Accomplished manager with experience in the medical, pharmaceutical and telecommunication fields. Creative, confident manager who handles multiple tasks and adjusts quickly to change. Known for team building, staff efficiencies and relationship management.
Overview
18
18
years of professional experience
Work History
Operations Manager – Patient Support
CCS Medical
Carrollton, Texas
02.2020 - Current
Leads, plans, coordinates, and implements all aspects of daily departmental operations while consistently achieving performance plans and revenue goals in a customer-focused manner
Participates in identifying, developing and implementing new systems or processes to improve operational efficiencies
Facilitates and supports new and improved programs for acquiring and retaining patients
Ensures proper training, guidance, coaching, and development of team
Communicates and implements company work rules, performance standards, and departmental operating policies and procedures
Creates, implements, and measures the success of organizational business plans
Always maintains a high degree of confidentiality due to access to sensitive information
Monitors, analyzes, and reports on department performance, recommending action plans to impact ongoing improvement
Assists in establishing, maintaining, and monitoring systems for measuring team performance
Supervisor – Patient Support
CCS Medical
Carrollton, Texas
Supervise, train, coach and mentor thirty-one (31) Work from Home employees and provide them with day-to-day direction
Manage and resolve escalated calls and issues from corporate escalations, patients, representatives, and team leads
Provide leadership support by managing the Patient Support Leadership Escalation E-Mail Box
Continuously creating and maintaining a connected team, while working remotely
Ensure team and individual performance SLA’s (Service Level Agreement) meet or exceed departmental and company expectations
Assisted with the build out of the Dallas Call Center
Conducted weekly One-On-One’s with associates to build relationships and personal goals for representatives
Supported Manger with implementing various validation processes and procedures for efficiency
Operations Manager - Field Services
Change Healthcare
Fort Worth, Texas
07.2019 - 01.2020
Led a team of Healthcare Resolution Specialists responsible for providing high quality client focused services during the eligibility and enrollment of patients
Hired, trained, coached, motivated, administered positive discipline, and terminated employees
Managed all client communication and relationships
Participated in client weekly Patient Length of Stay Meetings
Monitor and track performance by managing team performance, establishing defined goals and expectations
Daily partnership with Case Management and Social Workers to provide updates on patient status
Manage and monitor high balance claims for accuracy and timely filing process with State and Federal agencies
Generated $2.5M in new claims by implementing pilot program for Tarrant County Hospital’s homeless patients
Monitored and fostered ongoing communications with government agencies regarding the status of claims
Manage and resolve client escalations pertaining to patient status of Medicaid, CHIP-P, Social Security benefits and Medicare QNB’s
Weekly meetings with Director of Revenue Cycle Management on outstanding claims and issues
Constant communication by conducting daily huddles and weekly one-on-ones with staff
Supervisor – Clinician Support Services
Envision Physician Services
Dallas, Texas
09.2018 - 06.2019
Provide leadership support throughout the new hire process for Providers, in Emergency Medicine, Hospital Medicine, Anesthesia, Radiology, and Surgical Services
Participate in the development and delivery of standardized workflow policies and procedures throughout the Department
Supervise, train, coach and mentor sixteen (16) Specialist employees and provide them with day-to-day direction
Manage and resolve provider escalations pertaining to payroll, benefits, taxes and provider contracts
Monitor and track performance
Lead and participate in process improvement initiatives
Handle administrative support functions in support of Providers and/or Clinical Operations
Develop standardized reporting formats and presentations across specialties
Provide tracking and trending of data within operations
Lead and participate in process improvement initiatives
Plan and conduct performance appraisals of assigned staff, administer disciplinary action, merit increase, bonuses and promotions
Participate in the development and delivery of standardized workflow policies and procedures throughout the Department
Supervisor/Client Account Relationship Manager
AmerisourceBergen – Pharmacy Healthcare Solutions
Roanoke, Texas
04.2015 - 09.2018
Responsible for the supervision of multiple Patient Assistance Representatives (PAR) at assigned hospitals and off-site locations.
Accountable for assisting the RMO (Revenue Management Operations) in the financial and account development activities of assigned locations.
