Various EMR Systems (ECW, Athena, Epic, NextGen)
Kelly Harrington
Prosper,TX
Summary
Accomplished Operations Manager with a proven track record at of enhancing operational efficiency and employee satisfaction. Expert in Strategic Planning and Staff Development, significantly reduced claim denials and fostered a 92% employee satisfaction rate through effective leadership and communication. Talented Manager with expert team leadership, planning, and organizational skills built during successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and results-driven approach.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Financial Clearance Operation Manager
Stridecare
10.2018 - Current
- Development and implementation of policies and procedures for insurance verification of benefits, pre-authorization, predetermination, and surgery scheduling
- Managed pre-appointment insurance transactions for North and South Texas vascular department.
- Communicating with clinical partners for pre-authorization/predetermination submissions
- Partnership with RCM team to improve A/R outcomes
- Communicate insurance criteria and monitor for updates
- Reduced financial clearance claim denials less than 2%
- Accomplished multiple tasks within established timeframes.
- Cross-trained existing employees to maximize team agility and performance.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
- Established team priorities, maintained schedules and monitored performance.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Leveraged data and analytics to make informed decisions and drive business improvements.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- · PHI Management/HIPAA
Operations Manager
Baylor Scott and White
10.2011 - 05.2018
- Start-up for 3 family medicine clinics in Collin County including build, marketing and staffing
- Regional Meaningful Use liaison
- OSHA Officer
- Time of services collections 16%
- Average days in A/R 35
- Claims denial rate less than 3%
- 93% Patient satisfaction rate
- 92% Employee satisfaction rate
- PHI Management/HIPAA
- Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
- Identified and resolved unauthorized, unsafe, or ineffective practices.
- Directed initiatives to improve work environment, company culture or overall business strategy.
- Developed and maintained relationships with external vendors and suppliers.
- Managed inventory and supply chain operations to achieve timely and accurate delivery of goods and services.
- Scheduled employees for shifts, taking into account customer traffic and employee strengths.
- Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
- Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness to maintain high productivity and performance metrics.
- Supervised operations staff and kept employees compliant with company policies and procedures.
- Interacted well with customers to build connections and nurture relationships.
- Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
Education
BBA - Healthcare Administration
American InterContinental University
Schaumburg, IL05.2006
No Degree - Medical Assisting
Remington College
Garland, Tx04.2003
Skills
- Performance Management
- Staff Development
- Expense Tracking
- Operations Management
- Strategic Planning
- Workforce Management
- Policy Implementation
- Key Performance Indicators
- Customer Relationship Management (CRM)
- Verbal and written communication
- Staff Management
- HIPAA/Personal Health information Management
- OSHA Regulations
- Insurance Criteria & Processing
Certification
- NRCMA - Nationally Registered Certified Medical Assistant
Software
Microsoft Office (Power Point, Word, Excel)
Timeline
Financial Clearance Operation Manager
Stridecare
10.2018 - Current
Operations Manager
Baylor Scott and White
10.2011 - 05.2018
BBA - Healthcare Administration
American InterContinental University
No Degree - Medical Assisting
Remington College
- NRCMA - Nationally Registered Certified Medical Assistant
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