LA'SHANDA SIMMONS
Summary
Highly valued and respected for expertise and keen insight in negotiating policy, developing, and implementing strategic plans, and obtaining desired results. Proficient in job execution and proven track record of success in compliance, detail responsiveness, process improvement and leadership.
Reliable practice manager offering several years of experience working in busy, customer-driven environments.
Enthusiastic project manager proudly offering several years of expertise in patient relations and personnel management. Experienced in office performance metrics, scheduling appointments and overseeing budgets.
Versatile Practice Manager with background in healthcare administration. Experience includes managing daily operations, improving workflow efficiency, and developing effective patient care strategies. Strengths include strong leadership abilities, adeptness in conflict resolution, and proficiency in medical billing processes. Notable contributions include implementing successful staff training programs and streamlining operational procedures.
Overview
11
11
years of professional experience
Work History
Practice Manager
Aiken Physicians Alliance Internal Medicine
12.2024 - Current
- Over seeing day-to-day operation of the GME Residency clinic and staff.
- Actively directs the strategic, volume growth and marketing efforts of the practice. And overall operation.
- Ensuring that practice provides a high level of customer satisfaction that is supported by the practice manager.
- Scheduling patient with Residents.
- Work collaboratively with the physicians and providers to develop and maintain a culture of professionalism.
- Managing staff in a financially responsible manner and in accordance with budgetary requirements. Training staff.
- Staff and providers payroll in Kronos.
- Scheduling patients within Cerner and Power Chart.
- Collaborating with various representatives.
- Working closely with numerous Resident doctors and attending physicians.
- In coordination with the Hospital, recruit and manage the onboarding of clinical staff
- Provide initial and on-going training and education for clinical staff.
- Payroll management in C-Suite for attending physicians.
- Coordinate with the Program Director, Medical Director, and other clinical managers, as applicable, to implement quality assurance and performance improvement process
- Provide quarterly reporting on performance measures applicable to the site
- Provide patients and their family with a customer focused, friendly, reassuring and open environment that encourages patient participation in health care decisions.
- Encourage a work environment that is friendly and respectful.
Practice Manager
Core Clinical Partners
03.2022 - 12.2024
- Utilizing clinical knowledge to map and group data across standard terminologies Reviewing codes and documentation to ensure correct medical terminology usage and resolving terminology issues. CPT, ICD-9, ICD-10 codes.
- Providing expert guidance in Health Information Management for medical coding, auditing, quality improvement, and professional standards review.
- Partner with hospital personnel for completion of new provider orientation and training.
- Assists with scheduling functions as needed by acting as liaison between scheduler and provider for shift coverage and help ensure accurate reflection.
- Collaborates with revenue cycle team to identify missing charts and credentialing team on new hire credentialing needs.
- Coordinates stakeholder meetings on a recurrent basis.
- Administers company policies and procedures in a consistent and timely manner.
- Managing and evaluating coding and terminology programs developing policies and procedures to ensure proper operation of the ED department.
Operations Manager
BlueSprig Pediatrics
08.2021 - 03.2022
- Accountable for operational activities across multiple disciplines in ABA center.
- Work with the BlueSprig clinical and support services teams to accept and process referrals.
- Manage client authorizations and work with the support services team when authorization issues arise.
- Recruit, hire, and onboard Behavior Technicians and Registered Behavior Technicians.
- Collaborate with the Clinical Director to ensure the initial client intake is conducted in a timely manner.
- Audit the implementation of treatment programs.
- Ensure quality by managing the annual and ongoing training of the clinical team.
- Collaborate and build rapport with clients and employees to improve the likelihood of best possible outcomes.
- Follows all policies and procedures, including but not limited to, confidentiality and mandated reporting standards as set by the Blue Sprig.
- Collaboration of insurance providers such as Medicaid, Tricare, and others.
- Research and establish community outreach and partnerships.
- Navigates work conflict and implements a solution.
- Managing the hours for the center for ABA services (SLP/OT) within 75% utilization.
- Adhere to and promote professional standards of conduct per BCBA ethical guidelines.
- Utilize ADP software Process employee status changes, such as new hire, termination, promotions, salary changes, PTO.
Medical Office Assistant Lead
Augusta University, Department of Juvenile Justice
01.2020 - 10.2021
- Supports with Medical Assistant responsibilities including rooming patients, taking vitals, phlebotomy, and assisting providers with procedures.