Participates in the personnel management activities of assigned PAS locations, including recruiting, interviewing, hiring, training, supervision, promotions, counseling and terminations
Interfaces appropriately with administrators of Patient Assistance Programs and Co-Pay Assistance Foundations
Ensures that patient specific reimbursement information is on file for tracking of replacement products
Monitors and trends reasons for denied claims and takes action to resolve issues that adversely affect product replacement
Escalation point of contact with drug manufacturer’s including, Merck & Company, Genentech, Biogen and various other drug manufacturers
Develops and maintains relationships with all key associates at assigned hospitals
Coordinates distribution and implementation of new operational procedures to assigned PARs on a timely basis
Assists the Implementation Team in the transition of accounts to the supervisor’s assigned location, coordinating the set-up of software, hardware and training, and for requesting and procuring reports as needed to support product recovery efforts
Assists the RMO with the creation of Business Reviews for assigned accounts
Works closely with the RMO to re-forecast and project recovery improvements and deficiencies for assigned facilities
Project Supervisor
Navigant Healthcare Cymetrix
Lewisville, Texas
03.2014 - 04.2015
Overseeing the daily operations of multiple call center projects throughout the United States.
In addition to the management of the project staff inclusive of onsite and off-site Team Members.
Developing, implementing, managing and exceeding the Operational goals of clients and Company.
Coordinate and conduct interviewing of potential new hires
Payroll for 35 employees
Ensure call center stats are attained, for after call work, call holding and abandoned rate
Training of new Collectors and on-going training and mentoring of Team Members
Achieved collections of 4.5 million or more per month
Complete monthly account reviews for each patient account representative on the project
Ensure all 35 Team Members and project is compliant with HIPAA standards
Monitor and ensure all staff member’s compliance with Company/Client standards
Monitor Team Member phone calls for adherence to client and Company/client expectations
Conduct disciplinary counseling including performance improvement plans as required
Complete annual evaluation of staff
Meet or exceed revenue goal for project for 11 consecutive months
Conduct weekly team meetings to ensure the on-going understanding of client and company expectations
Monitor and ensure Team Members meet or exceed established productivity goals
Reviews and approves monthly client invoices for accuracy
Ensure aging of accounts falls within client and company guidelines
Research and respond to all client and patient inquiries received by telephone and mail
Self-Pay Supervisor
Conifer Health Solutions
Frisco, Texas
01.2012 - 01.2014
Demonstrate productive management techniques and consults with Operations Management to implement processes which enhance performance.
Frequently interact with internal and external resources at multiple levels.
Effectively manage 20 call center agents/collectors to attain desired collection results.
Successfully achieved 22 consecutive months of collections in excess of 3.5 million per month.
Motivate and encourage agents through positive communication and feedback
Complete real-time monitoring of staff productivity utilizing telephony controls
Monitor queue and track inbound calls, inform agents of inbound calls, calls waiting and abandonment rate
Track and ensure employee files and attendance logs are accurate
Payroll for entire staff through the Kronos system
Develop contests, awards and themes that increase agent’s loyalty and focus
Oversee, plan, organize and direct the daily activities of subordinates within the Self Pay department
Hires, trains, and motivates collectors within their assigned area of responsibility
Completes annual reviews for all subordinates
Performs monthly quality assurance for subordinates’ performances and review with employees on a monthly basis
Review, monitor and develop action plans utilizing various reports
Hold weekly staff meetings to communicate to all subordinates
Participate in management and senior management meetings
Patient Collections Manager / Self Pay Manager
MedSynergies
Irving, Texas
03.2007 - 09.2010
Handled all client and executive escalations.
Established and implemented SAS 70 requirements.
Enforced credit/collection agency decisions within assigned authority.
Managed a staff of two team leads, six support employees for 15 customer service representative and 26 different clients.
Implemented operational policy and procedures to enhance accountability, efficiency and profitability.
Increased staff efficiencies by 90% within a 90 day timeframe through automation and scheduled processes consisting of patient statements, collection letters and telephone contact.
Maintained a positive partnership with Client Services and Patient Services.
Developed and maintained relationships with all outside collection agencies.
Decreased patient collection agency complaints by 50% over a 12 month span.
Processed Boston Workstation scripts for doctors and hospital databases.
Implemented online bill pay project for 99% of all clients.
Remote Pharmacy Technician I Patient Engagement I Clinical Specialist at CCS MedicalRemote Pharmacy Technician I Patient Engagement I Clinical Specialist at CCS Medical