “at-the-elbow” support for Epic Cadence users before and after the Go-live event. Additionally, I trained and mentored system users, developed resource handbooks, and assisted in setting up a new pre-registration department for Medical Professional Billing.
Medical Office Assistant Instructor
Concorde College, Inc.
08.2010 - 04.2014
I planned and instructed courses in all aspects of the Medical Office Professional program, including medical billing and coding, business fundamentals, insurance verification and authorization, and computer skills, while also advising students and maintaining academic records. Additionally, I played a key role in developing and revising the program curriculum and conducted student orientations.
Lead Medicare Billing Specialist
Covenant Dove, LLC
11.2011 - 09.2013
I prepared and submitted electronic claims to Medicare for ten skilled nursing facilities, managed account receivables, and resolved complex billing inquiries, demonstrating a comprehensive understanding of Medicare and Prospective Payment System (PPS) regulations. Additionally, I maintained strict confidentiality, adhered to HIPAA guidelines, and managed Medicare claims using various online systems.
I performed insurance verification and pre-certification duties, reviewed patient account information, and assigned billing codes using ICD-9 and CPT codes. Additionally, I resolved complex billing inquiries, obtained referrals, and processed medical appointments, ensuring accurate data entry and compliance with insurance industry guidelines.
Education
Master of Health Administration - Health Administration