PETER RICE
Portland,OR
Summary
Skilled and experienced supervisor with eight years of experience in healthcare, including managing policies, programs, and relationships that support healthcare operations. Proven ability to lead workgroups using data analysis to develop policies and procedures which improve the quality of service and client outcomes in a community based health care system. Strong interpersonal and communication skills, with the ability to engage diverse stakeholders toward shared goals.
Overview
8
8
years of professional experience
Work History
Supervisor I, Administrative Services
Cascadia Health
02.2019 - Current
- Subject Matter Expert for authorization, billing and enrollment matters regarding all outpatient programs (Mental Health, Addictions, ICM, ACT, Child and Family, Supported Employment, Medication Management, and Primary Care)
- Provide supervision to a workgroup of 11 Billing Coordinators across 5 outpatient Health Centers
- Communicate with various partners to facilitate agreement on needed policy changes to remove barriers to optimal program outcomes
- Facilitated access to healthcare services as an OHA assister for a diverse client population in regards to age, race, socioeconomic status, gender, sexuality, nation of origin, language, religion, ability, and veteran status
- Collaborate with other Administrative leadership to improve and standardize practices in Health Centers, such as the development of a self-pay system which optimized collections and aligned the program with FQHC regulation
- Served as Chair of the Data Governance Committee, responsible for the integrity, analysis, and communication of data related to population health, service access and outcomes, and staff wellness
- Meet and maintain relationships with internal and external stakeholders, such as Care Oregon, and other Oregon CCOs, including collaboration on contracts and timelines
- Create training materials for administrative staff in preparation for the implementation of policy and process changes, such as the Feedback Informed Treatment (FIT) program and other trauma-informed practices
- Participate in the workgroup which led to the designation of the organization as a Federally Qualified Health Center, including ongoing reviews and audits
- Lead data collection and analysis for a diabetes care management program focused on health equity and improving health outcomes.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
Billing Coordinator
Cascadia Health
06.2017 - 02.2019
- Requested and managed insurance authorizations for multiple departments
- Enrolled clients into EMR and managed assignments to internal programs
- Verified insurances using portals such as MMIS, CIM, Noridian, OneHealthPort and Availity
- Updated EMR to reflect accurate insurance information
- Worked service reports to identify and resolve billing issues
- Provided education to clients and providers regarding insurance and billing practices
- Tracked and collected balances for Self-Pay clients
- Tracked Annual Assessments to maintain chart compliance
- Supported front desk and other office tasks.
Office Specialist
Cascadia Health
10.2015 - 06.2017
- Processed medical record requests
- Scheduled appointments
- Answered inbound calls
- Completed consent forms with clients
- Verified insurance eligibility
Education
Field of Study - German Language And Literature; English
University of Oregon, Clark Honors College
Skills
- Operations Management
- Training and Mentoring
- Staff Management and Development
- Process Monitoring and Improvement
- Effective Communication
- Policy and Procedure Implementation
- Data Analytics
- Schedule Development
Timeline
Supervisor I, Administrative Services
Cascadia Health
02.2019 - Current
Billing Coordinator
Cascadia Health
06.2017 - 02.2019
Office Specialist
Cascadia Health
10.2015 - 06.2017
Field of Study - German Language And Literature; English
University of Oregon, Clark Honors College
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