Dynamic Physician Practice Manager at AdventHealth with expertise in operational efficiency and financial reporting. Proven track record in enhancing patient care through effective communication and team leadership. Proficient in revenue cycle management and medical terminology, driving high-quality service delivery while fostering a collaborative work environment.
Overview
24
24
years of professional experience
Work History
Physician Practice Manager
AdventHealth
Tampa, USA
09.2023 - Current
The role is responsible for the daily operational success of the assigned two medical practice(s). This includes providing management support and direction by utilizing the available tools and coordinating all practice activities, except those that directly involve professional medical judgment.
Support the assigned physician practice in areas such as compliance, auditing, coding, credentialing, accounts receivable, and denial management while ensuring cost-effective and high-quality healthcare services for all patients.
The objective is to create an efficient operational environment in collaboration with the appropriate support systems to provide timely and accurate information.
A working knowledge of the revenue cycle management process is essential.
Responsibilities include verifying patient insurance benefits, managing daily collections (such as co-pays, deductibles, and coinsurance), performing daily charge entry, making daily bank deposits, reconciling daily batches, and submitting outpatient totals daily.
Also promptly submit accurate month-end and year-to-date activity reports.
It is crucial to interpret, evaluate, and apply the policies and procedures established by AdventHealth consistently and appropriately.
The role promotes effective communication, fostering a positive work environment and optimal operational workflow.
Individual supports the smooth operation of practices through cooperation, collaboration, communication, and flexibility with support departments.
Additionally, this position promotes the philosophy, mission, and vision of Adventist Health System to employees, patients, and external contacts.
I ensure a safe and complete environment for patient care delivery through operational processes and protocols, practice rounds, inventory control, and equipment checks, addressing any known deficiencies.
Management of all staff within the assigned practices is also a key responsibility.
Except for employed physicians, the individual acts as a liaison between support staff and physicians and oversees staff recruitment, selection, orientation, evaluation, and dismissal.
Collaboration with the Director of Operations and Shared Services occurs during the corrective action process and staff dismissals.
This role also involves motivating staff and organizing day-to-day departmental activities.
This includes scheduling staff to enhance provider productivity and ensure high clinical quality, service quality, operational and financial viability, and appropriate patient access to the practice.
Staff meetings are to be held at least once a month to keep employees informed of development.
Medical Front Office Assistant
AdventHealth
Wesley Chapel, USA
12.2021 - 09.2023
Support all front desk positions including check-in, check-out and medical records.
Provide input and assistance to practice manager/ office coordinators as needed.
Turn on computers, print schedule, listen to any voicemails messages and set up your daily work.
Maintain communication including progress notes and new patient packets.
Evaluate new patient files awaiting review and dispose of old patient files appropriately.
Assembling/charting new patient paying attention to allergy warnings and ensuring both methods of identification are followed.
Verify patient and insurance records to ensure they are updated for accurate billing and enter updated information into the system as needed.
Make copies of Insurances as needed to enable proper insurance verification for new patient.
Assistance in obtaining a letter of medical necessity with the relevant insurance company or entity.
Enter the daily adjustment fee.
Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
Reviewed demographic, clinical and insurance information before sending to referred specialists.
Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Front Office Assistant
AdventHealth
Tampa, USA
10.2020 - 12.2021
Provides back up to all front office positions; check in, and check out, provides data and assistance to Practice Manager / Office Coordinator as required, communicates in a cordial, professional manner with patients via phone and in person to meet the patient's needs as soon as possible.
Sets up office for daily operation by turning on computers, ensuring schedules are printed, and retrieving voice mail messages, all lights are on in the morning.
Maintains correspondence, including progress notes and new patient packets.
Updates referring physician database, when necessary, assesses new patient files waiting to be seen and appropriately handles old patient files.
Assembles/creates charts for new patients, ensuring policy of noting allergy warnings and two methods of identification are followed.
Verifies patient data and insurance to ensure it is updated for accurate billing, inputting updated information into system as required.
