Dynamic and results-oriented healthcare management professional with over 5 years of experience in leading and optimizing healthcare operations. Proven track record of implementing strategic initiatives to enhance patient care delivery, streamline processes, and improve overall efficiency. Skilled in personnel management, budgeting, and regulatory compliance. Strong communication and problem-solving abilities, coupled with a passion for delivering high-quality healthcare services.
Overview
8
8
years of professional experience
Work History
Intake Coordinator and Biller
ARMAC
08.2023 - Current
Reviewing audited cost reports and responding to questions regarding cost reports
Checking patient insurance coverage and eligibility, and filing paperwork for pre-authorization
Applying codes to diagnoses, procedures, services, and treatments
Worked with patients to create payment plans and reviewed bills for accuracy
Identify physicians to assist with reimbursement or payor coverage policy revisions
Post payment, follow up with claims and denials
Managed processes for accurate and timely billing and maintained financial records
Applied knowledge of accountancy.
Lead Planner and Social Media Marking Influencer
ILE Events
03.2016 - Current
Develop and execute social media strategies to increase brand awareness and engagement
Create and curate engaging content for multiple social media platforms, including Facebook, Instagram, TikTok
Film, edit and upload videos
Monitor Social Media Platforms, reply to comments, create organic interest in the brand and the services we provide
Work various events to drive brand awareness and cultivate leads
Events can range from home shows to Farmers Markets
Coordinated all aspects of weddings and associated events held at large hotel in urban city center
Collaborating with other teams like marketing, sales, and customer service to ensure brand consistency
Oversaw team responsible for serving in different roles at events.
Lead Coordinator and Insurance Verification
Atlantic Health System
03.2019 - 09.2022
Led cross-functional teams in the successful implementation of healthcare initiatives, including electronic health record (EHR) system upgrades and compliance with healthcare regulations such as HIPAA and HITECH
Collaborated with clinical staff, IT professionals, and external stakeholders to streamline processes and enhance the efficiency of healthcare delivery
Registrars provide immediate access for patients into the AHS at several points of entry - establishing medical record numbers via proper search methods
Effectively managed doctor's and hospital schedule while also providing administrative support
Maintained and updated all files including insurance companies, diagnosis, procedure
Research and reply in a timely manner to insurance, patient and customer inquires
Collaborate with medical providers to ensure accuracy and even follow of transactions
Acquired insurance authorizations for procedures and test ordered by the attending physician
Implemented risk management strategies to mitigate project risks and ensure regulatory compliance, resulting in zero compliance violations during audits
Registrars contribute to the maintenance of important data integrity with the AHS and serve as the entry point for the revenue cycle.
Office Manager and Billing Coordinator
Beyond Basics PT
05.2016 - 03.2019
Maintains the officer and executive administrator's daily schedule; interacts with other internal and external assistants to accommodate and coordinate a variety of schedules
Tamara Louis 9732807668 | tamaralouis01@gmail.com Requests and gathers information and background information, briefing materials and talking points to support meetings, speeches, and travel; keep relevant staff informed
Knowledge of the structure of healthcare provider networks and statistical or analytical methods for evaluating network utilization
Managed few projects with in the company
Performed health care provider network adequacy analyses for health insurance companies
Helped Supervised/Oversee three other offices
Calling health insurance companies as needed to obtain confidential patient insurance information
Oversee front desk administration and run necessary reports to ensure that all statuses were worked in a timely manner
Manage the accounts receivable process, including tracking payments, addressing delinquent accounts, and minimizing outstanding balances
Reconcile all revenue of charges to general ledger
Develop and implement strategies to optimize revenue collection and improve cash flow
Assisting with recruitment process and scheduling interviews for job candidates
Helped trained new hires (physical therapist and administration) and assisting with new hiring packages.
Education
Health Fitness & Management -
Washington Adventist University
05.2015
Skills
Leadership Experience
Healthcare Administration
Team Building
Data Analysis Skills
Problem Management
Timeline
Intake Coordinator and Biller
ARMAC
08.2023 - Current
Lead Coordinator and Insurance Verification
Atlantic Health System
03.2019 - 09.2022
Office Manager and Billing Coordinator
Beyond Basics PT
05.2016 - 03.2019
Lead Planner and Social Media Marking Influencer
ILE Events
03.2016 - Current
Health Fitness & Management -
Washington Adventist University
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