Sophia Sipes
Healthcare administrator
Daytona Beach,FL
Summary
Results-driven Practice Manager with a track record of success in leading multi-site healthcare organizations to operational excellence. Skilled in overseeing medical office functions, mentoring staff, and collaborating with physicians to enhance care delivery. Proven ability to align cross-functional teams, drive patient satisfaction, and improve financial outcomes. Holds advanced degrees in Healthcare Administration, demonstrating expertise in practice management, regulatory compliance, and strategic growth initiatives.
Overview
17
17
years of professional experience
Work History
Lead Home Healthcare provider
Sandcastle Home Care
03.2024 - Current
- Leading the home healthcare providers in providing excellent care in three regions; rated the best provider and maintaining 98% retention rate by addressing needs, issues and challenges.
- Monitors financial performance to meet goals by maintaining a book of business clients/patients with appropriate work hours and numbers of clients/patients visits.
- Directly support patient’s family dynamics, communicating and collaborating with case managers, social workers, guardians and family members in providing assistance with various ADLs (e.g. bathing, toileting, dressing, feeding, continence, mobility and transfers, food preparation, housekeeping, laundry, medication management).
- Managing patient daily well-being by measuring and recording physiological characteristics (e.g. temperature, pulse, respiration, blood pressure, height, weight.) as well as any changes in behaviors (physical, mental, emotional) and complaintants for the day.
- Provides appropriate guidance and coaches clients/patients to do daily physical activities and therapies are completed to support mental, physical and emotional health (e.g. reposition clients who are unable to move themselves, take patients out for a walk, do fun handicrafts, play games, etc.).
- Oversaw policies and procedures are followed such as the principles of infection control and Universal Precautions. Ensuring client’s rights are adhered to the right to privacy and dignity while care is being provided, the right to accept or refuse care and the right to confidentiality of their information.
Practice manager- Pediatrics & OBGYN
Advent Health
06.2022 - 10.2023
- Responsible for strategic thinking, tactical action, and operational decision-making to fulfill the mission of the department and organization.
- Responsible for implementing process changes identified through the Revenue Cycle process or regulatory audits.
- Developed, interpreted, and enforced policies and standardized workflows to ensure compliance and efficiency.
- Accountable for encouraging research of business needs to develop, plan, and implement proactive solutions.
- Responsible for managing initiatives in support of patient satisfaction standards and objectives.
- Provides financial analysis and strategic planning, as well as oversees the budgetary controls in partnership with various levels of management and Finance.
Practice Consultant – Healthcare & Business
Physician Advisors Group
05.2012 - 12.2022
- Provided expertise on a consulting basis to specific area of services including private physician and business owners throughout Columbus, Cincinnati and Dayton, Ohio.
- Provided effective HR management implementation consisting of maintaining provider and nurses credentialing, Financial Analysis review, Revenue Cycle review, Team Implementation, Policies and Procedures adherence, and sales and marketing enhancement.
- Successfully utilized EMR Implementation, systems and process review.
- Trained administrative personnel and customer service employees, and improved workflow, provided Medicare/Medicaid insurance education, private/commercial payor, billing & claims, and credentialing.
- Assisted business owner to review goals and opportunities and implemented a viable plan.
- Assisted OBGYN physician to managed clinic and oversee scheduling for women’s health and promoting a newly created medical spa which includes weight loss, message therapy, acupuncture, and laser treatment.
- Assisted Internal Medicine physician to managed clinic and oversee patients scheduling while promoting a newly created alternative/functional medicine practice.
- Assisted Central Ohio Functional Medicine to promote services through creating web presents, market evaluation, and other strategy.
- Assisted Disability Solutions LLC. to oversee marketing effort via networking, website, and various marketing strategy.
Clinic Director- Substance Abuse & Behavior Health
Acadia Healthcare
11.2021 - 03.2022
- Responsible for day-to-day operational management of clinical support activities and functions.
- Developed annual operating budget and strategic business plan for the clinic.
- Manages clinic services and resources to meet operational and financial objectives.
- Accountable for managing people, setting direction, performance evaluation, pay reviews, hiring decisions and terminations.
