Semiu Kelani
Richmond,TX
Summary
Proven leader in healthcare management, adept at insurance eligibility and verification with a track record of enhancing team performance at Incarnation Home Health Services, INC. Skilled in conflict resolution, spearheaded initiatives that significantly improved patient satisfaction and compliance, leveraging strong relationships with Medicaid and HMO vendors to ensure regulatory adherence. Experienced Professional Manager experienced optimizing productivity, efficiency and service quality across various environments. Highly dependable, ethical and reliable specialist and leader that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence.
Overview
17
17
years of professional experience
Work History
Medical Office Manager
Incarnation Home Health Services, INC
02.2021 - Current
- Help manage employees, develop goals for office staff, implement onboarding for new employees to learn daily task and job responsibilities. Communicate effectively with staff members, physicians, and patients, employing active listening and interpersonal skills. Developed close working relationships to collaborate team performance to support goals and objectives. Leverage patient feedback and perform continuous process improvements to streamline day-to-day business operations and patient satisfaction. Completed bi-weekly payroll for company provider employees.
- Audit clients and caregiver files to comply with Medicaid State benefits, regulation and compliance. Developed internal requirements and standards to process procedures, complying with itemize regulatory risks and liability across Medicaid compliance and programs. Cultivated strong relationships with Medicaid vendors and partners supporting client benefit needs.
- Create and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable. Implemented management techniques to overcome obstacles and increase team productivity. Organized and updated databases, records and other information resources for clients. Maintained primary relationship accountability for clients, overall servicing responsibility and client satisfaction to maximize client relationships. Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Partnered with physicians, social workers, therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Shift Manager
Royal Care
05.2019 - Current
- Manage day-to-day operation of home to comply with regulations and agency standards. Developed and implemented new housekeeping practices to increase productivity and cohesiveness. Developed and maintained relationships with patients' family to promote positive living environment for clients.
- Develop and enforced safety policies and procedures to drive safety and well-being of clients. Provided crisis management and intervention during emergency situations. Swift and knowledgeable emergency support in line with campus crisis protocols.
- Assisted residents with transitioning into new living environment and maintained strong relationships with residents. Collaborated with residential team to maximize effective and efficient operations. Intervened in urgent and crisis situations and provided services in compliance with Medicaid and federal regulations and laws.
- Supervised, trained employees and provided feedback on performance. Monitored employee and residents' behavior and responded to disciplinary issues in accordance with established policies. Solved grievances and complaints by collaborating with residents.
- Reviewed patient progress to document effects of any prescribed medication. Assisted with feeding and monitored intake to help patients achieve nutritional objectives. Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Compliance Officer
Wema Bank
01.2008 - 05.2017
- Assisted with internal and external audits to confirm compliance with applicable laws and regulations. Identified gaps in existing compliance processes and recommend updates. Develop and implement corrective action plans for non-compliance issues. Advised clients on compliance fraud and investigations, as well as potential remedies and required actions.
- Investigated locations to confirm license data, conducted background checked and assessed premises for compliance with licensing requirements. Modeled catastrophic market scenarios to aid in business management planning, risk management and trend monitoring.
- Trained new hires on customer service policies and procedures. Created and implemented strategic trading approaches. Implemented and regularly reviewed financial controls to generate accurate and reliable financial data. Networked to identify potential new clients and expand geographic territories. Supported businesses setting up joint ventures with investors in different markets within our branches.
- Maintained up-to-date knowledge of applicable laws and regulations for all branch locations. Monitored financial performance, and controlled expenses to provide financial stability and long-term organizational growth among assigned branches. Set professional goals with proven success in applying analytical skills to solve complex problems and overcome challenges. Dedicated to enhancing 35 branch region locations performance and driving business success.
Education
MBA - Business Management
University of Ado-Ekiti
Ekiti State, Nigeria 2003
Skills
- Insurance Eligibility Verification
- Conflict Resolution Relationship Development
- Human Resources Financial Administration
- Team Leadership Supervision
- Care Coordination Managing records
- Healthcare regulations Compliance
Timeline
Medical Office Manager
Incarnation Home Health Services, INC
02.2021 - Current
Shift Manager
Royal Care
05.2019 - Current
Compliance Officer
Wema Bank
01.2008 - 05.2017
MBA - Business Management
University of Ado-Ekiti
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