Nicole Phipps
Victoria,TX
Summary
Goal-driven, compassionate, and accountable professional with over 20 years of hands-on experience in fast-paced healthcare and hospital settings. Adaptable administrator skilled in integrating new healthcare delivery systems, restructuring workflows, and navigating complex regulatory environments. Proven success in managing personnel, finances, and facility operations while ensuring high-quality patient care. Strong interpersonal skills, combined with a passion for inclusivity and change, contribute to effective leadership dedicated to enhancing operational efficiency and compliance across various healthcare facilities.
Overview
29
29
years of professional experience
Work History
Family Medicine Healthcare Administrator
Citizens Convenient Center (Formerly Citizens Primary Care)
01.2017 - Current
- Responsible for the organization and management of office processes and procedures, including preparing payroll, approving procurement requisitions, and assigning & monitoring clerical functions.
- Maintains office efficiency by planning and implementing office systems, layouts, and equipment procurement.
- Coordinate insurance invoicing and cost procedures for patients, ensuring timely payment and reducing cost issues.
- Manage physician continuing education & credentialing for multiple practices by coordinating workshops and lunch & learns with medical reps.
- Manage recruitment and retention of office staff, by coaching, counseling, performance appraisals.
- Keeps physician informed by reviewing and analyzing special reports to identify trends in the medical industry.
- Secured financial assistance for patients with minimal or nonexistent insurance coverage minimizing their out of pocket for their medical treatment while securing profitable reimbursement for physician and hospital
- Mid-Level Practitioner Recruiter
- See less
- Increased staff productivity by 50% by providing ongoing training and professional development opportunities for employees.
- Optimized patient flow within the facility by analyzing current processes and implementing changes to improve efficiency.
Healthcare Administrator (Multiple Specialties)
Citizens Primary Care Center, Hematology & Oncology Center, Bariatrics & Weight Mgmt. Center
08.2014 - 01.2017
- Responsible for the organization and management of office processes and procedures, including preparing payroll, approving procurement requisitions, and assigning & monitoring clerical functions.
- Maintains office efficiency by planning and implementing office systems, layouts, and equipment procurement.
- Coordinate insurance invoicing and cost procedures for patient, ensuring timely payment and reducing cost issues.
- Manage physician continuing education & credentialing by coordinating workshops and lunch & learns with medical reps.
- Manage recruitment and retention of office staff, by coaching, counseling, performance appraisals.
- Keeps physician informed by reviewing and analyzing special reports to identify trends in the medical industry.
- Secured financial assistance for patients with minimal or nonexistent insurance coverage minimizing their out of pocket for their medical treatment while securing profitable reimbursement for physician and hospital
- Mid-Level Practitioner Recruiter
Healthcare Administrator
Victoria Hematology & Oncology Center (Privately owned)
08.2013 - 08.2014
- Responsible for the organization and management of office processes and procedures, including preparing payroll, approving procurement requisitions, and assigning & monitoring clerical functions.
- Maintains office efficiency by planning and implementing office systems, layouts, and equipment procurement.
- Coordinate insurance invoicing and cost procedures for patients, ensuring timely payment and reducing cost issues.
- Manage physician continuing education & credentialing by coordinating workshops and lunch & learns with medical reps.
- Manage recruitment and retention of office staff, by coaching, counseling, performance appraisals.
- Keeps physicians informed by reviewing and analyzing special reports to identify trends in the medical industry.
- Secured financial assistance for patients with minimal or nonexistent insurance coverage minimizing their out of pocket for their medical treatment while securing profitable reimbursement for physician and hospital
Surgery Scheduler/ Financial Billing Analyst
Cardiovascular Associates of Victoria (Citizens Med.Ctr)
01.2011 - 01.2013
- Responsible for efficient coordinating and scheduling appointments for surgeries and follow-up appointments for multiple physicians.
- Perform pre-operative and post-operative data entry, chart assembly, and provide patients with necessary information.
- Coordinate and schedule appointments for surgeries, follow-up appointments and any other tests as ordered by the surgeon.
- Coordinate insurance information from patients to ensure appropriate referrals, forms and preauthorization is completed prior to surgery.
- Educate patients regarding their preparation for out-patient testing and surgical procedures.
- Work closely with hospital schedulers, physicians and hospital staff, to maintain current schedules and effectively communicate delays, cancellations and other issues impacting the surgery.
- Manage accounting of patient financial and office expenses.
- Compliance with HIPPA regulation at all times.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
Medical Benefits Advisor
Healix
01.2006 - 01.2011
- Responsible for adherence to all policies, procedures, guidelines, and standards within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
- Manage demographic, insurance and financial information submitted by the IRS to team members for verification.
- Reviews all verifications & medical policies submitted by staff team prior to approval.
- Perform calculations to access the profitability of the treating physician on each patient case.
- Protect the financial integrity of the company by calculating patient liability, establishing payment arrangements, and discussing payment options and eligibility.
- Ensure insurance eligibility and benefits notifications and authorizations are completed within the required timeframe.
Admissions Counselor
Memorial Hermann, Texas Medical Center
05.2005 - 09.2006
- Responsible for patient registration, verification of eligibility and benefits.
- Set up payment arrangements for patient treatment and effectively communicate to physicians and nursing staff.
Various Administration & Financial Positions Held
Citizens Medical Center
01.1997 - 01.2005
- Recruited from a select group of candidates who completed Certified Healthcare Access Manager (CHAM) certification and medical training program, gaining extensive exposure in the medical industry.
- Managed Part Time Admissions Rep.
- Sr. Admissions Rep
- Insurance Verifier
- Lap Gastric Benefits Coordinator
Education
MBA - Health/Health Care Administration/Management
University of St. Thomas (TX)
Houston, TXBBA - Business Administration and Management, General
University of Houston
Houston, TXSkills
- Payroll Administration
- Staffing Plans
- Change Initiatives
- Patient check-in
- Strong work ethic
- HIPAA regulations
- Organizational skills development
- Critical thinking
- Team supervision
- Physician coordination
- Physician group management
- Performance data review
- Medical practice operations
- Verbal and written communication
Accomplishments
- Successfully launched three new medical facilities, from initial concept to full operation by collaborating with the C-Suite.
- Spearheaded the interior design and decor for the launch of three new medical facilities, ensuring designs promoted a healing and comfortable environment.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Supervised teams of 10-40 staff members.
- Reduced operational expenses by 35% by cutting unnecessary expenses.
Languages
English
Timeline
Family Medicine Healthcare Administrator
Citizens Convenient Center (Formerly Citizens Primary Care)
01.2017 - Current
Healthcare Administrator (Multiple Specialties)
Citizens Primary Care Center, Hematology & Oncology Center, Bariatrics & Weight Mgmt. Center
08.2014 - 01.2017
Healthcare Administrator
Victoria Hematology & Oncology Center (Privately owned)
08.2013 - 08.2014
Surgery Scheduler/ Financial Billing Analyst
Cardiovascular Associates of Victoria (Citizens Med.Ctr)
01.2011 - 01.2013
Medical Benefits Advisor
Healix
01.2006 - 01.2011
Admissions Counselor
Memorial Hermann, Texas Medical Center
05.2005 - 09.2006
Various Administration & Financial Positions Held
Citizens Medical Center
01.1997 - 01.2005
MBA - Health/Health Care Administration/Management
University of St. Thomas (TX)
BBA - Business Administration and Management, General
University of Houston