Kimberly Mosby
North Las Vegas,NV
Summary
Focused Administrator committed to maintaining productive and quality-driven environment. Collaborative and versatile professional with expertise in employee relations, strategic planning and report preparation. Skilled at easily transcending cultural differences.
Overview
23
23
years of professional experience
Work History
Clinical Operations Administrator/Project Manager
Southwest Medical Part of Optum/Maternal Child
Las Vegas, NV
08.2014 - Current
- Directs day to day clinic operations for multiple locations
- Collaborates with Pediatric and OB/GYN Medical Directors to develop and maintain strategic planning for improved access and support growth
- Develops, creates, initiatives for clinical quality improvement & HEDIS compliance
- Actively develops, executes, sustains standard work & standard operating procedures to achieve quality outcomes
- Analyzes, tracks, reports department metrics to identify trends & implement corrective action plans
- Facilitates daily huddles, meetings to foster open communication & mission-based clarity
- Supervises, develops, mentors 45 direct reports
- Manages operations budget, insurance verification, clinic cash handling procedures.
Senior Patient Care Coordinator, Lead. Urgent Care
United Health Group/Southwest Medical Associate
Las Vegas, NV
01.2011 - 01.2014
- Oversees day to day administrative operations
- Coordinates & assigns employees work schedule to ensure coverage
- Reviews, researches, and investigates claims
- Oversees, leads 9 employees for 3 clinic locations
- Interviews, trains, leads staff
- Resolves & de-escalate customer service concerns & billing
- Prepares daily facility financial deposits
- Supervises employee cash collection processes
- Audits charges and claims
- Grants systems application access
- Floats and covers to multiple clinics
- Develops and implement safety policies and procedures for emergency preparedness.
Clinical Health Coordinator
Coventry Health Care
Kansas City, MO
01.2008 - 01.2011
- Supports case managers with daily activities
- Maintains employee files, and employee reviews
- Monitors Case Management work list for NCQA compliance
- Identifies and enrolls members in disease management programs
- Distributes members to case managers by territory and managed member referral process
- Investigates and reviews hospital claims for program candidates
- Performs case manager audits for proper documentation
- Develops training and policy manuals for pilot programs
- Participated in development and implementation of Health and Wellness Programs for members
- Maintain relationships with patients, providers, and social workers.
Lead Medical Assistant
Town Plaza Family Practice
Overland Park, KS
01.2006 - 01.2008
- Managed physician’s schedule, completed referrals, verified insurance for pre-certification, copays, cash handling, and relayed test results to patients
- Trained Medical Assistants
- Created support staff rotation schedule
- Triaged incoming calls
- Arrived patients
- Roomed and completed vitals on 20+ patients daily
- Assisted with minor surgical procedures, injections, venipuncture, urinalysis, and diagnostic testing
- Processed medical records for proper billing and coding.
Medical Assistant
American Consultants
Riverside, MO
01.2001 - 01.2006
- Greeted patients, roomed and completed vitals on 30+ patients daily
- Received inbound calls in call center
- Completed diagnostic testing (EKG’s, PFT’s) and venipuncture daily
- Completed patient education on diabetes testing equipment and various other conditions
- Scheduled patient appointments, completed referrals, verified insurance for pre-certification and relayed test results
- Scheduled weekly meetings, coordinated topics to discuss, prepared minutes for meetings
- Maintained and updated patient medical records in accordance with HIPAA and Compliance Regulations.
Education
Master of Health Administration -
University of Phoenix
08.2013
Bachelor of Science in Business Administration - Health Services Management
DeVry University
06.2008
Certified Medical Assistant -
Kansas City Business College
10.1994
Skills
- Project Coordination
- Information Management
- Employee Supervision
- Presentation Creation
- Office Administration
- Executive Support
- Events Coordination
- Program Oversight
Affiliations
- Annual Pediatric Back to School Events
References
References available upon request.
Timeline
Clinical Operations Administrator/Project Manager
Southwest Medical Part of Optum/Maternal Child
08.2014 - Current
Senior Patient Care Coordinator, Lead. Urgent Care
United Health Group/Southwest Medical Associate
01.2011 - 01.2014
Clinical Health Coordinator
Coventry Health Care
01.2008 - 01.2011
Lead Medical Assistant
Town Plaza Family Practice
01.2006 - 01.2008
Medical Assistant
American Consultants
01.2001 - 01.2006
Master of Health Administration -
University of Phoenix
Bachelor of Science in Business Administration - Health Services Management
DeVry University
Certified Medical Assistant -
Kansas City Business College
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