- Assists doctors with clinics by taking patients height, weight, blood pressure or drawing blood.
- Responsible for filing insurance claims, troubleshooting denied claims, collecting payments or payments on account, addressing billing questions and working out payment plans.
- Demonstrates ability to interact with nursing assistant trainees and medical professionals from diverse cultures and backgrounds.
- Answers multi-line phone provided information to callers, took messages, and transferred calls to appropriate individuals; files and performs data entry daily.
- Processes requests for medical records to be sent to and from Augusta University while maintaining HIPAA compliance.
- Prepares lab requisitions, filed charts, entered payments and charges, patient demographics, conducts daily deposits and reports for accountability.
- Responsible for all medical records including electronic records, paper charts, and archived records.
Practice Coordinator Supervisor
Piedmont Augusta- TeamHealth
10.2020 - 08.2021
- Administrative and operationally supporting and maintaining the practice.
- Obtaining reconciling and forwarding documents of each in-patient medical records to the billing center. Identifying and accounting for each patient seen in the hospital by hospitalist physicians including locums.
- Upon batching, maintaining data to report the number of records sent and specific key measures from visits. The batch is assembled with all complete records reconciled to the discharge report.
- Gathering facility metric data for the dashboard.
- Coordinate completion of all physician's clinical documentation and proactively work with the medical director to ensure complete documentation and signatures.
- Hospital face sheet to include patient demographic information.
- Medical staff credentials process for physicians and locus for the hospitalist group.
- Guides and encourages staff to achieve the goals of the department and productivity.
- Monitored daily operations of the office implements all changes within the office.
- Maintain all supplies and inventory.
- Process all employee reviews and complaints.
- Obtaining a death certificate from the GAVERS system.
Pharmacy Technician
HGS-Aetna
12.2014 - 07.2016
- Completed unit dose cart fill, first dose and stat medications using pharmacy automation (Pyxis & Omnicell Trained), restocked floor stock medications using both manual and automated systems.
- Exchanged medication carts and pull discontinued medications from the patient drawers.
- Navigated electronic medical records to dispense the appropriate medications as needed for nurse and patient satisfaction.
- Prepared medications by repacking tablets into unit dose packaging and delivered to many different inpatient and ambulatory patient care areas, compounded oral solutions to fill prescriptions order for review of pharmacists.
- Provided hourly medication deliveries to patient units for maintaining inpatient care area floor stock and complete necessary dispensing records.
- Corresponded with nurses, doctors, and pharmacists through Epic in Basket Computer Systems regarding patients' needs, assisted with lead duties, including training new technicians.
Education
High School Diploma -
Aiken Academy High School
PHT- Pharmacy Technician -
Cumberland Medical Institution
Skills
- Microsoft Office
- Data Integrity
- Central Reach
- EPIC/Cerner
- Documentation & Control
- Strategic Planning
- Revenue Cycle
- Training & Development
- Project Management
- Performance Improvement
- Health Assessments Insurance Knowledge
- Treatment Planning
- Preventive Care
- Patient Care
- Medical Terminology
- Data Entry
- Confidential Correspondence
- Critical Thinker
- Sales Support
- Reports/Documentation
- Result Execution
- Client Relations
- Communication Skills
- Patient scheduling
- Problem Solving
- Conflict Resolution
- Time Management
- Process Improvement
- Staff Management
- Leadership
- Power BI
- Tableau
- Coding compliance
- Payroll management
- Budget management
- Quality improvement
- Practice management
Education Certifications
- Aiken Academy High School, High School Diploma
- Cumberland Medical Institution, PHT- Pharmacy Technician, BLS, PHT Certifications
Timeline
Practice Manager
Aiken Physicians Alliance Internal Medicine
12.2024 - Current
Practice Manager
Core Clinical Partners
03.2022 - 12.2024
Operations Manager
BlueSprig Pediatrics
08.2021 - 03.2022
Practice Coordinator Supervisor
Piedmont Augusta- TeamHealth
10.2020 - 08.2021
Medical Office Assistant Lead
Augusta University, Department of Juvenile Justice
01.2020 - 10.2021
Pharmacy Technician
HGS-Aetna
12.2014 - 07.2016
High School Diploma -
Aiken Academy High School
PHT- Pharmacy Technician -
Cumberland Medical Institution