Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Nohely Mason

Tampa,FL

Summary

Clinic Manager with high level of professionalism, motivation and commitment to patient satisfaction. Over 5 years of experience facilitating staff teams and working alongside medical personnel. Strong skills in budgeting and recordkeeping. Dependable and detail-oriented with an ability to manage multiple tasks and priorities.

Overview

11
11
years of professional experience

Work History

Clinic Administrator

Optum
04.2024 - Current
  • Enhanced patient satisfaction with timely communication and proactive problem-solving strategies.
  • Ensured compliance with healthcare regulations through diligent monitoring of policies and procedures, maintaining up-to-date knowledge on industry standards.
  • Evaluated staff performance regularly, providing constructive feedback and implementing improvement plans as needed.
  • Provided administrative support by maintaining complete patient documents.
  • Facilitated collaboration among medical professionals, fostering a team-based approach for optimal patient care outcomes.
  • Led employee engagement initiatives to boost morale, resulting in increased job satisfaction rates among clinic staff members.
  • Implemented a comprehensive performance management system that effectively tracked staff accomplishments, allowing for more informed decision-making regarding promotions and raises.
  • Observed staff performance to monitor conflict management and performance skills.
  • Coordinated multidisciplinary team meetings to discuss patient cases, improving care coordination and overall treatment outcomes.
  • Managed financial counseling, appointment scheduling and in-office payments.
  • Oversaw facility maintenance initiatives, ensuring a clean, safe environment for both patients and staff members alike.
  • Managed clinic budget, ensuring optimal allocation of resources for maximum operational success.
  • Monitored duties assigned to personnel to promote high levels of patient care and job efficiency.
  • Conducted frequent clinic walk-throughs to maintain safe work environment.
  • Analyzed and reported patient data to identify areas of improvement and facilitate decision-making.
  • Managed daily operations efficiently while maintaining strict adherence to quality control measures for exceptional patient care delivery.
  • Processed office payments by contacting patient insurance and establishing payment arrangements with patients.

Practice Manager II

Village Medical Centers
12.2021 - 03.2024
  • Trained and supported the supportive staff to achieve company metrics.
  • Assisted in launching new locations.
  • Supported the entire practice staff, enhancing efficiency and optimizing workflow.
  • Motivated staff through guidance and constructive feedback.
  • Managed supply ordering and inventory monitoring.
  • Ensured cleanliness and organization of office and waiting areas through regular checks.
  • Established and maintained electronic record management systems for data storage and reporting.
  • Collaborated with clinicians to develop business strategies.
  • Led and motivated employees through supervision, training, and coaching in daily operational activities.
  • Facilitated peer-to-peer conflict resolution.
  • Resolved conflicts among physicians, nurses, and administrative staff to maintain smooth workflows.
  • Implemented training and education programs for healthcare support staff.
  • Evaluated staff processes to ensure resident and staff safety and regulatory compliance.
  • Recruited qualified candidates to enhance resident care.
  • Managed correspondence, calls, business letters, and records.
  • Handled scheduling and resource allocation efficiently.
  • Provided training and mentoring on company policies and best practices to administrative staff.
  • Interpreted and communicated company policies and procedures to staff.
  • Managed confidential matters and requests with discretion.
  • Coordinated office functions and activities for employees.
  • Collaborated with management to resolve equipment performance and quality issues.
  • Administered payroll and maintained employee personnel documentation accurately.

Center Manager

Florida Family Primary Care Center
05.2020 - 12.2021
  • Evaluated building conditions, workflow, and service quality to ensure compliance with operational requirements.
  • Assessed, optimized, and enhanced operations to meet current and future demands.
  • Trained employees in best practices and protocols, overseeing teams to maximize productivity.
  • Increased client retention and revenue through effective customer relationship management strategies.
  • Managed day-to-day office operations, including correspondence handling, call management, and document preparation.
  • Maintained exemplary office organization to support efficiency, professionalism, and performance goals.
  • Managed office inventory and initiated supply orders.
  • Coordinated office activities to ensure efficiency and adherence to company policies.
  • Conducted staff performance evaluations to monitor progress and recommend professional development.
  • Supervised front desk operations for check-ins, insurance verification, payments, and check-outs.
  • Monitored employee compliance with OSHA, HIPAA, and other standards for quality patient care.
  • Verified and processed employee timesheets for accurate payroll management.
  • Managed PTO requests, including approval and denial processes.
  • Addressed patient and team concerns promptly and effectively.
  • Communicated with patients empathetically while maintaining confidentiality of medical information.
  • Ensured compliance with OSHA and HIPAA regulations.
  • Supervised daily operations of 3-4 physician practices, overseeing 15 staff members across all departments.