Constructs insurance copies for proper insurance verification with new patients as requested.
Assists with correspondence in obtaining medical necessity letters to appropriate insurance company or business entity.
Enters charges for daily reconciliation.
Handles patient concerns or refers to administration appropriately.
Assists patient via scheduling to obtain appointment as a first time patient and handles reschedule list when necessary.
Fills patient cancellation slots efficiently in keeping schedules booked for the practitioners.
Assists in pulling scripts, labs, charts for triage.
Communicates with practitioners clearly and accurately, maintains updated documentation of identified action work lists needed for daily operations.
Enters charges for daily reconciliation.
Senior Clerk
Montefiore Medical Group-Family Health Center
Bronx, USA
06.2018 - 10.2020
Meets or exceeds accuracy standard goal determined by Management.
Provides back up to all front office positions; check in, check out, and same day area.
Sets up office for daily operation by turning on computers, ensuring schedules are printed and retrieving voice mail messages.
Maintains correspondence, including progress notes and new patient packets.
Updates referring physician database when needed.
Assembles/creates charts for new patients, ensuring policy of noting allergy warnings and two methods of identification are followed.
Verifies patient data and insurance to ensure it is updated for accurate billing, inputting updated information into system as required.
Enters charges for daily reconciliation.
Handles patient concerns or refers to administration appropriately.
Assists all patients scheduling to obtain appointment as a first-time patient and handles reschedule list when necessary.
Fills patient cancellation slots efficiently in keeping schedules booked for all the different providers.
Collecting co-payments, deductibles and any additional out of pocket expenses.
Advised patients of additional financial responsibilities prior to appointments.
Request authorization and complete peer to peer review with all different type of insurances companies' clinical team as needed for approvals.
Understanding of medical terminology.
Knowledge in HMO PPO/Commercial, Medicare or Medicaid/Government payers Insurances.
Understanding of regulatory guidelines such as CMS, HIPAA, and ACH.
Scheduling tele visit and tele video by using Montefiore First.
Patient Service Representative
Montefiore Medical Group-Family Health Center
Bronx, USA
04.2016 - 10.2018
Schedule and confirm patient appointments, Check-ups, and physician referrals.
Answer telephone and direct calls to appropriate staff.
Greet patients ascertain purpose of visit and direct them to appropriate staff.
Works with different Insurance payers to ensure proper reimbursement on patient accounts.
Outstanding phones manner thru excellent interpersonal and communication skills while focusing the message on the customer's needs and expectations.
Knowledge of all different type of insurance plan requirements and basic authorization requirements for assigned payers.
Ability to calculate and collect patients' responsibility and insurance co-pay/coinsurance.
Verify and knowledge in HMO PPO/Commercial, Medicare or Medicaid/Government payers Insurances.
Understanding of regulatory guidelines such as CMS, HIPAA, and ACH.
Practice Administrator /Surgical Coordinator
Colen MD Plastic Surgery Suite
Manhattan, USA
02.2014 - 04.2016
Supervised six staff members to ensure efficient operations at Colens Plastic Surgeon medical facilities.
Managing the operations of your office is a daily task, with ongoing duties occurring weekly.
Maintaining a clean office environment, office supplies, and equipment when needed.
Assist Finance to ensure that payments, vendor invoices, etc., are received and paid on time.
Maintained an ongoing report, scheduled surgery appointments, updated patient files, and performed many other duties.
Exercised outstanding phone manner through excellent interpersonal and communication skills while focusing on the customers' needs and expectations.
Managed multiple tasks in a fast-paced environment without losing focus on work.
Served as the primary point of contact for insurance verification, collecting surgery balances, and daily reconciliation.
Confidently discuss financing options with patients and assist in qualifying patients.
Follow up with patients during their decision-making process and post-procedure methodically and consistently.
Generate a quote, discuss surgery costs with patients at consultation, and facilitate a commitment to proceed.
Conducted regular meetings with practice staff to review performance objectives, goals, and outcomes.
