Knowledgeable Billing Specialist with proven history of leading high-performing teams and executing strategic initiatives that drive organizational growth. Successfully directed cross-functional projects that resulted in significant process improvements and operational efficiencies. Demonstrated leadership and communication skills in fostering collaborative environments and delivering impactful results.
Overview
13
13
years of professional experience
1
1
Certification
Work History
DIRECTOR OF PHYSICIAN SERVICES II
HCA Physician Services Group, South Atlantic Division, (SATL, JAX Market)
11.2022 - Current
Directs and manages strategic projects for Physician Services Group; creates new strategies and approaches for optimizing operations and partnerships with HCA Florida Orange Park Hospital.
Manages practice portfolio to achieve operations goals in collaboration with hospital partners.
Strategic leader responsible for all results associated within market area.
Develops, implements and monitors practice budgets including analyzing financial impact of changes and forecasts, and expenditures.
Oversees the daily/monthly expenditures, staffing and overtime hours to ensure financial targets are met and/or exceeded.
Manages HCA employed physician practices and ensure they are operated in accordance with Physician Services standards and policies.
Conducts audits to ensure compliance with established policies and procedures.
Develops cost/benefit analyses of patient care services and equipment.
Provides market-level oversight and direction to ensure that appropriate quality goals and measures are met.
Works with physicians and division leadership to provide innovative practice growth and quality solutions that will maintain and improve patient outcomes and satisfaction.
Effectively and proactively manages relationships with all physicians in the market/portfolio, HCA Physician Services management, and support teams to achieve market targets and develop innovative opportunities for growth.
Transcripts and References Available upon Request
MEDICAL PRACTICE MANAGER
Memorial Advanced Surgery/Memorial Ear, Nose and Throat (ENT) and First Coast Neurology/Neurosurgery
07.2015 - 11.2022
Selected to temporarily fill the vacant Director of Physician Services position.
Responsible for practice management, operations, and coordination of the day-to-day business activities for multiple high volume, specialty practices.
Coordinates with local market hospitals to promote Physician Services Group specialties, chairs meetings in absence of Market Manager.
Supports development of Division annual growth and reputation plan to synchronize with market plans.
Ensures quality control over all information released by the practices; mitigates risk for HCA and South Atlantic Division.
Performs annual and multi-year fiscal planning and analysis for 3 practices.
Cultivates an environment of readiness, through management and preemptive planning.
Managed all facets of project for opening of first ever HCA ENT practice in Orange Park, FL.
Manages the day-to-day operations of three medical practices, allowing clinical staff to focus on patient care needs unencumbered by administrative tasks.
Develops, maintains, and monitors integrated reporting systems for multiple programs with interrelated functions and operations.
Reviews and interprets new and established directives, and instructions for potential impact on program objectives.
Provides administrative oversight to SE Region (Market) Manager.
Enforcing the regulatory/insurance requirements for pre-registration and ensuring the notification of patients.
Establish/implement goals, objectives, policies, procedures and systems for the assigned clinical areas, increases efficiency and effectiveness by working with staff on their strengths and organizing workflow accordingly.
Overseeing quality improvement initiatives to enhance quality, cost efficiency and the patient experience on an on-going basis.
Verifies monthly bills for accuracy and completeness.
Conducts management and program improvement studies, which cover programmatic and administrative areas.
Makes recommendations to senior managers concerning medical and/or hospital requests.
Oversees the records management for all Practices; ensuring PHI and PII are protected; IAW Privacy Act.
Implementation of written policies and procedures that govern the operations of the clinics.
Conducts performance evaluations for staff positions.
Reviews the practice’s policies and procedures regularly and makes recommendations to assure continued compliance with current regulations.
Consults with market manager, practice supervisors and staff concerning practice operations, problem solving and service improvement.
Makes written and oral reports and recommendations to leadership concerning the operations of the clinics.
Makes routine inspections of the practices to assure that established policies and procedures are being implemented and followed.
Maintains a good public relations program that serves the best interest of the practice and the community alike.
Maintains an excellent working relationship with the medical profession, providers, and other health related facilities and organizations.
Assumes the administrative authority, responsibility and accountability of directing the activities and programs of the market/division.
Responsible for development and maintenance of practice budget.
Recruits, interviews, selects, and hires practice personnel, supervisors and staff members.
Responsible for timekeeping management and review.
Develops tracking mechanisms (metrics) and workflow(s) for assigned Practices.
