Experienced with overseeing medical practice operations and improving patient care processes. Uses strong leadership and organizational skills to enhance team performance and ensure regulatory compliance. Track record of implementing efficient administrative systems and fostering collaborative work environment.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Practice Manager
Full Life Primary Care
06.2024 - Current
Overseeing the daily operations of the practice, ensuring smooth workflow
Managing staff schedules and ensuring adequate coverage
Developing and implementing office policies and procedures
Handling patient complaints and resolving conflicts
Ensuring HIPAA compliance and maintaining patient confidentiality
Managing budgets, expenses, and financial reports
Overseeing billing, coding, and insurance claims processing
Tracking revenue cycles and reducing claim denials
Negotiating contracts with vendors and insurance providers
Hiring, training, and supervising administrative and clinical staff
Conducting performance evaluations and addressing HR issues
Ensuring staff compliance with regulations and continuing education
Promoting teamwork and maintaining a positive work culture
Ensuring efficient patient flow and minimizing wait times
Addressing patient concerns and enhancing satisfaction
Implementing quality improvement initiatives for patient care
Overseeing scheduling, check-in/check-out, and follow-up processes
Ensuring compliance with OSHA, HIPAA, and other healthcare regulations
Preparing for audits and inspections by regulatory agencies
Maintaining up-to-date policies on infection control and safety
Acting as a liaison between physicians, staff, and administration
Leading staff meetings and training sessions
Addressing conflicts and fostering a collaborative environment
Admissions Coordinator/Authorizations Specialist
Carrus Hospital
05.2021 - 08.2024
Review all clinical information for new admissions to our Long Term Acute Care or Rehab facility while collaborating with all members of the healthcare team and families to ensure proper care and treatment plans are put in place
Prepare all clinical paperwork required to obtain proper authorization for services
Create letters of medical necessity and/or complete the appeals process as needed
Provide hospital tours for family members of potential new referrals
LVN Clinical Case Manager
Angels of Care Pediatric Home Health
01.2018 - 05.2021
Review all clinical information for new admissions, possible re-certifications, and hospital discharges while collaborating with all members of the healthcare team to ensure proper care and treatment plans are put in place
Prepare all clinical paperwork required to obtain proper authorization for services
Create letter of medical necessity and/or complete the appeals process PRN
Track and report lab results to coordinating physicians and/or specialty infusion pharmacies
Complete quarterly audits on nursing documentation, create reports, and submit to administration
Pediatric Skilled Visits & Private Duty Nursing hours completing any physician orders for in-home nursing including full body assessments with vital signs, administration of enteral/oral feedings and medications
I have completed IV medication therapy, wound care, and lab draws orders as well