Summary
Overview
Work History
Education
Skills
Activities
Work Availability
Timeline
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Denise Carrillo

Healthcare Administration
Miami,FL

Summary

Adaptable healthcare administrator accustomed to the integration of new healthcare delivery systems and restructuring of work in an increasingly complex regulatory environment. Versed in solving problems no matter how complex using an adaptable and resourceful approach.

Overview

25
25
years of professional experience

Work History

Practice Administrator

Miami Kidney Group
South Miami, Fl.
07.2022 - 05.2024
  • Improved patient wait times by streamlining check-in processes and optimizing appointment scheduling procedures.
  • Oversaw daily practice operations to guarantee seamless service delivery for patients and providers alike.
  • Coordinated facility maintenance to ensure clean, comfortable environment for patients and staff members alike.
  • Managed financial aspects of practice, including budgeting, billing, and insurance claims processing.
  • Fostered positive work culture by promoting open communication, teamwork, and professional development opportunities among staff members.
  • Increased staff productivity by providing training, guidance, and performance evaluations.
  • Streamlined office operations by implementing efficient administrative systems and procedures.
  • Established strong relationships with referral sources to increase patient volume at practice consistently over time.
  • Identified areas for cost reduction by conducting regular audits of operational expenses.
  • Handled human resources tasks such as hiring, onboarding, payroll management, and employee relations issues resolution.
  • Enhanced patient satisfaction with timely appointment scheduling and organized recordkeeping.
  • Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
  • Supervised team of 20 office personnel.
  • Boosted staff morale by offering constructive feedback and specific direction.
  • Ordered all office supplies and kept check on inventory levels.
  • Provided supervision and management to team of support personnel.
  • Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
  • Developed close working relationships with front office and back office staff.
  • Communicated closely with patients, ensuring medical information was kept private.
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Demonstrated respect, friendliness and willingness to help wherever needed.

Healthcare Administrator

The Center for Gynecology and Restorative Medicine
05.2021 - 06.2022
  • Satisfied customer queries over phone and email to maintain positive patient-provider relationships
  • Responded proactively to concerns and questions by acting on patient feedback
  • Researched health center standards and guidelines to identify best practices and improvement opportunities
  • Assisted with budgetary development by providing in-depth analysis of current and potential future expenses
  • Trained front desk receptionist to enthusiastically greet and assist incoming patients
  • Archived correspondence with internal staff and external partners to answer potential future inquiries
  • Maintained ample stock of all necessary office supplies, lab supplies, and surgical supplies for in office testing and surgical procedures
  • Responsible for office financials for the office LLC in addition to paying Sales and Usage Tax for the physicians PA group, and Real-Estate LLC
  • Scheduled Surgeries for our patients at South Miami Ambulatory Surgical Center
  • Maintained all surgery records, and patient clearances to make certain scheduled surgeries went as planned
  • Created and maintained facility documents and records, maintaining accuracy while managing sensitive data
  • Developed and implemented policies and procedures for facility
  • Managed work schedule and assigned tasks to individual staff.

Healthcare Administrator

First Choice Neurology
03.2015 - 04.2021
  • Created and maintained electronic record management (EMR) systems to store data and develop reports
  • Consulted with clinicians to develop business strategy
  • Oversaw the on-boarding and training of new healthcare team members
  • Monitored employee and provider credentials and immunization statuses
  • Attended monthly manager meetings and relayed all pertinent information to the Physicians and Office Staff
  • Maintained and renewed and office licenses such as our CLIA License
  • Assisted billing with Charge posting, Insurance Claims, and A/R reports
  • Assisted with patient collections and any patient needs the administrative staff was not able to handle
  • Handled payroll and other HR functions such as time off requests, Hiring and firing and training new staff members
  • Medical Record Request
  • Responsible for daily administrative tasks including all business aspects required to run a medical office
  • Responsible to continually improve efficiency and quality of healthcare services
  • Inform employees of new policies and changes to any existing policies or protocols
  • Coordinate with doctors and other healthcare professionals to identify their issues and needs
  • Respond to doctors and staff in a timely manner to address any concerns or issues
  • Create goals for the staff to reach and maintain
  • Ensure the office remains compliant with all health care laws and regulations
  • Recruit new staff members for all office positions in addition to recruiting new technicians
  • Train all new staff members
  • Financial management of the patient fees and billing
  • Monitor the office budgets and prepare monthly reports
  • Keep detailed records of medical and office supplies stocked
  • Create a work schedule for all staff members
  • Approve and monitor spending budgets
  • Find new ways to reduce costs
  • Attend monthly physician partner meetings
  • Organize records of the facility equipment and services
  • In-depth knowledge of healthcare and medical terminology
  • Ensure all medical records are kept up to date
  • Keep records of all expenses and recommend techniques to reduce costs
  • Responsible for payroll for physicians and staff
  • Responsible for office financials and ensure they are up to date
  • Responsible for the coordination of new projects
  • Review office A/R to ensure accounts are being paid according to the fee schedules of multiple insurance companies
  • Resolved billing issues by applying knowledge and completing in-depth research
  • Developed improved standard operating procedures to increase billing accuracy and cash flow
  • Conducted insurance verification and pre-authorization, coded medical procedures and managed patient charts.