Responsible for registering and scheduling patients in the appropriate IT system; organizing daily patient schedules; triaging incoming patient reports to appropriate locations; answering phones; registering and scheduling new patient appointments; preparing billing information for billing services; obtaining and documenting insurance pre-authorizations and pre-certifications; facilitating physician and patient administrative needs; plus, all related job duties as assigned.
Insurance benefits up to date.
Understanding of regulatory guidelines such as CMS, HIPAA, and ACHA.
FGP Senior Administrative Assistant
NYU Medical Center Plastic Surgery
Manhattan, USA
03.2011 - 04.2013
Responsible for answering phones; surgical scheduling for inpatient and outpatient procedures; scheduling patient office visits and confirming next day appointments; ensuring proper referrals and/or pre-certifications are in place; knowledge of Accounts Receivable verifying insurance coverage; maintaining physician OR schedule and delineating Day Surgery cases from Main OR cases; scheduling and counseling patient on all pre- and post-operative procedures, including Pre-Admission Testing (PAT) and follow-up appointments; obtaining required pre-certifications; counseling patients on financial obligations; coordinating lab, radiology and all relevant ancillary services for patients; interfacing with billing division; ensuring that all patient visits have billing documentation; collecting all payments and completing payment reconciliation daily log; maintaining patient records in an orderly system; completing all Medical Records Requests; plus all related job duties.
Practice Administrator
Colen MD Plastic Surgery Suite
Manhattan, USA
08.2006 - 02.2011
Supervised six staff members to ensure efficient operations at Colens Plastic Surgeon medical facilities.
Resolved needs and challenges for three Plastic Surgeons, enhancing overall practice functionality.
Developed Practice Operational Council and implemented endorsed improvement plans.
Monitored office metrics to boost patient experience and employee engagement.
Conducted hiring processes, including job descriptions, candidate screenings, and onboarding.
Ensured compliance with health industry regulations through regular audits and assessments.
Negotiated contracts with vendors for high-quality goods and services at competitive prices.
Monitored employee attendance records and maintained time off requests and approvals accordingly.
Created monthly reports detailing practice metrics such as appointment volume, no-shows, collections.
Practice Administrator
Specialist in Healthcare
Fort Myers, USA
07.2003 - 08.2006
Oversaw daily operations of our medical healthcare facility to ensure effective service delivery.
Managed staff through hiring, training, and performance evaluations to enhance team capabilities.
Developed and implemented policies and procedures to optimize operational efficiency.
Ensured compliance with healthcare laws, regulations, and standards to maintain quality care.
Coordinated with medical staff to deliver high-quality patient care and services.
Addressed patient complaints and resolved issues promptly to improve satisfaction.
Provided comprehensive reports on operational and financial performance for informed decision-making.
Maintained an up-to-date inventory of supplies needed for day-to-day operations.
Mentored and coached interns and newly hired team members on office procedures and computer systems.
Front Desk/Referral Coordinator
Specialist in Healthcare
Fort Myers, USA
10.2001 - 07.2003
Verified insurance coverage with healthcare providers to obtain timely pre-authorizations for treatments.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Prioritized patient referrals according to medical urgency and compliance with deadlines.
Maintained communication with patients, addressing inquiries and providing updates on care plans.
Conducted detailed reviews of referral information with healthcare providers and patients to ensure understanding.
Delivered exceptional service through face-to-face interactions and phone conversations, fostering a supportive environment.
Executed day-to-day tasks, including data entry and appointment scheduling, ensuring operational efficiency.
Demonstrated knowledge of various healthcare insurance types, facilitating navigation of billing and coverage issues.
Assisted with patients' requests and answered questions to improve satisfaction.
Education
MBA: Master of Health Administration -
University of Phoenix
Tempe, AZ
02.2025
Bachelor of Science - Business Management
University of Phoenix
Tempe, AZ
10.2023
Associate Arts -
Hodges University
Naples, FL
09-2020
Some College (No Degree) - Medical Billing & Coding Certified