Maria A. Mares
PLEASANTVILLE,US
Summary
Dynamic Operations Manager with extensive experience at Northern Westchester Hospital, excelling in healthcare operations management and regulatory compliance. Proven track record in enhancing operational efficiency and patient data oversight, fostering multidisciplinary collaboration, and implementing process improvements that elevate patient care standards. Strong communicator and strategic planner dedicated to achieving organizational goals.
Overview
34
34
years of professional experience
Work History
Operations Manager
Northern Westchester Hospital
Mt. Kisco, New York
10.2017 - Current
- Manage the day-to-day operations and staff responsibilities to ensure hospital operations run efficiently.
- Follow standardized process of operations to obtain a positive patient experience and effective coordination between clinical and administrative teams.
- Monitor operational metrics (HCap) to improve processes, increase efficiency or correct problems.
- Prepare staff work schedules to ensure coverage and coordinate training and staff resources.
- Establish policies and standards to preserve patient confidentiality, ensure data security and comply with all applicable regulations.
- Contribute to the development of process and procedures.
Admitting Supervisor
Northern Westchester Hospital
Mt. Kisco, New York
10.2017 - Current
- Supervise the day-to-day patient admissions and manage the staff responsible for all admissions, patient intakes process.
- Follow standardized process for admissions procedures to ensure accurate data collection to maximize and increase hospital revenue.
Scheduler, Operating Room- Surgical Services
Northern Westchester Hospital
Mt. Kisco, New York
10.2017 - Current
- Schedule hospital-based procedures for patients with appropriate provider and time/location slot, utilizing appropriate scheduling codes not limited to test and imaging ensuring maximum efficiency.
- Interface with appropriate vendor staff to ensure all necessary equipment will be on site for hospital-based procedures, including anesthesia based on provider request and/or based on patient's medical needs.
- Responsible for catering notes/special instructions needed for hospital-based surgical procedures in EMR.
- Manipulate OR Grids to maximize utilization by reviewing and correcting accuracy of surgical procedure times, turnaround times and proper mnemonics are being used based on suggested procedure.
Surgical Concierge
Northern Westchester Hospital
Mt. Kisco, New York
10.2017 - Current
- Managed registration, check-in and discharge of patients in Ambulatory Surgery, Intensive and Post Anesthesia Care Unit.
- Performed administrative functions such as scanning patients' medical records, accurately maintaining PACU surgical logs/schedule, answering multiline phone to enable clinical team/hospital to deliver direct excellent patient care.
- Coordinate inpatient admission with clinical staff to ensure timely rooms turn around.
- Embody Plane Tree Philosophy, to provide customer assistance to all visitors, patients and clinical and nonclinical staff members with a warm, clean and clutter-free environment.
Collections Specialist/Patient Care Specialist
Chambers Medical Group
Brandon, Florida
09.2015 - 08.2017
- Responsible for collecting, posting, and managing account payments.
- Preparing and submitting claims and following up with insurance companies.
- Identify insurance claim denials and resubmit with corrections.
- Adequately answer patient and insurance questions.
- Review monthly AR Report to assure all patient accounts are up to date.
Surgical Coder/ Billing Coordinator
Dr. Russell F. Warren/Hospital for Special Surgery
New York, New York
01.2009 - 07.2015
- Determine patient invoice by capturing services noted in patient chart, clarifying services with physicians.
- Identify responsible party by examining patient record.
- Issue invoice by entering service data; calculating charges; mailing invoices.
- Resolve billing issues by discussing contract with third-party payer; explaining insurance contract with patient; negotiating settlement.
- Maintain patient and invoice files by entering and adjusting data.
- Provide billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends.
- Update job knowledge by participating in educational opportunities.
- Assist in the coordination of surgical scheduling.
- Obtain Pre-Certification of Surgical/Diagnostic Procedures, CPT and/or ICD-9 and ICD-10 Coding.
Surgical Coordinator
East 60th Street/New York Presbyterian Hospital
New York, New York
01.2008 - 01.2009
- Coordinate all aspects of the area of surgical scheduling.
- Responsible for maximizing allocated operating room space.
