Erica Moreno
Sebastian
Summary
To become an asset to a business organization by utilizing my operations management skills, presentation skills, process improvement, and leadership experience, especially in operations, to continue to grow with new challenges and provide excellent service to all those involved.
Experienced operations management professional with a strong background in healthcare administration, revenue cycle management, and multi-practice operations. Proven track record of enhancing operational efficiency, maximizing revenue, and leading cross-functional teams. Adept at implementing process improvements, managing budgets, and ensuring compliance with policies and regulations. Excellent leadership, presentation, and analytical skills.
Overview
20
20
years of professional experience
Work History
Practice Director
Texas Oncology Brownsville
01.2024 - Current
- Formulates and enforces policies, procedures, and objectives, ensuring their proper execution, compliance, and updates.
- Assesses business conditions related to operational issues and provides recommendations to the Executive Director.
- Contributes to the development of organizational objectives and plans for their achievement.
- Supervises the creation of systems to support practice-wide activities, coordinating hardware and software requirements.
- Oversee the implementation of organizational procedures and controls to enhance communication and information flow.
- Tracks, evaluates, and reports practice progress, considering capacity, manpower, facilities, and technology.
- Generates and maintains management reports and periodic reports as needed.
- Ensures adherence to the organization's structure, management philosophy, and mission statements.
- Manages the development and coordination of new office locations.
- Directs all practice staff, with clinical work direction provided by physicians.
Department Administrator (Surgery, Orthopedics, Otolaryngology Head and Neck Surgery)
University of Texas – Rio Grande Valley School of Medicine
01.2021 - 01.2024
- Provide support to all physicians in the UTRGV platform for the EMR to maximize revenue.
- Manage the EMR for the entire enterprise.
- Analyze the revenue and billing operations for the enterprise and suggest improvements.
- Meet with Senior Finance executives to discuss profit and margin and decipher how utilizing the EMR can maximize revenue and efficiency.
- Create relationships with physicians to discuss efficiency with their clinic/hospital services.
- Implement new programs to assist revenue.
- Lead projects for DSRIP reporting and other government-funded programs to ensure accurate reporting for reimbursement.
- Supervise staff to ensure that all functions are carried out accordingly.
Senior Healthcare Application Analyst
UTRGV – School of Medicine
03.2019 - 01.2021
- Provided support to all physicians in the UTRGV platform for the EMR to maximize revenue.
- Managed the EMR for the entire enterprise.
- Analyzed the revenue and billing operations for the enterprise and suggested improvements.
- Met with Senior Finance executives to discuss profit and margin and decipher how utilizing the EMR can maximize revenue and efficiency.
- Created relationships with physicians to discuss efficiency with their clinic/hospital services.
- Implemented new programs to assist revenue.
- Led projects for DSRIP reporting and other government-funded programs to ensure accurate reporting for reimbursement.
- Supervised staff to ensure that all functions were carried out accordingly.
Multi-Practice Operations Manager
Valley Baptist Physician Network, Tenet Healthcare
Harlingen
08.2014 - 02.2019
- Managed and directed operations of Orthopedics and Surgical Specialty, Harlingen and Brownsville (18 physicians; specialties include surgery, orthopedics, family medicine, sports medicine).
- Managed budgets and contracts for all incoming providers.
- Managed new, existing, and relocating clinic implementations.
- Provided support and became a super user for Athena EMR as well as trained staff in a classroom environment and physicians on the use of the program.
- Ensured compliance with policies, procedures, and OSHA standards.
- Extensive experience with C-suite for multiple hospitals.
- Monitored workflow to ensure that physician time is appropriately used as well as staff and all resources.
- Processed payroll for employees and created work schedules to ensure sufficient coverage while managing overtime.
- Met with physicians on a monthly basis to ensure needs were met as well as monthly budgets.
- Analyzed cost/benefit analysis of new patient care services and equipment to increase patient revenues.
- Revenue Cycle Management: Analyzed monthly key performance indicators for the region to identify areas of opportunity and trends.
- Advised Market Operations Managers and Senior Analyst for Revenue Cycle Management of trends affecting revenue and suggested recommendations to improve workflows and processes.
