Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sangeetha Jayakrishnan

Livermore

Summary

Results-driven, motivated professional with years of progressive experience in delivering strategic directions to influence institutions significantly. Equipped with a solid passion for a continuing career in the industry while carrying out a management role. Strategic thinker with a track record in bringing measurable outcomes and surpassing quantifiable quotas within timeframes. Knowledgeable of EPIC EMR and possess exemplary leadership skills, a strong problem-solving style, and keen attention to detail. Aspiring for an exciting healthcare job where I can utilize my 18+ years of experience in the healthcare industry.

Overview

22
22
years of professional experience

Work History

PRACTICE MANAGER

Gautam Pareek MD Inc
Fremont
06.2023 - Current
  • Oversee the day-to-day operations of the clinic, ensuring smooth and efficient workflows
  • Develop, implement, and review operational policies and procedures to enhance efficiency and productivity
  • Ensure compliance with healthcare laws, regulations, and industry standards
  • Coordinate and manage staff schedules and patient appointments to optimize service delivery
  • Recruit, train, supervise, and evaluate clinic staff, fostering a positive and professional work environment
  • Develop and implement clear onboarding and training programs for all new hires
  • Establish and maintain staff disciplinary policies and procedures to ensure accountability
  • Conduct regular staff meetings to communicate updates, gather feedback, and promote team cohesion
  • Oversee inventory management, including ordering and maintaining clinic supplies and products
  • Develop a reliable system to manage inventory levels, track usage, and prevent shortages or overstocking
  • Negotiate and maintain relationships with vendors to ensure cost-effective procurement of supplies and equipment
  • Ensure high-quality patient care by collaborating with medical professionals and overseeing patient services
  • Address patient inquiries and resolve issues promptly and professionally
  • Implement quality control procedures and safety measures to maintain high standards of service
  • Monitor patient satisfaction and implement improvements based on feedback
  • Manage financial operations, including budgeting, billing, accounts payable and financial reporting
  • Monitor expenses and implement cost-effective operational improvements
  • Renegotiate contracts with vendors
  • Collaborate with senior leadership to align financial goals with operational strategies
  • Collaborate with senior leadership to formulate strategic plans that drive business growth and operational excellence
  • Implement marketing strategies to expand and retain patients
  • Stay current with trends and introduce new services/procedures as necessary
  • Maintain professional and technical knowledge by attending workshops, webinars and other activities
  • Perform special projects and other duties as needed
  • Perform overall revenue management including satisfying timely filing requirements and maximizing billing revenue and collections, and resolution of denied/rejected claims
  • Perform regular audit of daily billing reports to identify billing and coding errors, notify on-site management of problems and troubleshoot as needed
  • Supervise and train 2 biller/coders to ensure that charges are entered to the highest level of accuracy without any delays
  • Proficient in ICD-10, CPT and HCPCS codes
  • Posting insurance payments and follow up on unpaid claims, correct and rebill claims and submitting appeals
  • Provide monthly updates of revenue cycle reports including reports, metrics and presentations to Management
  • Monitors A/R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate resolution steps
  • Work closely with the Practice Management System vendor to identify and work to resolve issues
  • Research and maintain billing compliance and regulations primarily for Medicare and Medi-cal
  • Experienced in working with different EMR systems like EPIC, practicesuite, office ally, practice fusion, change healthcare and Trizetto
  • Work collaboratively with previous and current business stakeholders and help in smooth transition of business workflow
  • Help in retention of employees and providers and renegotiate their contracts
  • Renegotiate vendor contracts for better rates
  • Avoid disruption of cash flow
  • Helped in retention of patients and transition of care by proactively working with the insurance account managers
  • Effective handling of grievances and improved patient satisfaction
  • Integrated cost effective telehealth technology into the workflow
  • Overall increase in insurance reimbursement