- Responsible for providing training and development opportunities.
- Responsible for maintaining compliance with Federal and state laws and regulations, protecting patient’s right and confidentiality.
Program Director- Substance Abuse & Behavior Health
Colonial Management Group
07.2019 - 09.2020
- Responsible for the strategic leadership, planning, organizing, facilitation and monitoring of the business operations across the assigned area(s) of the organization including inpatient, outpatient and professional service departments. Financial accountability for control and revenue maximization.
- Managed day to day operations of programs and maintain a learning environment focused on recruiting including providers, developing and retaining a quality team.
- Develops, implements, and monitors practice budgets including analyzing financial impact of changes, forecasts, and expenditures.
- Oversaw the daily/monthly expenditures, staffing, and overtime hours to ensure financial targets are met or exceeded.
- Provided administrative and clinical supervision to staff, monitor performance, duties and responsibilities.
- Promoted organizational learning, guides, coaches and disciplines all staff within the clinic standards.
- Managed compliance with all local, state, federal and Colonial Management Group, LP rules, regulations and policies.
- Directed and managed strategic projects for areas such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization, coding, physician and staff training.
- Worked with physicians and division leadership to provide innovative practice growth and quality solutions that will maintain and improve patient outcomes and satisfaction.
- Evaluates employee and supervisor level performance and provides appropriate guidance, professional development, and feedback.
- Make timely recommendations to address any regulatory concerns or significant issues that occur within the clinic.
- Prepare and submit annual, quarterly, monthly, weekly and daily reports as requested.
Regional Healthcare Administrator – Behavioral & Mental Health
The Village Network
09.2017 - 02.2019
- Oversaw daily operations through innovative coordination of process, monitoring productivities, maintaining high quality patient care, ensuring compliance and clinic operation with maximum efficiency.
- Managed HR Functions including hiring physicians, interviews, training, payroll, disciplinary action, mentoring, teaching, supervising, scheduling, and attendance.
- Developed and implemented strategic plans, long & short-term goals, analyzing reports, making adjustments and executing necessary improvements that lead to improvement in all areas.
- Provided leadership & guidance, act as conduit to internal organizations with physician, clinicians, nurses, department managers, and patients to accomplished directives and facilitate resolution of problems.
- Managed financial aspects of the organization including review of monthly financials, billing and claims, purchasing, accounts payable, and maintaining clinic expenses.
- Directed teamwork through cross training, mentoring individuals and educating all stakeholders on policy changes and various health operational issues.
Healthcare Practice Administrator- Occupational Health & Urgent Care
US Healthworks
11.2014 - 09.2016
- Oversaw daily operation including directed, managed, supervised and coordinated the functions and activities of the center including patient care, clinical systems, budget, material management, human resources and data processing on a daily basis.
- Oversaw HR functions including hiring MA, nurses, technician and physician and maintaining credentialing.
- Developed individual plans and goals for staff to ensure alignment with corporate objectives, mission and goals of high-quality care through proper training, teaching, coaching, mentoring, guidance and advice.
- Analyzed operation systems using financial analysis and interpreted corporate policies and procedures to associates to enhance effective communication and to improve operational workflow.
- Developed & implemented forecasted revenues and formulated a budget to address workload, requirements for personnel, equipment, additional workspace, and support services.
- Provided leadership and managed personnel and conflicts within the organization while complying with policies and managing revenue cycle by resolving problems arising from denied claims and incomplete charts.
Practice Manager – Pain Management Specialty
Advanced Pain Management Center
01.2009 - 02.2013
- Managed daily operations in a fast-past environment, through coordination of processes and maintaining high value-based patient centered care.
- Developed and implemented budgets and plans according to organizational mission, vision and goals.
- Coordinated all human resources functions for recruitment and retention for staff and physicians, including selection, interview, training, teaching, mentoring, payroll, attendance, disciplinary actions, credentialing, and conflicts.
- Directed Revenue Cycle department to work together with insurance providers and suppliers regarding credentialing, contracts, claims and denials.
- Conducted marketing and outreach campaigns to increase client based and increase revenue.
