Healthcare Administrator with proven to deliver exemplary level of healthcare service delivery to patients. Coordinate admission and discharge of patients. Plan and implement strategies for developing improved health care management. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high performing teams.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Practice Administrator
Mental Health Resources
09.2018 - Current
Oversaw operations for three practice portfolios
Managed financial aspects of the practice, including budgeting, billing, and insurance claims processing.
Negotiated contracts with vendors for cost-effective procurement of medical supplies and equipment.
Identified areas for cost reduction by conducting regular audits of operational expenses.
Partnered with local healthcare organizations to facilitate networking events aimed at raising awareness about available specialty services provided at our clinic.
Handled human resources tasks such as hiring, onboarding, payroll management, and employee relations issues resolution.
Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
Supervised team of 45 Licensed office personnel.
Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
Lead Patient Access Representative
UT Southwestern Clements University Hospital
06.2016 - 09.2018
Improved revenue cycle management by verifying insurance eligibility and obtaining necessary authorizations..Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties
Managed 50-70 calls per day
Verified patient insurance eligibility and entered patient information into system.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Collected 1k-3k in insurance payments per day
Identified non-participating and out-of-network insurance plans and worked with patients and providers to address situations
Patient Access Representative
Baylor Scott & White
01.2014 - 05.2016
Accurately completed insurance and Medicaid billing and OASIS documentation for patient visits
Identified non-participating and out-of-network insurance plans and worked with patients and providers to address situations.
Assisted with processing patient admissions, transfers and discharges
Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
Reduced financial loss through diligent monitoring of outstanding balances and proactive collection efforts with patients and insurers.
Improved patient satisfaction by efficiently managing registration and intake processes.
Claims Assistant
Cigna
10.2011 - 12.2014
Reduced claim processing time by conducting thorough assessments and providing accurate documentation for each case.
Played a critical role in resolving customer complaints by addressing concerns and providing clear explanations about claim decisions, maintaining positive relationships with clients.
Managed high caseloads effectively, ensuring all disability claims were processed promptly and accurately.
Posted payments to accounts and maintained records.
Generated, posted and attached information to claim files.
Increased client retention rates by building strong relationships through regular follow-ups and updates on claim status.
Education
Bachelor of Science - Rehabilitation Studies
University of North Texas
Denton, TX
08-2018
Skills
HIPAA Compliance
Operations Management
Scheduling Coordination
Credentialing Management
Payroll Administration
Medical Billing
Revenue Cycle Management
Benefits Administration
Human Resources Management
Budget Preparation
Forecasting skills
Data Analysis
Accomplishments
Supervised team of 45 Licensed Professional Counselors
Managed mastered level interns quarterly
Used Microsoft Excel to develop inventory tracking spreadsheets.
Achieved exceptional results by negotiating contract with Panda Doc for administrative tasks.
Certification
Basic Life Support Certification (BLS)
Timeline
Practice Administrator
Mental Health Resources
09.2018 - Current
Lead Patient Access Representative
UT Southwestern Clements University Hospital
06.2016 - 09.2018
Patient Access Representative
Baylor Scott & White
01.2014 - 05.2016
Claims Assistant
Cigna
10.2011 - 12.2014
Bachelor of Science - Rehabilitation Studies
University of North Texas
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