MELANIE CARRERAS
Deltona,FL
Summary
Director of Business Operations and Revenue Cycle Management with 18 plus years of Medical Business Office experience. Currently part of the Ability Health Services and Rehabilitation, LP Leadership Team. Effectively and with great progression assisted with company growth from 8 locations to now 25 and very proud of the value I have contributed to its success. Primary role includes overseeing multiple administrative departments such as Billing and Collections, Quality Assurance, Insurance verification and authorizations, as well as implementation of policy and training procedures for all Medical Front/Back Office. Additionally, reinforced and incorporated procedure and processes of US Physical Therapy partnership. Strong and dedicated leadership with a unique and complimentary management style weighted heavily by coaching and mentoring of all staff both non-clinical, Regional Directors, & Clinic Directors. Versatile Managing Director with proven abilities across all levels of organizational management. Talented in developing partnerships, overseeing personnel and developing tactical plans to meet strategic goals. Highly organized, efficient and communicative Liaison Officer with strong background coordinating business operations with internal and external stakeholders. Effective in serving as middle person in streamlining processes, resolving issues and improving communications.
Overview
16
16
years of professional experience
Work History
Director of Operations & Revenue Cycle Management
Ability Health Services & Rehabilitation, LP
01.2008 - Current
- Responsibilities include but not limited to- Recruiting and hiring of all administrative staff which include all billing and collections, front office, pre-registration, quality assurance, insurance verifiers, authorization specialist, medical records custodian, and administrative assistants
- Continuous A/R review to ensure profitable collections as well as efficiently create departmental processes to increase revenue
- Initial training and coordination of follow up training for all admin staff
- EMR administrator for Casamba/Sourcemed
- EMR & EDI implementation and training
- Project management and implementation of back office departmental development with 100% success rate
- Manage reconciliation and communicate directly with FHCP Senior Management- capitation contract
- IT compliance and distribution
- Works directly with controller and financial trends (reporting & allocations for management contracts)
- Implement and announce new procedures and training for all staff
- Directly oversee new clinic operations and coordination of set up
- Initial Contact for all supply vendors and agreements
- Responsible for review of timesheets for 2 CBO offices
- Responsible for all front and back office PTO coverage (40+ employees)
- Manage all administrative leadership staff (Leads, Floaters, Trainers)
- Continuous system training for all staff (clinical & non clinical)
- Executive management for all partners/owners
- Works daily with billing and collections team and assignments as necessary
- Review monthly trends to reduce cost
- Directly manages relationships with referral sources, attorney, and correctional facilities
- Develop and oversee centralized departments
- Measure productivity of all front & back office daily, weekly, and monthly
- Works directly with online marketing team on branding, website articles, and social media.
- Enhanced employee engagement by developing training programs, fostering collaborative culture, and promoting professional development opportunities.
- Trained and guided team members to maintain high productivity and performance metrics.
- Spearheaded implementation of process improvements and cost-saving initiatives to increase value and maximize profits.
- Negotiated with vendors, suppliers and other stakeholders to acquire mutually beneficial contracts and agreement.
- Implemented data-driven decision-making processes to enhance operational performance and achieve targets.
Business Operations Liaison
U.S. Physical Therapy
01.2022 - 04.2023
- Maintained up-to-date knowledge of industry trends, sharing insights with colleagues to drive continuous improvement efforts.
- Director to CBO Department $8 Million A/R, and successfully maintained collection goals with 35 AR days and Less than 20% in 120+
- Developed and implemented liaison initiatives to facilitate communication between departments and stakeholders.
- Maintained high degree of professionalism at all times, representing the organization with integrity in both internal and external interactions.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Collaborated closely with department heads to identify opportunities for process improvement initiatives.
- Improved interdepartmental collaboration with regular team building activities and open forums for discussion.
- Facilitated meetings and conferences between various parties, enabling better collaboration and efficient decision-making.
- Acted as Business liaison between upper management and staff members, promoting positive working relationships built on trust.
- Collaborated with other departments, identifying and addressing areas needing improvement.
- Collected and analyzed data to identify trends and opportunities for improvement.
- Served as primary point of contact, fostering strong relationships between internal teams and external partners.
- Responded to inquiries from internal personnel and outside clients immediately, facilitating quick resolution of issues.
- Proactively identified potential challenges or roadblocks within projects, formulating contingency plans to ensure success.
- Developed effective improvement plans in alignment with goals and specifications.
- Assisted in resolving conflicts between parties, providing mediation and negotiation tactics.
- Aided in development of training materials, contributing to ongoing education of team members and improved performance outcomes.
- Collected and analyzed data and feedback to identify opportunities to improve relationship between other entities and business.
Education
A.S. Patient Care Technician -
Angley College
Deland, FL01.2002
A.S. in Business Management -
Monroe College
New York, NY01.1999
Skills
- Operations Management
- Management Team Building
- Decision-Making
- Revenue Generation
- Hiring and Onboarding
- Performance Analysis
- Employee Development
- Process Improvements
- Business Development
- Data Analysis
- Employee Motivation
- Cost Control
- Leadership training
- Operational Efficiency
- Performance Improvements
Timeline
Business Operations Liaison
U.S. Physical Therapy
01.2022 - 04.2023
Director of Operations & Revenue Cycle Management
Ability Health Services & Rehabilitation, LP
01.2008 - Current
A.S. Patient Care Technician -
Angley College
A.S. in Business Management -
Monroe College
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