Diligent business office manager with background in managing business office operations. Proven ability to streamline processes and manage administrative tasks effectively. Demonstrated leadership in team coordination and office management skills.
Business professional prepared to drive office efficiency and productivity. Extensive experience in overseeing daily operations and improving office workflows. Known for strong team collaboration and adaptability to changing needs. Proficient in managing office systems and facilitating communication.
Experienced with managing business office operations, including administrative tasks and team coordination. Utilizes expertise to enhance productivity and streamline processes. Track record of implementing efficient office systems and fostering collaborative work environment.
Overview
19
19
years of professional experience
Work History
Business Office Manager
Warm Springs Health and Wellness Center DHHS IHS Warm Springs Service Unit
07.2021 - Current
Salary: $67,092.00 USD Bi-weekly
Hours per week: 40
Series: 0301 Miscellaneous Administration And Program
Pay Plan: GS - General Schedule (Ch. 51, 5 U.S.C.).
Grade: 10
Duties, Accomplishments and Related Skills:
Manage the Public facing staff to ensure proper customer service and general pleasantries to enhance people's experiences. Plan, develop, organize, implement, evaluate and maintain the functions that impact Business Office operations. Serves as the focal responsibility for program review. Determines the impact of outcomes and implements change. Develop and implement a Quality Improvement (QI) process for the department and maintains the Debt Management Program as defined by Indian Health Service. Ensures accurate third-party billing for all established and new WSHWC credentialed providers. Ensures the Personal Health Record (PHR) is fully operational by actively enrolling patients and responding to patients.
Develops performance standards and evaluates employee performance. Responsible for management of positions and pay, selecting new employees, developing and implementing practices to promote employee moral; and is committed to equal employment opportunity. Recommends personnel actions and performance-based awards, approves leave, and maintains good employee communications and relations.
Train employees within department to have familiarity with various business office functions or cross-train staff so they can cover each other when necessary. Reviews and advises on complaints and grievances resolving problems of employee relations complaints. Keeps employees informed, counsel employees, when necessary or requested, and administers constructive disciplinary actions.
Incumbent is responsible for ensuring the service unit meets overall requirements of Business Office activities that impact billing, fee table, activity posting, debt management program, accounts receivable management and develops a compliance program. Understands the roles of the activities as it relates to compliance issues. Identifies the need to analyze, assess and take-action in areas related to billing and reimbursement. Recognizes financial reprogramming needs in line with previously identified and newly discovered priorities.
Prepares a wide variety of financial and statistical reports and trends. Utilizes the patient database information system and integrates findings to formulate fiscal planning based on historical performance, trends and workload. Utilizes information to improve and optimize third party collections.
Other Duties as Assigned has included Acting in the Deputy Chief Executive officer role in the short term absence of the Deputy and CEO for the facility ensuring positive public perception, with a polite responsive and caring staff.
Supervisor: Hyllis Dauphinais (541-553-1196)
Okay to contact this Supervisor: Yes
Streamlined office procedures to enhance operational efficiency within healthcare environment.
Supervised administrative staff, fostering a collaborative team culture to improve service delivery.
Coordinated budgeting and financial reporting processes, maintaining accurate records for effective resource allocation.
Managed vendor relationships to optimize procurement processes and reduce operational costs without compromising quality of care.
Conducted regular audits of office operations, identifying areas for improvement and implementing corrective actions promptly.
Updated reports, managed accounts, and generated reports for company database.
Resolved financial discrepancies and customer billing issues with timely attention.
Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines.
Ensured compliance with company policies and industry regulations through regular audits and process updates.
Medical Support Assistant PO-06-44
DHHS IHS Warm Springs Service Unit
04.2006 - Current
Salary: $25,338.00 USD Per Year
Hours per week: 40
Series: 0503 Financial Clerical And Assistance
Pay Plan: GS - General Schedule (Ch. 51, 5 U.S.C.).
Grade: 3-4
Duties, Accomplishments and Related Skills:
While functioning in this capacity I was awarded the 2006 Portland Area Directors Award for Superior Customer Service in recognition of my significant contributions to the Service Unit that included, rapidly capturing Third party resources information while making it a very pleasant and informative interview process with the Clients served. I would function as a flow director for health services, or alternate resources, if need be assist clients with securing third party resources. I would Log registration events and ensure the integrity of the facilities database. I updated all required forms and created an electronic file for their mass production, I would review the Indian Health Services Manual specifically Parts 2, 3, and Part 5 chapter 1 for the positions requirements and to consolidate the information and streamline the registration process, I would study changes in the Health Insurance Portability and Accountability Act to better serve our population and ensure our compliance. I would promote trust and responsiveness with our clients to ensure a comprehensive registration process. It was my Honor to serve in this capacity.