- Presented on a monthly basis to managers and clinic staff on how to improve workflow processes to increase revenue while stopping the trends that affect insurance denials, revenue, and key performance indicators.
- Analyzed third-party reimbursement issues and found solutions to decrease denials while increasing reimbursements.
- Ran and analyzed weekly reports for each clinic to monitor time of service collection.
Practice Administrator
Valley Care Clinics
McAllen
01.2011 - 01.2014
- Assisted the Market Manager in planning, developing, organizing, implementing, and directing the day-to-day operations of the clinic functions (42 physicians).
- Developed and implemented policies related to physician practice.
- Monitored and reported financial performance of clinic practice to corporate and Vice President.
- Oversaw billing and business office functions.
- Responsible for human resources functions for practice including hiring and performance management of staff.
- Assured appropriate compliance with applicable laws and regulations.
- Maintained close contact with employed physicians and staff to ensure organization and customer satisfaction.
Executive Director (multi-site community)
Canterbury Court Assisted Living and Memory Care
Harlingen
01.2005 - 01.2011
- Responsible for the operations of multiple communities (100 residents).
- Managed all financial operations and maintained multi-million dollar budgets for multiple departments and multiple communities.
- Planned, coordinated, and facilitated programs for marketing to the community and the general public.
- Maintained and communicated professional relationships with physicians, hospice companies, home health agencies, and coordinated plans to increase census.
- Served as the motivator and leader of the sales team for the communities.
- Met with family members and residents to assure quality care and customer and resident satisfaction.
- Oversaw nursing care and hospice residents and all intake to decide if they met the admissions qualifications.
- Oversaw all resident move-ins and move-outs and census upkeep.
- Oversaw all staff at all communities and their financial planning.
- Worked closely with community officials (e.g., Chamber of Commerce, mayor of the city, Chief of Police, Fire Marshal, etc.).
- On call 24/7 for all emergency situations and responded to all calls appropriately.
- Began working with Emeritus Senior Living in 2005 in San Antonio, and later transferred to Harlingen where Brookdale Senior Living purchased Emeritus.
- Increased census year over year from 2009 to present from 45 residents to 84 residents.
- Achieved 0 deficiency on state survey.
Education
PhD program - organizational leadership
University of Phoenix
01.2018
Master’s in Business Administration - Healthcare Management
University of Phoenix
01.2017
Bachelor of Arts - Spanish, Pre-med, Pre-law
University of Texas at Austin
Austin, TX01.2005
Accomplishments
- Increased census year over year from 2009 to present from 45 residents to 84 residents.
- Planned, coordinated, and facilitated programs for marketing to the community and the general public.
- Maintained and communicated professional relationships with physicians, hospice companies, home health agencies, and coordinated plans to increase census.
- Oversaw nursing care and hospice residents and all intake to decide if they met the admissions qualifications.
- Oversaw all staff at all communities and their financial planning.
- Worked closely with community officials (e.g., Chamber of Commerce, mayor of the city, Chief of Police, Fire Marshal, etc.).
- On call 24/7 for all emergency situations and responded to all calls appropriately.
- Achieved 0 deficiency on state survey.
Timeline
Practice Director
Texas Oncology Brownsville
01.2024 - Current
Department Administrator (Surgery, Orthopedics, Otolaryngology Head and Neck Surgery)
University of Texas – Rio Grande Valley School of Medicine
01.2021 - 01.2024
Senior Healthcare Application Analyst
UTRGV – School of Medicine
03.2019 - 01.2021
Multi-Practice Operations Manager
Valley Baptist Physician Network, Tenet Healthcare
08.2014 - 02.2019
Practice Administrator
Valley Care Clinics
01.2011 - 01.2014
Executive Director (multi-site community)
Canterbury Court Assisted Living and Memory Care
01.2005 - 01.2011
PhD program - organizational leadership
University of Phoenix
Master’s in Business Administration - Healthcare Management
University of Phoenix
Bachelor of Arts - Spanish, Pre-med, Pre-law
University of Texas at Austin
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