Business Operations & Project Management Professional with 25+ years of experience leading healthcare business offices, managing cross-functional teams, and streamlining operations. Skilled in project management, process development, and compliance oversight. Recognized for driving organizational efficiency, implementing large-scale systems, and fostering team culture.
Overview
26
26
years of professional experience
Work History
Business Office Coordinator
Know Allergy
01.2022 - Current
All the same responsibilities as those held at Allergy, Asthma & Dermatology Associates. After the company dissolved, one of the partners launched Know Allergy, where my role and responsibilities remained unchanged.
Business Office Manager
Allergy, Asthma & Dermatology Associates
06.2012 - 01.2022
Built and led a Managed Care department for a group of 7 specialty clinics. Develop policies and procedures for the Managed Care department as well as the Billing department and nursing teams. Managed employees for each department.
Project Manager for all system-related projects.
Interviewed potential employees, perform chart audits, provides team-building opportunities, performance evaluations, personal coaching, and disciplinary action when necessary.
Designed and provide various levels of training for staff ranging from clerical staff to nursing and providers.
Managed provider credentialing and contracting, including negotiating performance-based contracts.
Responsible for government compliance, as well as MACRA/MIPS regulations.
Participated in billing, account follow-up, appeals, auditing, and managed care
Managed marketing and social media.
Provided IT support for clinic staff.
Organized company events and appreciation programs.
Project Manager for the transition from paper charts to NextGen Electronic Health Records, which included designing the system build in conjunction with the workflow, documenting procedures and training program, and performing training of clinical and non-clinical staff.
Financial Counselor
Legacy Health Systems
03.2009 - 03.2012
Provided financial counseling to patients, addressing individual concerns and guiding them through options, including discussion of Legacy Health's charity program.
Explained processes so patients can become advocates for themselves with their insurance carriers.
Referral Coordinator
Southwest Washington Medical Center
10.2007 - 09.2008
Processed all insurance verifications, referrals, authorizations, and appeals.
Managed all scheduling, phone calls, and patient requests from their initial contact with the weight loss surgery center through their information session and initial visits.
Handled all follow-up insurance questions. Hosted all weight-loss surgery information sessions held by the surgeons; signed in the participants, presented the insurance portion of the session, and answered questions from the participants at the end of each session.
Clerical III
Southwest Washington Medical Center
05.2005 - 10.2007
Handled all phone calls and messages, patient scheduling, chart maintenance, insurance verification, supply purchasing, and all general office duties.
Trained and supervised the assistant.
Provided assistance and managed requests from the nine clinical staff members of the Neuro Rehabilitation department. patients,
Senior Benefit Analyst
A&I Benefit Plan Administrators
01.2000 - 01.2003
Analyzed and processed appeals for all the groups insured by A&I, as well as created and maintained a HIPAA compliance tracking database.
Processed medical and disability claims for several employment groups.
Assisted with procedure development and implementation.
Acted as a resource for junior benefit analysts and data entry personnel.
Medical Biller and Coder at Kern Allergy Medical Clinic - Allergy & Immunology.Medical Biller and Coder at Kern Allergy Medical Clinic - Allergy & Immunology.
Administrative Coordinator at The American Academy of Allergy, Asthma & ImmunologyAdministrative Coordinator at The American Academy of Allergy, Asthma & Immunology