- Ensure and anticipate all supply, equipment and special needs of the OR environment are maintained and available.
- Obtain Pre-Certification of Surgical/Diagnostic Procedures, CPT and/or ICD-9 Coding.
- Coordinate all Pre-Admission Testing prior to surgery and post-operative care and/or referrals.
- Schedule all procedures through Computerized Hospital Systems, which includes: PHS, CROWN, CLIMACS SYSTEM, MSM OR MANAGER and IDX.
- Comply with DOH Regulations for record keeping, charting and medical records.
- Actively participate in the development and implementation of programs, policies, and procedures to improve the quality of surgical scheduling and participate in scheduling meetings.
Clinical Supervisor
Hospital for Joint Diseases
New York, New York
01.1997 - 01.2005
- Direct, supervise and evaluate work activities of medical, nursing, technical, clerical, service, maintenance, and other personnel.
- Establish objectives/evaluate operational criteria for units.
- Coordinate Ambulatory Pediatric Surgical Bookings; including scheduling, referral process and insurance pre-authorizations by third party payers, managed care organizations, and HMO's.
- Develop and implement organizational policies and procedures for the facility or medical unit including HIPPA, Quality Assurance and JCAHO regulations.
- Develop and maintain computerized record management systems.
- Establish work schedules/assignments for staff according to workload, space, and equipment availability.
- Maintain communication between medical staff and department heads by attending meetings and coordinating interdepartmental functions.
- Evaluate information to determine compliance with HJD standards.
- Coordinate Office Supplies and Order as needed.
- Act as liaison, when necessary, on issues relating to patient complaints, health care providers' concerns, and operational issues, and take the appropriate measures to resolve issues.
Senior Clerk Typist V/Medical Technician
Montefiore Medical Center/CFCC
Bronx, New York
01.1991 - 01.1996
- Coordinate and Direct Supportive Services.
- Maintain Clinic Flow, Registering, Scheduling and Receiving Patients.
- Obtain Patient's Data, Vital Signs and Follow-up Medical Recommendations.
- Maintain Medical Records/Data Entry.
- Handle Phone Calls/Correspondence and Reports/Clinic Inventory.
Education
Associate of Applied Science - Health Information Technology
Westchester Community College
Valhalla, NY06-2027
Certificate - Medical Coding And Billing
Borough of Manhattan Community College
New York, NY05-2010
High School Diploma -
De Witt Clinton H.S.
Bronx, NY06-1986
Skills
- Electronic health records management
- Medical coding and billing
- Patient data oversight
- Claims processing and resolution
- Regulatory compliance
- Healthcare operations management
- Effective communication
- Team collaboration
- Problem solving
- Process improvement
- Startup turnaround strategies
- Multi-unit operations management
- Strategic partnerships
- Performance evaluations
- Procedure development
- Assignment delegation
- High-pressure environments
- Multidisciplinary collaboration
- Troubleshooting skills
- Facility management
- Strategic planning
- Operational efficiency
- Performance management
- Employee relations
Languages
Spanish
Native/ Bilingual
Timeline
Operations Manager
Northern Westchester Hospital
10.2017 - Current
Admitting Supervisor
Northern Westchester Hospital
10.2017 - Current
Scheduler, Operating Room- Surgical Services
Northern Westchester Hospital
10.2017 - Current
Surgical Concierge
Northern Westchester Hospital
10.2017 - Current
Collections Specialist/Patient Care Specialist
Chambers Medical Group
09.2015 - 08.2017
Surgical Coder/ Billing Coordinator
Dr. Russell F. Warren/Hospital for Special Surgery
01.2009 - 07.2015
Surgical Coordinator
East 60th Street/New York Presbyterian Hospital
01.2008 - 01.2009
Clinical Supervisor
Hospital for Joint Diseases
01.1997 - 01.2005
Senior Clerk Typist V/Medical Technician
Montefiore Medical Center/CFCC
01.1991 - 01.1996
Associate of Applied Science - Health Information Technology
Westchester Community College
Certificate - Medical Coding And Billing
Borough of Manhattan Community College
High School Diploma -
De Witt Clinton H.S.
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