Education
Doctor in Organizational Leadership - Healthcare Administration
Grand Canyon University
Phoenix, AZ08.2024
Master of Healthcare Administration - undefined
University of Phoenix
Phoenix, AZMaster of Business Administration - undefined
Xavier University
Cincinnati, OHBachelor of Business Administration - undefined
Ohio Dominican University
Columbus, OHAssociate Degree - Public Administration
MARA Institute of Technology
Skills
- Servant Leadership
- Excellent Communication
- Conflict Resolution
- Risk Management & Compliance
- HR Management
- Training/coaching
- Networking & Marketing
- Problem solving
- Audit Procedures
- Collaborative Partnership
- Team builder/leader
- Project management
- Change expert
- Creativity & Flexibility
- Business Development
- Performance Improvement
- Planning & Control
- Billing & Claims
- Profit & Loss
- Goals & Budget
- Financial Analysis Expert
- Care planning
- Vital signs monitoring
- HIPAA compliance
- Compassionate care
Accomplishments
- Attained high employee participation and engagement in teamwork cross training resulting in savings of $23K per year – US Health Networks, Columbus, Ohio
- Created successful marketing and outreach campaign, resulting in an increase of client base by 400%. - Advanced Pain Management Center, Columbus, OH
- Successfully collected 90% of 3 years’ worth of back billing in the amount of $3M through collaboration with billing department and insurance providers in 18 months - Advanced Pain Management Center, Columbus, OH
- Successfully created consolidated teamwork cross training and promoted constructive interaction during a period of change management and turbulence within the organization, resulting in $60k/ year in cost reduction – The Village Network, Columbus, Ohio
- Successfully assisted physicians in making adjustment to new EMR system to achieve the acceptable level of efficiency from 40% to 85% - US Health Networks, Columbus, Ohio
- Increased the number of patients admitted into the clinic 120% in just one year at Colonial Management Group.
- 90 days turn around to meet established benchmark in all areas of clinic operations: productivity, monthly requirement, dosing lines, intake processes, workflow efficiency, referral response time, customer service rating, teamwork, attendance, participation, engagement- Acadia Healthcare.
Affiliations
- Medical Group Management Association
Languages
Malay
Native or Bilingual
Interests
- Backpacking and Hiking
- Exploring famous landmarks, historical sites, and cultural attractions in a new destination
- Road Trips
- Adventure Travel
Work Type
Full TimeWork Location
On-SiteRemoteHybridTimeline
Lead Home Healthcare provider
Sandcastle Home Care
03.2024 - Current
Practice manager- Pediatrics & OBGYN
Advent Health
06.2022 - 10.2023
Clinic Director- Substance Abuse & Behavior Health
Acadia Healthcare
11.2021 - 03.2022
Program Director- Substance Abuse & Behavior Health
Colonial Management Group
07.2019 - 09.2020
Regional Healthcare Administrator – Behavioral & Mental Health
The Village Network
09.2017 - 02.2019
Healthcare Practice Administrator- Occupational Health & Urgent Care
US Healthworks
11.2014 - 09.2016
Practice Consultant – Healthcare & Business
Physician Advisors Group
05.2012 - 12.2022
Practice Manager – Pain Management Specialty
Advanced Pain Management Center
01.2009 - 02.2013
Master of Healthcare Administration - undefined
University of Phoenix
Master of Business Administration - undefined
Xavier University
Bachelor of Business Administration - undefined
Ohio Dominican University
Associate Degree - Public Administration
MARA Institute of Technology
Doctor in Organizational Leadership - Healthcare Administration
Grand Canyon University
Publications
- The sustainability of change: The perspectives on organizational champions and the meaning of organizational network for achieving sustainability.
- Healthcare Organizations and Delivery Systems
- Entrepreneurship in Health Care
- Creating A Sustainable Healthcare Organization
- Managing Todays Healthcare Organization
- Financial Management in Healthcare
- Measuring Performance Standards
- Leadership Theory and Practice
- Healthcare Strategic Management
- Dissertation: How healthcare middle managers describe their roles in implementing evidence-based practices.
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