Trains and mentors employees; creating an atmosphere of medical excellence.
Transcripts and References Available upon Request
CLINIC SUPERVISOR
First Coast Neurology/First Coast Neurosurgery
08.2014 - 07.2015
Helps establish/implement goals, objectives, policies, procedures and systems for the assigned clinical areas, increases efficiency and effectiveness by working with staff on their strengths and organizing workflow accordingly.
Represents management at conferences, working groups and ad hoc teams; responds to crises and challenging situations, quick and professionally.
Reviews and interprets new and established directives, and instructions for potential impact on program objectives.
Participates in the development and implementation of clinical plans.
Selects, trains/orients, and supervises departmental personnel. Responsible for work assignment and daily operations.
Evaluates performance and recommends merit increases, promotions, and disciplinary actions.
Resolves problems in clinical areas and ensures compliance with regulations and standards.
Administering analytical and evaluative methods and techniques to perform research activities and conduct studies.
Applying problem solving skills to complete assignments, provide guidance, and recommend new approaches.
Assists fiscal management and other administrative staff to develop/implement cost effective policies and procedures for all clinical areas, as well as billing, insurance, fee schedules, credit/collections, purchasing, and space planning.
Works with medical staff to ensure quality patient care and services are provided.
Participates in professional development activities to keep current with health care trends and practices.
Assisted in starting the usage of Botox at First Coast Neurology Fleming Island, organized training with Allergan for provider and medical assistant, organized meeting with Allergan’s Neuroscience Business Practice Specialist.
Transcripts and References Available upon Request
MEDICAL OFFICE SPECIALIST
First Coast Orthopedics
10.2013 - 08.2014
Administered a dynamic reception desk, answered phones, greeted and communicate with patients and providers.
Scheduled, canceled, and rescheduled patient appointments and checked in patients and properly documented registration.
Insurance verification and verification of patient demographics.
Filed and retrieved medical records/files.
Collected co-pays and cash from patients, obtained authorization on credit cards.
Entered charges, payments, and balanced the day in the computer.
Was promoted to Clinical Supervisor within a year of starting the position.
Assisting in training new Medical Office Specialists.
Worked with the medical coder on staff to learn about billing and procedures and worked with medical assistants to fully understand surgery scheduling.
Transcripts and References Available upon Request
DIRECTOR OF SALES
Holiday Inn Express & Suites Charleston North & Ashley Phosphate
04.2012 - 05.2013
Sales Ambassador; serves as hospitality spokesperson both internally and externally.
Managed/directed internal communications, website, social media, events, media relations, community engagement, and other communications.
Developed and managed sales budget, obligating and forecasting multiple years.
Managed full scale data entry and integrity related to billing, inventory and rooming lists.
Managed project development and implementation of sales and marketing tools.
Scheduled and coordinated banquet events and calendar of events for staff members.
Transcripts and References Available upon Request
Education
Applied Science degree - Hotel and Restaurant Management
Johnston and Wales University
01.1999
Skills
Project Action Workflow System (PAWS)
EClinicalWorks EMR System
Microsoft Suite: Word, Power Point, Excel, Outlook
MS SharePoint
Concur
Kronos
Billing systems and software
Insurance verification
Invoice processing
Customer service
Affiliations
President of the Charleston Hoteliers Exchange Club
Military Relations Committee through the Charleston Metro Chamber of Commerce
Charleston Area Convention and Visitors Bureau
Charleston Defense Contractors Association
Women in Defense Charleston Chapter
AFCEA Charleston Chapter
Events Committee Co-Chair for the American Indian Chamber of Commerce of South Carolina
Certification
Pursuing Financial Management and Leadership Certification(s)
Timeline
DIRECTOR OF PHYSICIAN SERVICES II
HCA Physician Services Group, South Atlantic Division, (SATL, JAX Market)
11.2022 - Current
MEDICAL PRACTICE MANAGER
Memorial Advanced Surgery/Memorial Ear, Nose and Throat (ENT) and First Coast Neurology/Neurosurgery
07.2015 - 11.2022
CLINIC SUPERVISOR
First Coast Neurology/First Coast Neurosurgery
08.2014 - 07.2015
MEDICAL OFFICE SPECIALIST
First Coast Orthopedics
10.2013 - 08.2014
DIRECTOR OF SALES
Holiday Inn Express & Suites Charleston North & Ashley Phosphate
04.2012 - 05.2013
Applied Science degree - Hotel and Restaurant Management