MARIA ERCILIA CHAVEZ
Harlingen,TX
Summary
Dedicated healthcare industry leader with a strong desire to advance in responsibility and influence with a progressive organization committed to advancing healthcare through innovation, patient experience, and continuous quality improvement. Bachelor's prepared registered nurse with experience in multi-specialty operations of physician practices, revenue cycle management, and quality management in several areas across the continuum of care. Excellent communication, interpersonal, and relationship building capabilities. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
23
23
years of professional experience
Work History
Market Operations Manager
Tenet Physician Network
09.2016 - Current
- Lead Teams in the Divisions of Inpatient Hospital Base Programs /Outpatient Multi- Specialty Clinic Operations/Revenue Cycle Management, Oversee the day to day operations of the hospital- based medicine program for 80+providers including; Internal Medicine care team, Endovascular Neurologist, General Neurologist, Physical Medicine & Rehabilitation, Palliative Care, ICU and Locum coverage agreements
- Oversee Operations, including Revenue Cycle Management, Eligibility& Denial, Authorizations
- Collaborate and deliver creative and innovative solutions to assist with Barriers impacting care at the facility
- Team Build with Case Management and support nursing teams to achieve Goals on reducing LOS, Excess Days, Readmission rates
- Engage with administrative team on planning, budgets, new service lines
- Lead Hospitalist and engage them on KPI trends and Market metrics of programs
- Provide ongoing orientation, identify and coordinate staff training for new and existing employees
- Incorporate strategies for prevention of denials and achieve PPR >90%.
Contractor Administrator
Interventional Cardiology
11.2011 - 08.2016
- Administration of overall operations of business and clinical functions of the practice
- Developed and implemented annual practice budgets
- Annual training and skills development for all staff members
- Ensured compliance of operations with all state, federal guidelines
- Performed and trained staff on ICD 10 implementation
- Case managed and coordinated continuity of care for patients with external healthcare teams such as those receiving heart transplants
- Supervised and participated on quality data collection, health outcome reporting
- Managed Revenue Cycle, performed appeals, denials and implemented processes to reduce errors and capture clean claims for first pass payment rates.
Practice Administrator/LVN-QA/Coder
ECO Billing Solutions LLC
02.2009 - 11.2012
- Provided cost reduction analysis to multi -specialty physician practices
- Developed systems to assist physician in reduction of denials
- Performed audits of medical charts for health outcome evaluations and compliance
- Directed day to day functions of all assigned clinics in accordance with federal, state, and local guidelines.
Licensed Vocational Nurse/Field
Heart Home Health
02.2008 - 06.2010
- Provided Skilled Nursing Services to homebound patients, Head to Toe assessments, wound care, IV therapy, Teaching on Disease Process/ Complications, Safety Measures, Infection Control Measures
- Coordinated with MD changes to Plan of Care and changes to patient status.
HCS/TxHML Program Nurse LVN
Life Choices Unlimited, Inc
06.2008 - 02.2009
- Coordinated and Monitored health and medical conditions of consumers with Mental Disabilities
- Lead Interdisciplinary Team Meetings
- Monitored, teaching, implementation of prescribed treatments
- Oversight of Nursing department billing
- Maintain monitor, review of medical records QA.
Quality Assurance Director/LVN
Region Health Care
04.2006 - 02.2008
- Auditing for Compliance, ICD 9 Coding
- Captured and Analyzed Data for Quality Improvement
- Coordinated patient care with RN/LVN/MD
- Orient new staff training.
Licensed Vocational Nurse/Field
MS Health Care
11.2005 - 06.2007
- Provided Skilled Nursing Services to homebound patients, Head to Toe assessments, wound care, IV therapy, teaching on Disease Process/ Complications
- Ensured Safety Measures, Infection Control Measures
- Coordinated with MD changes to Plan of Care and changes to patient status.
Licensed Vocational Nurse/Telemetry
Mission Regional Hospital
06.2005 - 12.2005
- Performed Nursing skills & patient care per MD orders for Telemetry patients
- Coordinated with MD patient status, obtained orders, medication administration, IV therapy, wound care.
Operations Administrator/Broker Associate
Union Bank of Switzerland- International
10.2000 - 06.2004
- Serviced domestic and international accounts established
- Performed transfers of assets from other financial institutions
- Assisted management with Risk/Exposure and Analysis
- Handled all technical troubleshooting of software and hardware as the Branch Technology Liaison.
Education
Bachelor's Degree - Nursing -
UAT- Universidad Autonoma de Tamaulipas, Reynosa
Skills
- KPI tracking
- CPT / ICD 10 Coding
- Recruitment & Retention
- Revenue Cycle Management
- Risk Analysis
- Strategic Planning
- Budget Management
- Federal Regulations
- Organizational Policies
- Resource Allocation
- Regulatory Compliance
- Cross-functional Collaboration
License
Texas RN Compact License
Timeline
Market Operations Manager
Tenet Physician Network
09.2016 - Current
Contractor Administrator
Interventional Cardiology
11.2011 - 08.2016
Practice Administrator/LVN-QA/Coder
ECO Billing Solutions LLC
02.2009 - 11.2012
HCS/TxHML Program Nurse LVN
Life Choices Unlimited, Inc
06.2008 - 02.2009
Licensed Vocational Nurse/Field
Heart Home Health
02.2008 - 06.2010
Quality Assurance Director/LVN
Region Health Care
04.2006 - 02.2008
Licensed Vocational Nurse/Field
MS Health Care
11.2005 - 06.2007
Licensed Vocational Nurse/Telemetry
Mission Regional Hospital
06.2005 - 12.2005
Operations Administrator/Broker Associate
Union Bank of Switzerland- International
10.2000 - 06.2004
Bachelor's Degree - Nursing -
UAT- Universidad Autonoma de Tamaulipas, Reynosa
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