Supervisor: Deborah Jackson (541-553-1196)
Okay to contact this Supervisor: Yes
Streamlined administrative procedures, improving operational efficiency within the unit.
Trained new staff on office protocols and electronic health record systems.
Implemented quality control measures to enhance accuracy in data entry and reporting processes.
Maintained strict confidentiality, adhering to HIPAA regulations while handling sensitive patient information.
Maintained a high degree of professionalism and composure in high-stress situations, ensuring the well-being of patients and staff alike.
Acting Deputy Chief Executive Officer
Warm Springs Health and Wellness Center DHHS IHS Warm Springs Service Unit
10.2022 - 10.2023
Hours per week: 50
Series: 0501 Financial Administration And Program
Pay Plan: GS - General Schedule (Ch. 51, 5 U.S.C.).
Grade: 10
This is a time-limited appointment or temporary promotion
Duties, Accomplishments and Related Skills:
Hyllis Dauphinais WSSU CEO was delegated to the Wellpinit Service unit 10/01/2022. Michele Miller acted in the C.E.O. capacity, asking me to serve as her Deputy C.E.O. for the duration, upon Hyllis' return, Michele was then detailed to Wellpinit and then Colville there after, I have been in the Acting Deputy Chief Executive Officer capacity since 10/01/2022 to present. Duties as the Deputy Chief Executive Officer include: Serving as deputy and advisor to the Health System Administrator (CEO) in the operation of a comprehensive health care delivery system. I am responsible for managing, supervising, planning and analyzing workload for the multi-service programs within the facility coordinating care between tribal 638 programs and Federal programs. I plan, organize, implement, direct, evaluate and revise functional administrative and management areas within the facility. I've established, implemented, monitor and evaluate a service wide system of internal review, quality improvement and accreditation compliance. I've established and maintain effective working relationships with tribes, public, federal and local agencies in resolving issues and promoting an understanding of the mission, legal status and health care objectives of Indian Health Service. I monitor and evaluate the organizational budgets and all personnel management activities within the service unit; I am responsible and accountable for appropriate obligation of funds and directing and managing the overall fiscal year budget. I take personal responsibility and pride for increasing the moral of my teams, inspiring and building stronger teams to carry on the mission in my absence.
Supervisor: Hyllis Dauphinais (5415531196)
Okay to contact this Supervisor: Yes
Lead Billing Tech
DHHS WARM SPRINGS SERVICE UNIT
11.2016 - 07.2021
Salary: $46,000.00 USD Per Year
Hours per week: 40
Duties, Accomplishments and Related Skills:
In addition to the routine day-to-day responsibilities, the Lead billing Tech for the Warm Springs Health & Wellness Center would function as a Department Head, an Acting Supervisor as needed. In this capacity, I have continuously preformed above expectations, include but are not limited to Completing Routine Daily tasks, being flexible to the needs of the day-to-day operation, filling in absent positions while maintaining day-to-day operations. Coordinate Long-term goals with multiple agencies and make reports confirming their completion, examples including but not limited to
Quarterly ORAP reporting, Governing Board Presentations, Joint Health Commissions among other internal bodies, External Bodies would include, DT Trak, Medicaid's Recovery teams, CMS recovery teams, CMS EHR Incentive teams.
I have routinely met and exceeded revenue collection goals in 13 consecutive years for the facility with required 3% increases to collections/year.
I continuously work with Tribal entities, to train and further the tribe’s ability to provide comprehensive health care to its Members while being reimbursed.
I have attended multiple government-to-government consultation meetings with the State of Oregon to observe the interactions of Tribes, Federal Government, and the State, and have assisted with data for these meetings.
I’ve a robust understanding of multiple computer system programs not limited to: Microsoft Office, RPMS/E.H.R./Vista/Dentrix/ OHA MMIS systems /Changehealthcare (formerly Emdeon)/ WebMD Dental electronic claims submission/ Secure FX / Core / CMS web interface / Novitasphere / Easyprint/ PCAce Pro 32 / Provider Enrollment Chain and Ownership System (PECOS) / Identity and access Management / Meaningful use registration using CMS’s I&A system.
