Jackie Robertson-Gutshall

Operations Manager

Advanced Regional Center for Orthopedics & Podiatry

05.2012 - Current

Company Overview: Multi-specialty practice comprised of 6 physicians and 6 locations – with a patient volume of approx 36,000 patient visits annually and more than $3 million in revenue.
Provide key performance indexes (KPI’s) on revenue cycle management and patient trends.
Forecast the annual targets and goals for all physicians.
Analyze all data and provide a synopsis to the Partner’s on a monthly basis that identify trends and potential opportunities.
Provide recommendations on growth opportunities as it relates to the entire practice, product lines and locations.
Negotiate and sign all vendor contracts including leases for all satellite location.
Supervise the monthly reconciling of all payment types.
Oversee revenue cycle and administrative staff (11 staff).
Address patient billing problems on a timely basis and resolve their issues either in person, phone or electronic communications.
Oversee and monitor MIPS throughout the year with our registry vendor and attest to the information when it is due. (January/February of the next year)
Physician Recruitment activities – from placing ads, interviews, verifying references and credential, contract negotiations and physician onboarding.
Create, report and meet with physicians about their compensation.
Review and analyze recruitment, development and performance evaluations of assigned employees.
Review operation policies annually and update as needed.
Conduct new employee on-boarding orientation new personnel.
Stay abreast of current and new employment regulations for the creation of updated or new policies and procedures.
Conducts regular routine manager meetings to communicate with practice personnel and solicit their input and feedback on office practices and procedures.
Make recommendations for annual raises to all employees.
Develop and implement the marketing efforts for the practice.
Develop the budget for all marketing efforts with the owner.
Responsible for all advertising purchases with media vendors.
Oversee staff and freelance designers for marketing materials.
Responsible and work in coordination with owner for media messages.
Oversee the credentialing processes for all locations and physicians.
Apply and attest to commercial insurance companies to ensure all physicians are credentialed.
Apply to Medicare for Durable Medical Equipment credentialing.
Apply to PA Medicaid and MA supplemental insurance companies for locations and physicians.
Maintain all physicians CAQH accounts to ensure continued credentialing by insurance companies.
Communicate and send any needed information to multiple hospital medical staff office’s to ensure privileges are maintained.
Serve as an administrator with our EMR system. This includes training staff and working with our EMR vendor on the entire EMR/EHR system – from users to reports to templates and all setups.
Set up each user in our EMR system and provide to new users at orientation.
Set up each user with a key fob and alarm code for which office the employee will be working at.
Provide initial troubleshooting of IT issues before calling the appropriate person to fix the issue.
Act as the Privacy and Security Officer and the Compliance Officer to implement, administer and maintain an effective HIPAA and overall Compliance program throughout the organization – which includes the seven elements of an effective compliance program.
Develop and maintain policy and procedure manual, corporate compliance manual and HIPAA manual.
Perform retrospective audits on specific areas of coding and billing on a regular basis.
Perform exclusion checks on new hires and on a regular basis for all workforce members and vendors the organization engages with.
Conduct privacy investigations related to complaints and respond to privacy related inquiries from employees, patients and/or family members and hotlines.
Based on outcomes related to privacy and compliance investigations, make sanction recommendations to the CEO, minority partner and mangers for consistent disciplinary actions as per our sanction policy and guidance.
Develop training material to train and educate workforce members on HIPAA and general compliance. Maintain logs on the completion of training.
Conduct annual privacy and security risk assessment and develop a work plan to address identified risks for privacy, security and overall compliance.
Perform risk assessments to determine what areas need improvement.
Serve as the point of contact for potential breach issues. Investigate and respond to all breaches related to HIPAA. Create and send letters to affected patients and notify HHS within the specified timeframe.
Continue to work through the HCCA-OIG guide 'Measuring Compliance Program Effectiveness'.
Multi-specialty practice comprised of 6 physicians and 6 locations – with a patient volume of approx 36,000 patient visits annually and more than $3 million in revenue.

Summary

Overview

Work History

Operations Manager

Associate Director of Communications

Education

BACHELOR OF SCIENCE - Business Administration

ASSOCIATE OF SCIENCE - Business Administration

Skills

Certification

Programs

Timeline

Operations Manager

Associate Director of Communications

BACHELOR OF SCIENCE - Business Administration

ASSOCIATE OF SCIENCE - Business Administration

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