Summary
Overview
Work History
Education
Skills
Certification
Affiliations
Timeline
Generic

Jhansi Kalapala

Fremont,CA

Summary

Health Information Management (HIM) Healthcare Management Computer Applications. Telehealth Healthcare Leadership Quality, Risk, Strategic Management in Healthcare Healthcare Marketing Marketing Research Mergers & Acquisitions Economic Evaluation Healthcare Management. Computer Application Languages Programming Problem Solving Six Sigma, Database Management Systems and Design Data Analysis. Medicare/Medicaid.Root Cause Analysis, Economics Software Engineering Distributed Database Systems . Agile . Hardworking Associate Director knowledgeable about business practices in the [Description] industry. Adept at supporting and enhancing operations with a decisive leadership style and strategic approach to decision making. Versatile Associate Director with [Number] years of experience managing diverse business functions with efficiency and quality. Excellent team leader and analytical problem solver.

Overview

15
15
years of professional experience
1
1
Certification

Work History

HIM and Operations Associate Director

Maxim Healthcare
Fremont, CA
06.2018 - 03.2020


  • Scheduling the employees, budgeting, revenue cycle management, Appeals
  • Oversee and manage the generation, organization, maintenance, and access to all records provided alerts to doctors regarding discharge and made transitional arrangements from Inpatient to Outpatient
  • Creating and executing short term and long-term plans, managing projects in waterfall model
  • Project planning and implementation, budget creation, preparing the audit reports
  • Envisioned, planned, and initiated strategy to introduce Electronic Health Records by identifying the key stakeholders and project goals meet AAAHC standards
  • Organized, managed patient records
  • Managed and implemented all security and privacy mandates based on HIPAA guidelines
  • Managed and mentored the team, assigned weekly goals, assign the timecards, provided recommendations to Director and monitored overall project progress
  • Teaching about health concepts, health record management
  • Built relationships and stayed attentive to employees by motivating them to succeed and improve.

Health Information and Operations Director/ Teaching

AFC Urgent Care
Fremont, CA
09.2020 - Current
  • As a Director of Clinical Operations, I am responsible for ensuring successful day-to-day clinical operations and delivery of clinical services across the sites of AFC Urgent Care
  • My primarily responsible for overseeing the operational efficiency and quality of clinic services at all clinic sites, supervising the Appeals projects, clinical technology including direct supervision of Site Managers
  • Along with the scheduling, budgeting, and managing the revenue cycle management is the challenging part
  • The Director oversees front desk, medical records, scheduling, hiring, performance evaluation, Medicare and Medicaid billing, HRSA, COVID testing and Vaccine management clinic, security, billing department, OSHA, JACHO, appeals and care coordinators and call center operations.

Operations Director/Health Care Instructor

MedIND Pharmaceuticals
Hyderabad
02.2014 - 05.2017
  • Leading distributor and supplier of a wide range of pharmaceutical tonics and tablets
  • Developed web platform for providers and was involved in end-to-end HIMS (Hospital Information Management System) application of the platform
  • Built Agile SDLC
  • Worked with coding staff to ensure every billing claim was appropriate
  • Implemented processes for storing and saving all medical information
  • Prepared and analyzed clinical data for research purposes and health analytics using SAS, process improvement, utilization management, and mandatory reporting.

Operations Director/language Trainer

Open Shores
Fremont, CA
08.2005 - 01.2014
  • Involved in 3 significant modules from end-to-end development of accounting application using Agile SDLC
  • Provided portal as the view
  • Responsible for training, teaching the students, training for job placement
  • Interacted effectively with business to identify their needs for integrations, business processes, integration definitions, methodologies, and canonical definition
  • Helped the company and the IT department understand the Enterprise Application integration (EAI) process
  • Identified reusable components from already built integrations to reduce cost and timelines of integrations
  • Discussed the business requirements for users and Business Manager.

Education

Doctor of Business Administration - Healthcare Management and Leadership

California Intercontinental University
Irvine, CA
11.2021

Master’s Degree - Computer And IT Applications

Osmania University
04.2000

Skills

  • Microsoft Office Applications (Word, Excel, and PowerPoint) – Type 40 WPM
  • Trained in
  • Project Management and managed end to end Hospital Management application
  • MS Office
  • Health and Safety Regulations
  • Team Leadership
  • Staff Scheduling
  • Data Collection
  • Verbal and Written Communication
  • Coaching and Mentoring
  • Managing Operations and Efficiency
  • Critical Thinking
  • Work Planning and Prioritization
  • Scheduling and Coordinating
  • Workload Balancing
  • Operational Efficiency
  • Database Development
  • Public Relations
  • Project Management

Certification

webMethods Certified Developer (for the Integration Specialist) Sun Certified Developer RHIT, RHIA

Affiliations

Well-qualified professional who combines 15+ years of cross-functional medical records, healthcare project management, and technical experience to illustrate value. Able to plan, direct, and evaluate operations and processes to assure medical records are maintained in accordance with standards and applicable regulatory requirements. Oversee project deliverables, build and maintain relationships, and navigate change to meet objectives and goals. Extensive experience in delivering highly intelligent and articulate integration solutions with an assortment of Project Management, health applications, EHR, Clinical Management, Vaccine management, Operations Management, internet-based applications, client/server, supply chain management, Health Records, and relational databases. Effective problem solver, able to assess situation to identify solutions, implement changes, and facilitate cross-functional teams to work collaboratively. Critical thinking and analytical skills necessary to interpret and apply knowledge. Communicate effectively to promote a positive work environment and optimal outcomes.

Timeline

Health Information and Operations Director/ Teaching

AFC Urgent Care
09.2020 - Current

HIM and Operations Associate Director

Maxim Healthcare
06.2018 - 03.2020

Operations Director/Health Care Instructor

MedIND Pharmaceuticals
02.2014 - 05.2017

Operations Director/language Trainer

Open Shores
08.2005 - 01.2014

Doctor of Business Administration - Healthcare Management and Leadership

California Intercontinental University

Master’s Degree - Computer And IT Applications

Osmania University
Jhansi Kalapala