Denice Hubacek
Mount Enterprise,USA
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
32
32
years of professional experience
Work History
Practice Manager
NMPG- Kim M Schaus MD
06.2006 - Current
- Managed daily operations and administration of medical practice
- Developed and implemented policies and procedures to improve efficiency and productivity
- Conducted regular staff meetings to ensure effective communication and teamwork
- Monitored and maintained budget and financial records, including billing, insurance claims, and accounts receivable
- Implemented new technology and software systems to streamline processes and improve patient care
- Collaborated with healthcare providers to develop and implement quality improvement initiatives
- Ensured compliance with all regulatory and accreditation standards
- Coordinated scheduling and staffing to ensure adequate coverage and efficient patient flow
- Resolved patient and staff complaints and concerns in a timely and professional manner
- Conducted regular audits to ensure accuracy and compliance with all medical records and documentation
- Managed inventory and ordering of medical supplies and equipment.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Maintained detailed records of provider data in the credentialing database system.
- Performed initial review for new providers to determine eligibility for enrollment into the network.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Coordinated with internal departments such as medical staff services or risk management to resolve any issues identified during the verification process.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Developed reports related to provider demographic information, status changes, verifications completed, as requested by management or external customers.
- Collaborated with internal teams regarding provider contracts and agreements.
- Provided support in responding to inquiries from external parties regarding credentialing information.
Physician Practice Manager
Kelvin A Samaratunga, MD/Neurosurgery
Nacogdoches, Texas
03.2000 - 06.2006
- Developed, implemented and maintained policies and procedures to ensure compliance with state and federal regulations.
- Created budgets for physician practice operations and monitored financial performance.
- Coordinated meetings between physicians, staff members and other stakeholders.
- Managed daily operations of the physician practice including staffing, scheduling, patient flow and customer service.
- Oversaw all coding and billing activities to ensure accurate reimbursements from insurance companies.
- Analyzed data to identify trends in patient care needs, utilization patterns and cost containment opportunities.
- Assisted in developing strategies for improving productivity and efficiency of medical services provided by the practice.
- Ensured accuracy of patient records through regular audits of medical charts.
- Collaborated with IT department on implementation of new technology systems within the practice.
- Provided training to staff members on proper use of electronic health record system.
- Recruited, hired and trained new employees as needed for efficient functioning of office operations.
- Negotiated contracts with vendors providing supplies or services to the practice.
- Resolved conflicts between staff members or patients in a timely manner.
- Reviewed monthly reports to monitor quality assurance metrics across departments.
- Maintained inventory control over medical supplies used by the practice.
- Developed marketing materials such as brochures or flyers promoting services offered at the practice.
- Served as a liaison between physicians, hospital administration, insurers or other external entities.
- Created and implemented policies and procedures for effective practice management.
- Supported entire practice's staff, which boosted efficiency and improved overall process flow.
- Coordinated financial operations, budgeting, accounting, expenses and financial reporting tasks.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Maintained detailed records of provider data in the credentialing database system.
- Performed initial review for new providers to determine eligibility for enrollment into the network.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
Medical Assistant
Neurocare Associates
Nacogdoches, Texas
01.1999 - 09.1999
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Administered injections, medications and treatments as directed by the physician.
- Provided assistance to medical staff in performing minor surgical procedures.
- Prepared laboratory specimens for analysis and organized lab results for review by the physician.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Educated patients on healthcare topics such as nutrition and disease prevention methods.
- Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
- Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
- Inspected equipment to ensure proper working order prior to use on patients.
- Organized patient charts before each day's clinic sessions began.
- Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
- Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
- Monitored vital signs of hospitalized patients throughout their stay at the hospital or clinic setting.
- Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
- Registered new patients into practice management software program accurately entering demographic information.
- Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
- Scheduled appointments for patients via phone and in person.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Measured vital signs and took medical histories to prepare patients for examination.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Organized charts, documents and supplies to maintain team productivity.
- Documented notes during patient visits.
- Responded to patient callbacks and phone-in prescription refill requests.
- Educated patients about medications, procedures and physician's instructions.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
Patient Access Representative
Charles E. Lane III/Orthodontics
Nacogdoches, Texas
09.1997 - 01.1999
- Greeted patients and visitors in a courteous and professional manner.