Billing Manager

Neuroscience Consults
08.2006 - 02.2015
  • Created and maintained electronic record management (EMR) systems to store data and develop reports
  • Consulted with clinicians to develop business strategy
  • Oversaw the on-boarding and training of new healthcare team members
  • Monitored employee and provider credentials and immunization statuses
  • Attended monthly manager meetings and relayed all pertinent information to the Physicians and Office Staff
  • Maintained and renewed and office licenses such as our CLIA License
  • Assisted billing with Charge posting, Insurance Claims, and A/R reports
  • Assisted with patient collections and any patient needs the administrative staff was not able to handle
  • Handled payroll and other HR functions such as time off requests, Hiring and firing and training new staff members
  • Medical Record Request
  • Responsible for daily administrative tasks including all business aspects required to run a medical office
  • Responsible to continually improve efficiency and quality of healthcare services
  • Inform employees of new policies and changes to any existing policies or protocols
  • Coordinate with doctors and other healthcare professionals to identify their issues and needs
  • Respond to doctors and staff in a timely manner to address any concerns or issues
  • Create goals for the staff to reach and maintain
  • Ensure the office remains compliant with all health care laws and regulations
  • Recruit new staff members for all office positions in addition to recruiting new technicians
  • Train all new staff members
  • Financial management of the patient fees and billing
  • Monitor the office budgets and prepare monthly reports
  • Keep detailed records of medical and office supplies stocked
  • Create a work schedule for all staff members
  • Approve and monitor spending budgets
  • Find new ways to reduce costs
  • Attend monthly physician partner meetings
  • Organize records of the facility equipment and services
  • In-depth knowledge of healthcare and medical terminology
  • Ensure all medical records are kept up to date
  • Keep records of all expenses and recommend techniques to reduce costs
  • Responsible for payroll for physicians and staff
  • Responsible for office financials and ensure they are up to date
  • Responsible for the coordination of new projects
  • Review office A/R to ensure accounts are being paid according to the fee schedules of multiple insurance companies
  • Resolved billing issues by applying knowledge and completing in-depth research
  • Developed improved standard operating procedures to increase billing accuracy and cash flow
  • Conducted insurance verification and pre-authorization, coded medical procedures and managed patient charts.

Billing Clerk

Neurologic Center of South Florida
12.1998 - 07.2006
  • Managed billing calendar and scheduled claims for payments
  • Engaged in oversight of all billing for Medicare, Medicaid, Commercial Insurance and Self pay patients
  • Helped customers to bring accounts into good standing by implementing payment plans
  • Developed performance improvement plans based on deep reviews of current work
  • Built high-performance team by collaborating with new members on procedural, administrative, collections and compliance areas
  • Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions
  • Enhanced financial performance metrics by networking to create successful and sustainable relationships
  • Established budgets and strategic business plans for daily operations
  • Set and reinforced consistent and compliant control and operational policies for accounts tracking, reconciliation and reporting
  • Managed contract administration, including maintaining files, validating codes and monitoring reporting
  • Evaluated historical, current and forecast data to determine opportunities for development and enhancement
  • Evaluated accounting and financial reporting systems to assess quality, identify concerns and devise enhancement strategies
  • Directed work of team of 6 Insurance Billers handling AP/AR, budgeting collections and all other accounting functions
  • Processed invoice payments and recorded information in account database
  • Managed all payments processing, invoicing and collections tasks
  • Processed and sent invoices, adjustments and credit memos to customers
  • Answered customer invoice questions and resolved issues discovered during invoicing and collection process
  • Performed data import, scanning or manual keying processes to verify invoice accuracy
  • Monitored past due accounts and pursued collections on outstanding invoices
  • Handled past due accounts, collections and status reports
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections
  • Executed account updates and noted account information in company data systems
  • Created highly organized filing system for account documents resulting in increased efficiency
  • Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance
  • Reviewed and analyzed contracts to resolve billing issues with vendors and carriers
  • Expedited payments by verifying accuracy and currency of vendor information
  • Input statement information, reconciled accounts and resolved discrepancies
  • Performed insurance verification, pre-certification and pre-authorization
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management
  • Weighed envelopes containing statements to determine correct postage and affix postage
  • Submitted claims to insurance companies
  • Collected, posted and managed patient account payments
  • Reconciled codes against services rendered
  • Answered customer questions to maintain high satisfaction levels
  • Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity
  • Prepared and posted weekly payments to vendors and suppliers
  • Assessed billing statements for correct diagnostic codes and identified problems with coding
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.

Education

Masters in Health Services Administration -

Ohio University
Athens, OH

Bachelor of Arts in Health Services -

Keiser University, South Florida
Fort Lauderdale, Miami, FL

Skills

  • Patient relations
  • Records maintenance
  • Healthcare delivery
  • Personnel management
  • Staff supervision
  • Schedule management
  • Hospital coordination
  • Quality assurance controls
  • Regulatory requirements
  • Conflict Resolution
  • Budgeting and Finance
  • Knowledge of Microsoft office 365 including Power Point, Excel, Outlook
  • Document Scanning
  • Staff development
  • Data Entry
  • Process Implementation
  • Excellent Communication Skills
  • Self Motivated

Activities

  • Member of American College of Health Care Executives
  • Member of American Academy of Professional Coders
  • Member of AAPC
  • Contracted Speaker for Office Managers for Pharmaceutical Companies Allergan (now Abbvie)
  • Contracted Speaker for Office Manager for Pharmaceutical Company Aimovig
  • Contracted Office Manager Participant for Allergan for the Botox One provider portal

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Practice Administrator

Miami Kidney Group
07.2022 - 05.2024

Healthcare Administrator

The Center for Gynecology and Restorative Medicine
05.2021 - 06.2022

Healthcare Administrator

First Choice Neurology
03.2015 - 04.2021

Billing Manager

Neuroscience Consults
08.2006 - 02.2015

Billing Clerk

Neurologic Center of South Florida
12.1998 - 07.2006

Masters in Health Services Administration -

Ohio University

Bachelor of Arts in Health Services -

Keiser University, South Florida

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Denise CarrilloHealthcare Administration