Monica Humphrey
Tucson,AZ
Summary
An executive healthcare professional with over 30 years of practical and educational experience in Physician’s operations with oversight of Patient Financial Services, Patient Access, Revenue cycle management, Process Improvement, Business Development, compliance, Information Technology, Strategic Planning, and Budget processes. Demonstrates proven ability to maximize efficiency and profitability through strong leadership skills, managerial accounting, systems enhancements/redesign, and use of best practice standards. Comprehensive skills in building highly motivated teams consciously focused on improving productivity and quality of patient care. Proven success in utilizing and fostering positive leadership by management, so that team success is achievable. Healthcare Administrator with proven to deliver exemplary level of healthcare service delivery to patients. Coordinate admission and discharge of patients. Plan and implement strategies for developing improved health care management. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high performing teams.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Practice Administrator
Northwest NeuroSpecialists, PLLC/TMCONE Specialty
2016.08 - Current
- Oversee the day-to-day activities of the clinic to ensure high level productivity
- These functions include, but are not limited to, scheduling, billing, accounts receivable, patient records, telecommunications, and clinical services
- Develop and implement a system to ensure that established policies, goals, and objectives are achieved and in compliance with practice, facility and system policies and procedures, standard practices of the profession and related local, state and federal regulations
- Manage and develop efficient systems that provide for quality patient services and overall patient satisfaction
- Resolves any patient concerns
- Facilitates the assimilation of newly hired physicians or nurse practitioners
- This includes credentialing, orientation, training, practice set up, and post integration follow-up
- Coordinates with appropriate individuals for renting of office space and responds to concerns of tenants
- Maintains effective communications and working relationships with physicians
- Responds to physician concerns and provides problem resolution
- Develops and submits the annual operating and capital budget with input from Northwest NeuroSpecialists owners
- Ensures adherence to established annual budgets and reviews and recommends capital equipment and facilities requests
- Develops and implements productivity action plans to meet productivity benchmarks
- Develops marketing plans
- Provides effective leadership for development of a cohesive team
- Selects, trains, coaches, motivates, conducts performance evaluations, and directs the workflow of staff
- Develops goals and performance expectations of staff
- Reports MIPS quality
- Financial Reporting
- Quickbooks accounting
- Payroll Management
- 401K Management
- Human Resource Management
- OSHA/HIPAA and Compliance Trainer
- Responsible for passing and maintaining Az State licensure
- Responsible for provider credentialing
- Responsible for insurance contract negotiations
- Responsible for coding and overseeing the billing department
- Responsible for all financial aspects of the practice.
Practice Administrator of Physician Practice Operations
Oro Valley Hospital/Northwest Medical Center
2014.04 - 2016.08
- Plan, organize, direct, and manage operations for physician-based practices which comprised 27 practice locations and 72 multi-specialty providers
- Implemented project plans to comprehensively monitor the integration process of systems and operations to ensure quality and revenue to impact the balance sheets
- Oversee policies and procedures designed to ensure appropriate process and functions with strong utilization of project management principles as it relates to physician practice management
- Actively participates in business development, acquisition, and integrations of new practices
- Negotiated and administered managed care contract negotiations with focus on revenue and risk/quality measure outcomes related to each health plan
- Developed and implantation of reserved methodologies to ensure proper revenue integrity with focus on meeting annual budgets
- Process/Performance Assessment and Improvement- use of best practices, customer/employee surveys, and continuous on-going data analysis
- Comprehensive analysis and oversight of over 100 employees- payroll, centralized services, and daily planning and operations of physician practices
- Provide education to Employee, Physician, and Patients with on going education- with special focus projects such as - patient portal-follow My Health
- Review of financial reports and statistical analyses, which reflect the financial status, profit and loss, and revenue growth per physician
- Implementation of plans to meet budget goals and help achieve profitable margins
- Oversight of ongoing compliance monitoring to meet federal, state, and local requirements
- Participle and obtain positive results from all compliance surveys- include developing performance improvement plans
- Maintain a Compliance Assurance Program to monitor regulatory fraud and abuse
- Train and provide supervision/support to Regional Clinical Administrators
- Responsible for maintaining clinic volumes and maximizing patient flows with focus on increased revenue/improve profit margins
- Comprehensive analysis and oversight of Meaningful Use
- Proving continued education to providers to meet or exceed Meaningful use requirements.
Associate Director of Clinical Operations
Arizona Community Physicians, PC
2005.09 - 2014.04
- Provide strategic and operational oversight for four Family Practice, two Internal Medicine and two Pediatric offices located on the northwest and eastside of Tucson, AZ
- Supervise and managed seven office,7 managers and 60 employees included mid- level providers
- Responsible for acting on human resources issues and maintaining clinic stability-development of an organizational turnaround to reduce turn over and increase employee tenure
- Managed patient flow and work loads in all clinics- worked both back office and front office when needed
- Train customer service programs
- Train and write training manuals for our Allscripts EMR, IDX scheduling programs, OSHA, HIPAA and charge entry
- Responsible for training all staff including medical assistants and front office personnel in office procedures and clinical processes
- Correspond directly with physicians and address concerns
- Report directly to the Executive Director of Arizona Community Physicians
- Responsible for the construction and remodeling of new clinics
- Responsible for the profitability of the clinics and productivity of the physicians and mid-levels
- Review financial reports monthly with physicians and mid-level physicians
- Work directly with the Compliance Director on compliancy issues with providers or patients
- Trained and supervised all new office managers
- Audit charge entry for each of my offices quarterly this includes ICD9 and CPT coding
- Handle customer complaint and patient billing questions and resubmission of claims.
