Rachel R. Hardy, CPPM
Tennessee Colony,TX
Summary
Enthusiastic and results-driven Certified Physician Practice Manager with 20+ years of experience in healthcare administration. Proven success in leading physicians practices and implementing process improvements resulting in increased efficiency, cost savings and improvement in accounts receivable. Skilled in budgeting, staff management, while ensuring high-quality patient care and satisfaction. Strong leadership, problem-solving, and communication skills. I am excited about the opportunity to contribute to a dynamic company to make a meaningful impact on patient care.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Practice Manager
Sycamore Medical Clinic
11.2019 - Current
- Oversee and provides leadership in the development and implementation of integrated operational and administrative programs, structures, systems, policies, and procedures.
- Serves as a strategic partner with the physician owners in the planning and implementation of policies, procedures, and initiatives that support the primary mission of the practice.
- Reviews, oversees, and coordinates the management, tracking, and reporting of all income for the various clinical components of the practice; monitors all practice revenue operations and prepares or oversees the preparation of periodic and ad-hoc business reports and projections.
- Participates in the establishment and implementation of short-and long-term organizational goals, objectives, policies, and operating procedures; monitors and evaluates operational effectiveness; effects changes required for improvement.
- Researches, identifies, and evaluates opportunities for enhancement of existing operational models and the development of new and innovative programmatic and operational models for potential practice applications.
- Provides leadership and guidance to staff in matters related to understanding of overall goals and objectives. Staff skills development.
- Plans, develops, and implements strategies for generating revenues for the practice.
- Ensures that appropriate human resources, staffing structures, and administrative systems are in place to ensure timely and resource-efficient responses to the demands of the practice.
- Performs periodic cost and productivity analyses, ensuring sound fiscal operation of the practice through development and oversight of budget and accounting systems.
Clinic Administrator
Freestone Health Clinic
10.2016 - 08.2019
- A member of the executive team with Community Hospital Corporation that initiated the Change of Ownership from ETMC to Freestone Medical Center.
- Expertly plan, coordinate, organize multiple administrative projects and implementations; set up of new employee policies, transfer of all human resource information, establish new benefit plans.
- Improved workflow and motivation and education of staff and physician.
- Monitored compliance of set policies and guidelines and the necessary medical necessity and educational requirement for clinical staff, nurses, mid level providers and physicians.
- Maintaining all appropriate licensure for credentialing.
- Prompted the updated to achieve the current Federal and State regulations to comply within the Federal rules of an operating Rural Health Clinic (RHC).
- Strengthened company's business by leading implementation of more diverse and accessible additional office locations to accommodate a much larger patient spectrum, including the addition of three Nurse Practitioners.
- Diligently monitored the QA (Quality Assurance) program to improve performance and maintain high standards of care, while managing State and Federal regulations, reporting annually. Successfully passed a surprise state inspection with flying colors.
- Coordinated with the Facilities Director to ensure proper training and drill completion in Emergency Preparedness.
- Actively trained and participated as a member of the Decontamination team.
- Attendance to multiple National and State RHC conferences.
- Account management; Charge entry, A/P, A/R, Commercial insurance, and Medicare and Medicaid.
Administrative Business Manager
EP Cardiology/PA
09.2007 - 05.2016
- Monitored compliance of set policies and guidelines and the necessary medical necessity and educational requirement for staff and physician.
- Spearheaded cross-functional initiative to achieve Federal and State regulations to comply with new EMR requirements and increasing productivity with a practice management system that works systematically more functional.
- Successfully improved the work methods and procedures to achieve patient objectives, to include the EMR system and the patient portal set up.
- Strengthened company's business by leading implementation of more diverse and accessible additional office locations to accommodate a much larger patient spectrum.
- Diligently monitored the QA (Quality Assurance) program to improve performance and maintain high standards of care, while managing State and Federal regulations.
- Account management; Audit management of charge entry, A/P, A/R, Commercial insurance, and Medicare and Medicaid.
Insurance Billing and Collection Manager
The Foot and Ankle Center
05.2002 - 12.2006
- Account management; charge entry, A/P, A/R, claims review and auditing and financial analysis.
- Pre-payment and post-payment review and compliance in compliance with filing deadlines.
- Processing, collecting, and appealing denied claims.
- Claims auditing for accuracy and compliance.
- Oversee the compliance and operations of medical necessity review procedures and education of staff and physicians.
- Financial reconciliation, bank deposits, and balancing of general ledger.
Assistant Front Desk Manager / Staff Development and Training Manager
KSF Orthopedic Center
04.1998 - 05.2002
- Management and Supervision of 30+ front office FTE's and 14 physician FTE's.
- Patient registry, appointment scheduling, insurance verifications, referrals, and precertification.
- Checking in and out of patients, collection of patient responsibilities and management of a successful patient flow.
- Audit and management of missing ticket reports.
- Floater and trainer of all new employees within multiple departments.
- Established additional facilities (MRI and Physical Therapy) within the practice to increase patient convenience and increase profitable revenue.
- Launched the opening and training of new staff for the MRI facility and Physical Therapy.
Education
Certiied Physician Practice Manager -
AAPC
09.2024
Bachelor of Science -
University of Phoenix
Houston, TX01.2014
Skills
- Practice Management
- Local and Federal Regulations
- Excellent computer and organizational skills
- Problem solving / Analysis skills
- HIPPA
- Medicare/Medicaid/Workers Compensation/Managed Care
- Coding/ ICD-9/ICD-10
- EMR Systems Athena/EClinicalWorks
- Insurance Verification / Medical Scheduling
- A/R, A/P, General Ledger Reconciliation / Quickbooks
- Laboratory Experience / Phlebotomist
Personal Information
Work Permit: Authorized to work in the US for any employer
Certification
Certified Physician Practice Manager
Notary Public State of Texas
Timeline
Practice Manager
Sycamore Medical Clinic
11.2019 - Current
Clinic Administrator
Freestone Health Clinic
10.2016 - 08.2019
Administrative Business Manager
EP Cardiology/PA
09.2007 - 05.2016
Insurance Billing and Collection Manager
The Foot and Ankle Center
05.2002 - 12.2006
Assistant Front Desk Manager / Staff Development and Training Manager
KSF Orthopedic Center
04.1998 - 05.2002
Bachelor of Science -
University of Phoenix
Certiied Physician Practice Manager -
AAPC
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