Healthcare Administrator with proven to deliver exemplary level of healthcare service delivery to patients. Plan and implement strategies for developing improved health care management. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high performing teams.
Overview
35
35
years of professional experience
Work History
Patient Access Director/Asst Business Office Direc
Jackson Hospital & Clinic
10.2013 - Current
Developed and implemented policies and procedures for, compliance assurance, proper identification, coding and billing.
Recruited, hired and trained staff, providing direct supervision, ongoing staff development and continuing education to employees.
Established and maintained effective communication with staff, physicians, other departments and community organizations.
Developed and maintained effective relationships with Insurance plans to support operations and resolve payment and coverage issues.
Analyzed financial data to identify trends and develop forecasts for future financial performance.
Oversaw financial operations such as accounts receivable, accounts payable and payroll.
Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
Business Office Director
Montgomery Cancer Center
02.2009 - 12.2012
Oversaw financial operations such as accounts receivable, accounts payable and payroll.
Completed assessments of bad debt, labor costs, operating expenses and other areas of importance.
Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
Maximized cash flow through optimal billing and collection processes.
Prepared and submitted monthly, quarterly and annual financial statements to inform decision-makers.
Practice Management Director/Clinic Office Manager
Baptist Health Care System
05.2003 - 02.2009
Promoted during 6-year tenure culminating in having responsible for seven departments (practices) and supervising a team of clinic managers.
Managed office operations and work flow; including recruitment, performance management, training/development for six specialty practices and physician billing office.
Responsible for start up of practices which included development of project budget, credentialing of providers, implementing policy and procedures, hiring office personnel and conducting performance and salary reviews.
Provided statically, clinical and accounting data for reporting on monthly, quarterly and annual basis.
Maintained and operated the billing system(s) for multiple practices and support software to include multiple EHR systems for practices.
Responsible for education of billing & documentation requirements and practices for residents, faculty, physicians, managers and staff.
Enforced adherence with HIPAA regulations and other relevant laws and regulations to maintain compliance.
Created and implemented policies to improve operational efficiency and patient care quality.
Attended regular meetings with hospital administrators to discuss clinic operations and policies.
Liaised with health insurance companies to process insurance claims and maximize reimbursements.
Office Manager
Alabama Family Practice, P.C.
01.1997 - 05.2003
Managed compliance to keep organization operating within legal and regulatory guidelines.
Created, maintained and updated filing systems for paper and electronic documents.
Updated reports, managed accounts, and generated reports for company database.
Developed policies and procedures for effective practice management.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Established team priorities, maintained schedules and monitored performance.
Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
Oversaw accounting, budgeting, and financial reporting.
Patient Representative Supervisor
The Regional Cancer Center/Singing River Hospital
01.1994 - 10.1996
Functioned as a physician business office manager to our on staff Oncologists and a financial counselor to our patients assisting with insurance/patient balance review and created and maintained the Indigent Drug Program that was used throughout hospital.
Responsible for ICD Coding as it applied to claims payment for a hospital/cancer center.
Developed policies and procedures for effective practice management
Business Off Mgr/OP Supervisor/Admitting Clerk IV
Baptist Health Care Systems
10.1990 - 10.1993
Promoted during 3-year tenure culminating in leadership role as Office Manager at Baptist Surgery Center.
Managed office operations and work flow, which included developing training programs and competencies, yearly evaluations and policy and procedures for department(s) supervised.
Verified patient details and insurance coverage and collected co-pays.
Registered patients for labs, surgeries and radiology.
Registration Clerk/Shift Coordinator
Transylvania Community Hospital
08.1988 - 09.1990
Completed registration paperwork, verifying accurate patient information.
Responsible for telephone communications to include PBX switchboard, Dial Page and radio communication between hospital and EMS units.
Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
Upheld HIPAA regulations and standards for protecting patient information.
Education
No Degree - Business Administration
South University
Montgomery, AL
Skills
Revenue Cycle Management
Denial Management
Authorization Verification
HIPAA Guidelines
Quality Assurance Controls
Regulatory and Statutory Compliance
Medicare Compliance
Organizational Goal Development
Staff Support
Clinical Quality Program Standards
Patient Health Information Access
Establish Policies
Timeline
Patient Access Director/Asst Business Office Direc
Jackson Hospital & Clinic
10.2013 - Current
Business Office Director
Montgomery Cancer Center
02.2009 - 12.2012
Practice Management Director/Clinic Office Manager
Director of Infection Control & Employee Health at Jackson Hospital & ClinicDirector of Infection Control & Employee Health at Jackson Hospital & Clinic