ASHLEY RAMPAL
El Paso
Summary
A results-oriented manager with ten years of experience in healthcare finance and administration. Skilled in assessing existing operations and developing strategies for enhancement that boost productivity and revenue. Capacity to naturally direct workers at all levels, from entry-level to physician, in achieving goals and maintaining motivation. Innate attention to detail and knowledge in auditing has ensured compliance with state and municipal agencies such as OSHA, ACR, and CMS. Instinctive ability to network and form professional relationships.
Overview
11
11
years of professional experience
Work History
Care Management Operations Manager
Harmony Cares
12.2023 - Current
- Enhanced business efficiency by identifying trends and patterns in complex datasets.
- Advanced population health initiatives through the analysis of epidemiological data and identification of risk factors contributing to disease prevalence.
- Promoted a culture of continuous learning within the team by sharing best practices from industry conferences and training sessions attended.
- Contributed significantly towards meeting regulatory requirements by staying up-to-date on changes in healthcare legislation and updating organizational policies accordingly.
- Studied and researched various medical terms as well as software and coding systems.
- Collaborated with cross-functional teams to ensure data integrity and accuracy, resulting in better-informed decisions.
- Improved patient care quality by analyzing healthcare data and identifying trends.
- Collaborated with interdisciplinary teams to identify gaps in service delivery and strategize solutions for improved care coordination.
Manager, Kidney Care
Monogram Health Professional Services
08.2022 - 12.2023
- Analyzing data using Saleseforce/Athena and Power BI to determine different business needs and cross reference data between systems to identify and implement workflow improvements.
- Analyzing claims/denials and holds resolving over 80% of bad debt write offs that allowed for recoupment.
- Created foundation and launched quality measure dashboard based on CMS, HEDIS and MIPS standards
- Directed initiatives to improve work environment, company culture and overall business strategy.
- Devised processes to boost long-term business success and increase profit levels.
- Trained over 100 new and existing employees on proper protocols and customer service standards.
- Implemented business strategies, increasing revenue and effectively targeting new markets.
- Reduced operational risks while organizing data to forecast performance trends.
- Increased profit by streamlining operations.
- Corrected over 75% of outstanding billing inquiries.
- Developed systems and procedures to improve operational quality and team efficiency.
Practice Administrator
Tenet Physician Resources
05.2019 - 08.2022
- Control budget, track key performance indicators, keep credentials current with providers and payers, keep licenses up to date for physicians and various pieces of clinical equipment, and make sure quality and compliance benchmarks are being met.
- Overseeing revenue cycle management by maintaining awareness of changes in payer policies, analyzing holds and rejections, and developing action plans to prevent future error.
- Improved KPI metrics of denials and claims on hold by 100%.
- Setting goals for physicians and staff to maintain metrics and KPIs, improving outcomes by 30%.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Created and implemented organizational policies and procedures.
- Trained interns and newly hired team members on office procedures and computer system.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Supervised team of 70 office personnel.
- Boosted staff morale by offering constructive feedback and specific direction.
- Provided supervision and management to team of support personnel.
- Oversaw accounting, budgeting, and financial reporting, increasing RVU revenue by 30%.
- Developed and implemented strategies to improve patient access, satisfaction and care quality.
Practice Administrator
Visiting Angels
01.2017 - 08.2019
- Supervised accounts payable and managed over 50 customer contracts.
- Headed updating of over 100 employee and patient files to be brought up to QA standards.
- Oversaw hiring process, including conducting background checks, completing I-9 forms, and processing payroll for workforce of over one hundred employees.
- Accounts were kept in accordance with state and municipal regulations and organizations such as APS.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
- Addressed and remedied all patient or team member issues.
- Provided supervision and management to team of support personnel.
- Developed and implemented strategies to improve patient access, satisfaction and care quality.
- Supervised team of 5 office personnel.
- Created and implemented organizational policies and procedures.
- Oversaw accounting, budgeting, and financial reporting.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
Business Office Manager
Sunridge At Palisades
06.2013 - 01.2017
- Updated reports, managed accounts, and generated reports for company database.
- Coordinated with vendors and suppliers to facilitate timely payments.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Prepared and submitted monthly, quarterly and annual financial statements to inform decision-makers.
- Analyzed data related to administrative costs and spending trends to prepare budgets for personnel.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Analyzed financial data to identify trends and develop forecasts for future financial performance.
- Successfully managed budgets and allocated resources to maximize productivity and profitability.
- Defined clear targets and objectives and communicated to other team members.
- Controlled resources and assets for department activities to comply with industry standards and government regulations.
- Planned, created, tested and deployed system life cycle methodology to produce high quality systems to meet and exceed customer expectations.
- Reduced waste and pursued revenue development strategies to keep department aligned with sales and profit targets.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
Education
Bachelor of Arts - Healthcare Administration
Park University
El Paso, TX06.2019
High School Diploma -
Fabens High School
Fabens, TX06.2010
Skills
- Power BI
- Salesforce
- Tableau
- Athena
- Bilingual
- Medical Procedure Coding
- Quality Assessments
- Coaching and Development
Timeline
Care Management Operations Manager
Harmony Cares
12.2023 - Current
Manager, Kidney Care
Monogram Health Professional Services
08.2022 - 12.2023
Practice Administrator
Tenet Physician Resources
05.2019 - 08.2022
Practice Administrator
Visiting Angels
01.2017 - 08.2019
Business Office Manager
Sunridge At Palisades
06.2013 - 01.2017
Bachelor of Arts - Healthcare Administration
Park University
High School Diploma -
Fabens High School
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