Administrative Assistant/Medical Billing Specialist

Pan American Pain Institute
01.2015 - 05.2020
  • Oversaw day-to-day operations of the practice, including patient care delivery, supervision of medical and administrative staff, and management of business activities.
  • Managed administrative functions such as cost management, utilization reviews, quality assurance, and development of medical protocols.
  • Provided training to ensure staff compliance with local, national, and federal regulations.
  • Controlled financial operations including billing, collections, accounts payable, and operational budgets.
  • Identified and promptly corrected errors in denied or rejected claims to prevent payment delays.
  • Processed charges, payments, and adjustments accurately.
  • Handled appeals and submitted claims in a timely manner.
  • Managed insurance payments and adjustments efficiently.
  • Verified benefits and eligibility with accuracy and speed.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Submitted refund requests for erroneously paid claims.
  • Followed up with patients regarding unpaid claims across HMO, PPO, and private accounts, ensuring adherence to contract terms.
  • Contacted insurance providers to verify coverage and obtain billing authorization.
  • Maintained meticulous records and system entries for claims processing.
  • Obtained prior authorizations for outpatient procedures as required.
  • Monitored and resolved underpayments diligently.
  • Updated patient accounts and information daily.
  • Communicated with patients via phone, email, and in-person to facilitate payments on outstanding balances or accounts requiring deductibles or co-pays.
  • Scheduled patient appointments efficiently, considering physician availability and optimal patient scheduling.

Prior Authorization Coordinator

Advanced Pain Care Clinic
01.2019 - 06.2019
  • Contacted insurance carriers to secure authorizations, notifications, and pre-certifications for patients.
  • Informed ordering providers promptly about denied authorizations.
  • Managed resolutions for issues and initiated appeals for denied authorizations.
  • Utilized knowledge of Medicare, Medicaid, and third-party payer requirements, leveraging online eligibility systems to verify patient coverage and policy limitations.
  • Conducted thorough medical reviews of prior authorization requests according to established criteria and protocols.
  • Scheduled peer-to-peer reviews for physicians to discuss medical necessity with insurance providers.
  • Arranged patient appointments, diagnostic specialty appointments, tests, and procedures.
  • Prioritized and organized tasks efficiently to achieve service goals.
  • Provided patients with clear explanations of eligibility details and affordability options with kindness and respect.

Registration Clerk

Methodist Medical Center Of Oak Ridge
01.2018 - 01.2019
  • Welcomed patients to the facility and assisted with the registration and sign-in process.
  • Managed incoming department phone calls, directing callers to the appropriate team members based on their needs.
  • Handled cash, debit, and credit card payments for services rendered, providing detailed receipts.
  • Explained forms and documents to patients, guardians, and family members, ensuring comprehension and distributing copies as necessary.
  • Registered patients for outpatient procedures and emergency services.
  • Conducted interviews with clients to gather necessary information for paperwork.
  • Verified insurance information for benefits coverage and entered pre-authorization documents into the system.
  • Maintained compliance with HIPAA regulations and hospital policies.
  • Greeted visitors, assessed their purpose for visiting, issued credentials as needed, and directed them to the appropriate staff or department.
  • Provided customer service support and guidance on regulations and requirements related to registration programs.
  • Collaborated with nurses and clinic staff to process patients and guide them to appropriate departments.

Client Liaison/Medical Billing Specialist

Better At Home Health Services
01.2013 - 01.2016
  • Updated employee and patient files regularly.
  • Managed phone calls and scheduled appointments for patient services.
  • Assisted in coordinating office activities.
  • Acted as a key corporate representative, facilitating communication with various stakeholders to enhance operational excellence.
  • Processed charges, payments, and adjustments.
  • Verified patients' insurance coverage, deductibles, potential insurance payments, and remaining balances not covered under policies.
  • Maintained current knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements.
  • Prepared accurate billing statements for patients, ensuring correct diagnostic coding.
  • Compiled and attached all necessary claims documentation, such as referrals and treatment plans, to minimize claim denials.

Education

Certificate Program - Medical Administration

Rasmussen College
Online
08.2020

High School Diploma -

Leary Technical Center
Tampa, FL
01.2015

Certificate Program - Medical Billing & Coding

Aguilas International Technical Institute
Tampa, FL
06.2014

Skills

Office Administration

Healthcare management

Appointment Scheduling

Patient Relations

Leadership and Supervision

Account Management

Recruiting and Hiring

Reporting and Documentation

Claims Processing

Communication

HIPAA Compliance

Operations Management

Languages

Spanish
Native or Bilingual

Timeline

Clinic Administrator

Optum
04.2024 - Current

Practice Manager II

Village Medical Centers
12.2021 - 03.2024

Center Manager

Florida Family Primary Care Center
05.2020 - 12.2021

Prior Authorization Coordinator

Advanced Pain Care Clinic
01.2019 - 06.2019

Registration Clerk

Methodist Medical Center Of Oak Ridge
01.2018 - 01.2019

Administrative Assistant/Medical Billing Specialist

Pan American Pain Institute
01.2015 - 05.2020

Client Liaison/Medical Billing Specialist

Better At Home Health Services
01.2013 - 01.2016

Certificate Program - Medical Administration

Rasmussen College

High School Diploma -

Leary Technical Center

Certificate Program - Medical Billing & Coding

Aguilas International Technical Institute

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Nohely Mason