Other Duties as Assigned:
Provider enrollment with CMS/Medicaid and or Private Insurers when necessary, Perform billing practices to ensure eligibility. Submit claims to third party health Insurance Carriers, with knowledge of Medicare coverage benefits. Process reimbursable billing activities including facility services, sharing agreements, Tricare, Champ VA, Medicaid, Medicare, and pharmacy billing. Process bills using ICD-9-MC, ICD-10-MC, CPT/4/5 or the most current code sets, and HCPCS codes. Perform limited, repetitive, or closely related tasks, such as sorting documents or transactions, entering routing data or information into a database, or verifying repetitive kinds of data. Determine priorities and workload with ease without disrupting other priorities. Respond to questions and explain eligibility requirements, insurance provisions, entitlements, billing and payment procedures, when necessary.
I have become a Tribal Health Systems /Medicaid / CMS / Medicare / Federal Register scholar, and make every effort to stay up to date with New or developing systems.
Manage the day-to-day activities of the Warm Springs Health and Wellness Business office, and staff as needed.
Supervisor: Deborah Jackson (541-553-1161)
Okay to contact this Supervisor: Yes
Billing Clerk/ Technician (OA)
DHHS IHS Warm Springs Service Unit
08.2007 - 11.2016
Salary: $28,862.00 USD Per Year
Hours per week: 40
Series: 0503 Financial Clerical And Assistance
Pay Plan: GS - General Schedule (Ch. 51, 5 U.S.C.).
Grade: 6
Duties, Accomplishments and Related Skills:
As the billing Tech for the Warm Springs Health & Wellness Center, I have continuously preformed above expectations in this position with my Team. Expectations include but are not limited to: enhancing the revenue cycle by identifying available third party resources analyzing trends, and making effective use of them. I've assisted with coordinating enhancements and Federal requirements for compliance mandates including ICD-10 implementation, 4010-5010 formatting, MACRA (MU/GPRA) Yearly updates to the facilities database and Pharmacy Point of sale enhancements with Medicare Part D, The Affordable care act and the correlation to the Indian Health Services target population. I’ve participated in patient education concerning the changes of the insurance industry providing information about what would be required of the I.H.S. and the unique situations of our Patients.
I have routinely met and exceeded revenue collection goals in six consecutive years for the facility with required 3% increases to collections/year.
I work with Tribal entities, to train and further the tribes ability to effectively provide comprehensive health care to its Members and be reimbursed.
I've attended multiple government to government consultation meetings with the State of Oregon to observe the interactions of Tribes and the State, and have assisted with data for these meetings.
I’ve a robust understanding of multiple computer system programs not limited to: Microsoft Office, RPMS/E.H.R./Vista/Dentrix/ OHA MMIS systems / Emdeon Claims management/ WebMD Dental electronic claims submission/ Secure FX / Core / CMS web interface / Novitasphere / Easyprint/ PCAce Pro 32 / Provider Enrollment Chain and Ownership System (PECOS) / Identity and access Management / Meaningful use registration using CMS’s I&A system.
Other Duties as Assigned:
Provider enrollment with CMS/Medicaid and or Private Insurers when necessary, Perform billing practices to ensure eligibility. Submit claims to 3rd party health Insurance Carriers, with knowledge of Medicare coverage benefits. Process reimbursable billing activities including facility services, sharing agreements, Tricare, Champ VA, Medicaid, Medicare, and pharmacy billing. Process bills using ICD-9-MC, ICD-10-MC, CPT/4/5 or the most current code sets, and HCPCS codes. Perform limited, repetitive, or closely related tasks, such as sorting documents or transactions, entering routing data or information into a database, or verifying repetitive kinds of data. Determine priorities and workload with ease without disrupting other priorities. Respond to questions and explain eligibility requirements, insurance provisions, entitlements, billing and payment procedures, when necessary.
I have become a devout Medicaid / CMS / Medicare / Federal Register scholar and make every effort to stay up to date with New or developing systems.
Supervisor: Deborah Jackson (541-553-1161)
Okay to contact this Supervisor: Yes
Education
High School Diploma -
Madras High School
Madras, OR
06.1998
Skills
Deadline management
Account reconciliation
Staff training and development
Office administration
Employee onboarding
Office management
Business operations management
Policy and procedure modification
Contract negotiations
Database administration
Data retrieval systems
Team building
Spreadsheet and database creation
Contract monitoring
Report and document preparation
Customer service
Staff management
Budget administration
Timeline
Acting Deputy Chief Executive Officer
Warm Springs Health and Wellness Center DHHS IHS Warm Springs Service Unit
10.2022 - 10.2023
Business Office Manager
Warm Springs Health and Wellness Center DHHS IHS Warm Springs Service Unit