Maria Antoinette Castaneda
Operations Management
San Fernando,CA
Summary
Results-driven and self-motivated Healthcare Administrator with 12+ years of operational and administrative experience within hospital-owned practices and independently-owned physician practices across different healthcare delivery settings. Possess an excellent understanding of administrative and clinical operations with excellent customer service and team management skills.
Overview
20
20
years of professional experience
1
1
year of post-secondary education
4
4
Certifications
Work History
Clinic Operations Manager
Mend Urgent Care
Sherman Oaks, CA
06.2015 - 07.2017
- (3) high volume, state of-the-art Urgent Care Centers in the San Fernando Valley (Primary Service Areas = Sherman Oaks, CA, Van Nuys, CA and Burbank, CA) that provide urgent care, occupational health, and workers compensation services with annual patients visits totaling 32,400 per year
- Responsibilities and functions include:
- Management of 50+ employees
- EMR and Practice Management System
- Payroll/Timekeeping Management
- Credentialing - PPO/HMO Contracts
- Recruiting/Hiring/Training of all staff
- Scheduling staff & provider schedules
- Monthly Budgeting
- Resolve Patient Disputes/Complaints
- Design and Implement Policies & Procedures
- Manage Workflow
- Marketing to other physician practices
- Practice growth management
- Employee performance reviews
- Workers Compensation/Occupational Medicine service lines
- Billing/Balances/Collections
- Compliance with HIPAA, OSHA, and applicable regulations
Operations Manager
Adventist Health Physicians Network
Glendale, LA
06.2017 - Current
- Adventist Health is a not-for-profit health care organization which operates facilities throughout the western U.S
- Oversee six (6) high volume, specialty clinics in the (Glendale and Los Angeles) region that provide Pediatrics, Rheumatology, OBGYN, Cardiology, Urgent Care services
- Management of 4 Managers & 60+ employees
- Streamline Workflow Processes
- Marketing to other physician practices
- Practice growth management
- Compliance with HIPAA, OSHA, and applicable regulations
- Develops and manages department operating budget and the preparation of department reports
- Implements the necessary organizational performance measures and monitors operational functions
- Monthly Budgeting Meetings/Review of all clinics
- Maintains strong customer relations with patients, visitors, and other employees
- Compliance to regulatory guidelines and the provision of quality patient care
- Maintains compliance with regulations governing clinics by monitoring operations and initiating changes where required
- Evaluate staff performance, identifies opportunities for performance improvement and defines plans for performance goal achievement
- Enhance professional growth and development
- Oversees administrative staff meetings and attends other meetings, as assigned
- Exercises independent judgment in recruiting, training, coaching, supervising and directing assigned staff
- EMR and Practice Management System
- IPA Disputes/Complaints/Grievance Responses
Managing Director (Evening Position)
Mend/Premier Health Partners, Inc
Sherman Oaks , CA
12.2015 - 06.2017
- Manage credentialing and schedule coordination for Emergency Medicine Management organization that provides professional services to five (5) Southern California emergency rooms, including Victor Valley Global Medical Center, Chapman Global Medical Center, Gardens Regional Medical Center, Palo Verde Hospital, and Lompoc Valley Medical Center
- Responsibilities and functions include:
- Credentialing
- Scheduling – both Physicians and Allied Health Providers
- Physician Relations
- Hospital Medical Staff Liaison
- Vendor Management of the Billing Office
- Physician and Allied Health Recruitment
Supervisor
Burbank Occupational Health Center
Burbank , CA
06.2009 - 06.2015
- Managed the initial start-up and growth of high volume, fast paced Urgent Care Center in Burbank, CA formerly a part of the Providence Health System that provided urgent care, occupational health services, and a variety of comprehensive services including immunizations, physicals, and drug screens
- Responsibilities and functions included:
- Employee Performance Management
- Patient Registration
- Eligibility/Verification of Benefits
- Workflow Management
- Patient Dispute/Issue Resolution
- Occupational Medicine Scheduling
- Employer Account Management
- Support and Enforcement of Policies and Procedures
- Collection of Co-Pay, Co-Insurance and Deductibles
- Handle credit cards, checks and cash payments
- Answer Multiline Phones Systems
- Triage and Patient Management
- Workers Compensation Claim Processing
Workers Compensation Coordinator/Surgery Scheduling Coordinator
Valley Spine Center/MMMC
Sherman Oaks, CA
01.2004 - 06.2009
- Managed surgery scheduling and workers compensation processing for high-volume physician practice that provided advanced diagnostic and therapeutic methods for the relief of back pain and a variety of spine disorders
- Responsibilities and functions included:
- Claims and Work Status Management
- Communication with adjustors, physicians, and interested parties
Education
Medical Assistant - CMA
Lancaster Medical College
Lancaster, CA 03.2004 - 03.2005
Patient Education and Explanation of Surgical Procedures Scheduling Surgical Consultations/Pre-Operative Appointments Hospitals/Ambulatory Surgical Center Relations Eligibility/Verification of Benefits Surgical Supply and Implant Purchasing Review Written and Verbal Instructions for Post-Operative Recovery Arrange Post-Operative Appointments State Disability Form Management - undefined
Skills
Clinical management
Policies and procedures
Training and mentoring
Corporate compliance
Revenue management
Certification
Antelope Valley High School- 4.0 GPA- Diploma
Timeline
Operations Manager
Adventist Health Physicians Network
06.2017 - Current
Managing Director (Evening Position)
Mend/Premier Health Partners, Inc
12.2015 - 06.2017
Clinic Operations Manager
Mend Urgent Care
06.2015 - 07.2017
Supervisor
Burbank Occupational Health Center
06.2009 - 06.2015
Medical Assistant - CMA
Lancaster Medical College
03.2004 - 03.2005
Workers Compensation Coordinator/Surgery Scheduling Coordinator
Valley Spine Center/MMMC
01.2004 - 06.2009