PRACTICE MANAGER

Mission Primary Care
Fremont
09.2015 - 06.2023
  • Execute supervision and management of five providers and 15 employees while strengthening relationships and fostering collaboration with health providers and team members to enable quality and coordinated patient care for 90+ daily patients
  • Ensure strict compliance with HIPAA, OSHA, and labor laws by researching state-specific practice regulations and laws
  • Perform human resources functions by handling all site staffing, including onboarding, off-boarding, performance management, and coaching of employees, exhibiting motivation, training, goal-setting, and excellent communication skills
  • Showcase excellent organizational skills in overseeing inventory and purchases of medical and office supplies and decreasing expenditures by standardizing the ordering procedures, implementing inventory controls, and renegotiating vendor contracts
  • Monitor staff punches and implement the electronic time punch systems with better trust understanding among staff
  • Train new staff and enroll new providers with all major government insurance and commercial health plans while maintaining the CAQH database records, insurance credentialing, and hospital reappointments for all medical providers
  • Serve as the point of contact for all official problems and accounted for scheduling medical staff, and preparing bi-weekly payroll
  • Instrumental in the successful implementation of the EPIC EMR system across all three locations involving smooth transition of data transfer improving medical record documentation, increased patient access, quality of care and billing accuracy
  • Developed practice-centered documentation templates for in-office, telemedicine, and well-person visits and organized the EPIC EMR training sessions for all physicians and administrative personnel, which improved system efficiency
  • The Epic billing and reporting module improved the accuracy of claims billing, which resulted in timely insurance payments
  • It also helped with the execution of numerous data-driven improvement initiatives and improved the tracking of the claims billing cycle
  • Posting insurance payments, answering any billing-related phone calls, submitting appeals, submitting daily and monthly billing reports to the management and submitting outstanding accounts to collection
  • Supervise 3+ biller/coders to ensure that charges are entered to the highest level of accuracy without any delays
  • Improved patient care and satisfaction by integrating cost-effective and efficient telehealth technology into the workflow
  • Undertook an essential function in expanding from an individual practice to a group of five providers with three locations
  • Reduced 15% of no-shows by implementing automated text and email appointment reminders through the HIPPA-compliant platform
  • Promoted seamless, integrated workflow by initiating the smooth transition from the Practicesuite to Epic paperless EMR systems
  • Spearheaded the rearrangement and modification of workstations and workflow per COVID -19 guidelines during the pandemic

BILLING MANAGER/OFFICE MANAGER

Mission Primary Care
Fremont
08.2009 - 09.2015
  • Proficiently managed all billing processes, including payment reconciliation and documentation, to ensure work organization
  • Promoted company development by managing schedules and operational flow, consequently boosting customer satisfaction
  • Carried out office and administrative tasks, including charge entry(hospital, office and skilled nursing home billing), verifying insurance eligibility, posting insurance payments, answering any billing-related phone calls, submitting appeals, submitting daily and monthly billing reports to the management, submitting outstanding accounts to collection and setting up the Hayward location
  • Supervised 3+ biller/coders to ensure that charges are entered to the highest level of accuracy without any delays

BILLER

Mission Primary Care
Fremont
06.2005 - 07.2009
  • Played an integral role in efficiently overseeing billing department operations, charge entry (hospital, office, and skilled nursing home billing), verifying insurance eligibility, submitting claims to clearing house, and communicating with them for any claim submission issues

FRONT DESK/MEDICAL RECORDS

Mission Primary Care
Fremont
03.2003 - 05.2005
  • Applied strong organizational skills and time-management skills in registering patients, preparing new and established charts, verifying insurance eligibility before the appointment day, helping with medications prior authorizations, checking faxes, and attending phone calls

Education

Master of Healthcare Administration -

CSU, East Bay
Hayward, CA

Bachelor of Science - Pharmacy

The Tamilnadu Dr. MGR Medical University
India

Medical Assistant -

ROP
Fremont, CA

Skills

  • Deploying Sales & Operational Strategies
  • Developing PR & Marketing Efforts
  • Knowledge of Primary Care
  • Knowledge of Family Medicine
  • Knowledge of Gastroenterology
  • Knowledge of Chiropractor Practice
  • Helping to Develop Strategies to Increase Revenue
  • Records Management
  • Supervisory Experience
  • Practice Operations
  • Payroll & Medical Insurance Billing
  • Credentialing
  • Compliance with Healthcare Regulations
  • Compliance with Local Regulations
  • Compliance with High Ethical Standards
  • Confidentiality Policies
  • Arranging Cleaning Staff
  • Budgeting
  • Creating Revenue Cycle Reports
  • Ability to Multi-Task
  • Providing Informative Material for Patients
  • Delivering High-Quality Patient Care
  • Adherence to Company Culture
  • Customer Service Orientation
  • Professional Demeanor
  • Proficiency in ICD 10
  • Proficiency in CPT Codes
  • Microsoft Office Suite
  • Epic EMR
  • Practice Suite
  • Practice Fusion
  • Office Ally

Timeline

PRACTICE MANAGER

Gautam Pareek MD Inc
06.2023 - Current

PRACTICE MANAGER

Mission Primary Care
09.2015 - 06.2023

BILLING MANAGER/OFFICE MANAGER

Mission Primary Care
08.2009 - 09.2015

BILLER

Mission Primary Care
06.2005 - 07.2009

FRONT DESK/MEDICAL RECORDS

Mission Primary Care
03.2003 - 05.2005

Master of Healthcare Administration -

CSU, East Bay

Bachelor of Science - Pharmacy

The Tamilnadu Dr. MGR Medical University

Medical Assistant -

ROP

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Sangeetha Jayakrishnan