Office Coordinator/ Lasik Marketing Coordinator
Advanced Vision Care
2002.07 - 2005.09
- Coordinated Refractive surgery care between seven Vision Source Practices
- Managed the monthly budget, spend, cost reduction program and inventory management for all areas of the practice
- Involved in the recruitment and hiring of new employees
- Conducted continuing education seminars for physicians and potential refractive patients
- Managed front desk personnel
- Responsible for maintaining annual employee costs and increasing revenue
- Responsible for resolution of employee problems
- Responsible for medical billing and to see that payments are received promptly and accurately
- Directly reported to physicians.
District Manager for Arizona
MUSA Holdings/ Eye Glass World
2000.04 - 2002.07
- Managed 9 optical locations in Phoenix and Tucson
- Responsible for the induction, training and development of General Managers/Store Managers and Assistant Managers
- Produced comprehensive analysis of training opportunities and skills gaps
- Scheduled employee holidays, performed employee performance evaluations, and managed travel and expenses for the district
- Liaison for internal and external departments
- Produced revenue reports and complied required statistics
- Responsible for dealing with Human Resource issues and employee problem resolutions
- Responsible for insurance billing training of billing personnel and physicians staff.
Education
Bachelor in Healthcare Administration -
University of Phoenix
06.2024
Associate Degree Program -
Marion Technical College School of Nursing
01.1992
Skills
- HIPAA Compliance
- Operations Management
- Scheduling Coordination
- Patient Relations
- Performance Improvement
- Revenue Cycle Management
- Medical Billing
- Human Resources Management
- Practice Marketing
- Credentialing Management
- Electronic Health Records
- Employee performance
- Strategic business planning
- Policy and procedure development
- Staff Management
- Strategic Planning
- Schedule Management
- Workflow Management
- New Hire Training
- Staff Development
- Policy Implementation
- Practice Management
- Records Management
- Workflow Planning
- Payroll Administration
- Medical personnel recruitment
- Bookkeeping
- Performance Metrics
- Supplies Ordering
- Marketing
- Resource Management
- Client consulting
- Policy Development
- Budget Oversight
- Human Resources
- Regulatory Compliance
- Budgeting expertise
- Resource Allocation
- Referral management
- Strategic consulting
- Critical Thinking
- Patient Safety
- Decision-Making
- Patient Care Assessment
- Patient Education
- Training and mentoring
- Patient education and counseling
- Employee Supervision
- Medication Dispensing
- HIPAA Guidelines
- Clinical Staff Management
- Problem Identification
- Employee Recruitment and Hiring
- Quality Control
- Patient Advocacy
- Employee Performance Evaluations
- Multidisciplinary team collaboration
- Employee Work Scheduling
- Staff Supervision
- Medical clinical procedures
- Personnel Management
- Drug Inventory Management
- Process Implementation
- Performance monitoring
- Staff Scheduling
- Data Analysis
- Employee Training Program
- Risk Management
- Epic Systems
- Organizational Goal Development
- Administrative Staff Supervision
- Budget Planning
- Risk Analysis
- Health Information Systems
- Records Maintenance
- Inventory and restocking
- Risk Mitigation
- Facility Oversight
- Electronic Medical Record Software
- Budget Development
- Personnel Recruitment
- Codes Compliance
- Emergency Readiness
- Facility Inspections
- Utilization Management
- Project Oversight
- Regulatory Requirements
Certification
- 2022 AAPC Medical Coding Program/Completed Program
- 2018 Completed Human Resource Training with SHRM
- 2016 Completed OSHA and HIPAA instructor training with Stericycle
- ABO/NCLE Certified
- Certified VISX WAVESCAN
- State of Ohio Opticians License
- State of Arizona Opticians License
Affiliations
- AAPC Member Since 2021
- MGMA Member Since 2016
- Northern American Spine Society Member Since 2016
- SHRM Member Since 2017
Languages
Spanish
Elementary
Timeline
Practice Administrator
Northwest NeuroSpecialists, PLLC/TMCONE Specialty
2016.08 - Current
Practice Administrator of Physician Practice Operations
Oro Valley Hospital/Northwest Medical Center
2014.04 - 2016.08
Associate Director of Clinical Operations
Arizona Community Physicians, PC
2005.09 - 2014.04
Office Coordinator/ Lasik Marketing Coordinator
Advanced Vision Care
2002.07 - 2005.09
District Manager for Arizona
MUSA Holdings/ Eye Glass World
2000.04 - 2002.07
Bachelor in Healthcare Administration -
University of Phoenix
Associate Degree Program -
Marion Technical College School of Nursing
- 2022 AAPC Medical Coding Program/Completed Program
- 2018 Completed Human Resource Training with SHRM
- 2016 Completed OSHA and HIPAA instructor training with Stericycle
- ABO/NCLE Certified
- Certified VISX WAVESCAN
- State of Ohio Opticians License
- State of Arizona Opticians License
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