- Verified insurance coverage for services provided by the facility.
- Collected co-pays and other payments from patients at time of service.
- Assisted with scheduling outpatient appointments.
- Responded to patient inquiries regarding billing or financial matters.
- Ensured accuracy of all data entered into computer system.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Assisted with preparing daily cash reports for accounting department.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Answered phones promptly in a professional manner.
- Facilitated communication between patients, staff members, and third party payers.
- Followed up on unpaid claims in a timely manner.
- Reviewed account receivables for accuracy prior to sending out statements.
- Verified demographics and insurance information to register patients in computer system.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
- Communicated financial obligations to patients and collected fees at time of service.
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
- Explained policies, procedures and services to patients.
Practice Manager
Kelvin A. Samaratung, MD
Nacogdoches, Texas
06.1994 - 09.1997
- Oversee daily operations of a busy medical practice, ensuring smooth workflow and efficient utilization of resources
- Develop and implement policies and procedures to improve the quality of patient care and enhance overall practice efficiency
- Monitor and analyze practice performance metrics, such as patient satisfaction, revenue, and expenses, and make strategic recommendations for improvement
- Coordinate with healthcare providers to schedule appointments, manage patient flow, and ensure timely and accurate billing and collections.
- Reviewed and processed applications to verify accuracy of credentialing information.
- Created and maintained records for all providers in accordance with the organization's standards.
- Monitored and tracked progress of credentialing applications to ensure timely completion.
- Responded to inquiries from internal and external sources regarding credentialing status.
- Maintained database of provider information, including contact details and licensure expiration dates.
- Followed up with relevant agencies for status updates on submitted applications.
Courier/Receptionist
East Texas Radiology Associates
Nacogdoches, Texas
04.1992 - 06.1994
- Facilitated communication between referring physicians, radiologists, technologists and other healthcare personnel involved in patient care processes.
- Maintained strict patient privacy and confidential patient information, taking care to meet HIPAA guidelines and statutes for data security.
- Applied workplace safety rules consistently to prevent immediate danger to patients and reduce exposure to radiation.
- Collaborated with radiology professionals and professionals in various medical fields to communicate on patient care.
- Documented interpretations from radiological exams based on images provided by radiological technologists.
- Prepared and submitted comprehensive interpretive reports on each scan.
- Helped patients feel comfortable before, during and after procedures by employing calming techniques, answering questions and offering physical support.
Education
Bachelor's in Healthcare Administration -
Southern New Hampshire University
12.2023
Skills
- Workflow Management
- Policy and procedure development
- Continuous Improvement
- HIPAA and OSHA regulations
- Records Management
- Managing files and records
- Policy Implementation
- Strategic Planning
- Staff Development
- Managing medical practices
- Resource Management
- Strategic business planning
- Workflow Planning
- Policy Development
- Schedule Management
- Medical Billing
- Claims review
- Revenue Cycle Management
- Payment posting
- Verifying insurance
- Collecting payments
- Insurance collaboration
- Credential verification
- Application management
- HIPAA Compliance
- Solo practitioner credentialing
References
- Kim M Schaus MD, 06/2006
- Melinda Harris, RN BSN, 06/2006, 07/2013
- Tiffany Nobles, 07/2012
Timeline
Practice Manager
NMPG- Kim M Schaus MD
06.2006 - Current
Physician Practice Manager
Kelvin A Samaratunga, MD/Neurosurgery
03.2000 - 06.2006
Medical Assistant
Neurocare Associates
01.1999 - 09.1999
Patient Access Representative
Charles E. Lane III/Orthodontics
09.1997 - 01.1999
Practice Manager
Kelvin A. Samaratung, MD
06.1994 - 09.1997
Courier/Receptionist
East Texas Radiology Associates
04.1992 - 06.1994
Bachelor's in Healthcare Administration -
Southern New Hampshire University
Work Preference
Work Type
Full TimeWork Location
On-SiteRemoteHybridImportant To Me
Work-life balanceCareer advancementHealthcare benefits401k matchPaid time offFlexible work hoursSimilar Profiles
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