Vanessa Salgado, BSHS, MHA
Miami,FL
Summary
Seasoned Implementation Director with a proven track record at SimiTree, adept in strategic project oversight and collaborative team management. Spearheaded over 800 successful client on-boardings, enhancing revenue by $25 million through expert application of Microsoft Data Solutions and strategic planning. Renowned for elevating client relationships and driving business growth with a keen focus on regulatory compliance and financial budgeting.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Implementation Director
SimiTree
Miami, FL
12.2021 - Current
- Coordinate all on-boarding activities related to the revenue cycle for new providers including but not limited to understanding of services to be provided, charge documents, EMR and Practice Management system set up, workflows for charge capture identified and documented, time of service collection process, and client expectations
- Function as primary point of contact for the client to front end revenue cycle issues and help streamline business operations as they relate to the revenue cycle
- Review client metrics daily/weekly to identify trends and impacts to client's revenue cycle and then facilitate a solution with operational team
- Accountable for oversight and optimization of revenue cycle governance with primary focus on functional areas including but not limited to Billing, Charge Master/Revenue Integrity, Insurance Follow Up, Customer Service, Cash Posting, Denials Management, Payment Variance, and Collection Increase client retention through customer service and referrals
- Coordinate with leadership to discuss both strengths and opportunities for improvement to meet performance metrics and makes suggestions for process improvements and develops project plans with target milestone dates and promotes a culture of collaboration within vertical and across clients (All service lines)
- Ensure that appropriate documentation and education materials are up to date and identifies any educational needs and communicates to the appropriate leader for development
- Stay abreast changes in the industry and communicate those changes as well as the financial impact to leadership and client services management
- Monitor ongoing initiatives and keeps projects on time
- Provide timely information on operational changes, new business development, and service line expansion that will impact Revenue Cycle
- Over 800 successful onboarding clients with over $25 million in revenue
Implementation Director
iMark Consulting
Miami, FL
02.2018 - 12.2021
- Responsible for implementation of client software systems
- Data Analytics and Information management
- Performance management to drive both client and company results
- Ensure clients have measurable returns on operational revenue
- Increase client retention through customer service and referrals
- Account management
- Advise clients on Medicare and Medicaid, Insurance payers billing protocols
- Train and provide onboarding of clients throughout the U.S
- Application assistance with Medicare enrollments
- Provide expertise guidance on Medicare guidelines and Insurance regulations
- Explain technical billing concepts to new and existing Medicare provider clients
- Process EDI (electronic data interchange) applications
- Collaborate with team members new clients
- Governance over new clients
- Develop individual client implementation plans for day-to-day billing protocols
- Allocate resources for process improvement in implementation
Administrator
IC Quality Health, Corp.
Miami, FL
04.2016 - 11.2017
- Developed a communication system within agency to identify potential risk for hospital readmission of patients to ensure implantation of patient home health preventing hospital readmit and increase CMS national standard rating
- Handled the tasks of commissioning local health care through hospital management, community health services and general practitioners
- Responsible for productivity of account managers
- Liaised with medical staff and oversaw day-to-day activities of the organization
- Responsible for Medicare, Medicaid, HMO, and private pay billing
- Responsible for generating and evaluating new strategies and systems
- Developed goals and evaluate programs for efficiency and cost effectiveness through audit, cost allocations, and activity reports
- Oversight of CAHPS
- Oversight of OBQI, HEDIS, Stars (Medicare)
- Developed policies and procedures to ensure compliance with federal and state laws, and regulations
- Handled the tasks of preparing budgets and maintains finances within limited constraints
- Negotiated agreements and contracts
- Responsible for hiring, appraisal and development of medical administrative staff
- Responsible for human resource records management
- Initiated audit process of quality assurance to evaluate thoroughness of documentation and maintenance of facility standards
- Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement plans
Administrator
Nine Home Health, Inc.
WPB, FL
08.2014 - 04.2016
- Identified home health needs and resources available
- Developed goals and evaluate programs for efficiency and cost effectiveness through audit, cost allocations, and activity reports
- Developed policies and procedures to ensure compliance with federal and state laws, and regulations
- Develop and administer budgets
- Negotiate agreements, contracts, and managed care rates
- Responsible for HR Department startup and management of full HR activities
- Developed orientation for new company employee and incentive programs
- Played a key role in structuring and implementing programs, policies and procedures in the areas of training, compensation structure, benefits packages, incentives
- Developed job descriptions across all levels of employment
- Responsible for staff recruitment for new company in West Palm Beach
- Interviewed staff to match job qualifications for company
- Promoted public awareness
- Participated on corporate board
- Account Executive new business
- Assisted in resolving and satisfying client requests and internal operational issues
- Oversee private and MCR billing, payroll, AP, and AR and verify proper procedures are followed
- Developed and achieve financial and growth goals
- Strategically planned methods to achieve operational goals and targets
- Managed contracting for Joint Commission Accreditation, City License for startup company, applications for Medicare state license
Manager
Health Med Home Care, Inc.
Miami, FL
08.2014 - 04.2016
- Skillfully developed departmental goals, objectives, standards of performance, policies and procedures
- Lead the planning and achievement of goals and objectives consistent with the agency mission and philosophy
- Recruited, hired, trained on average of 6 new employees per year
- Responsible for human resources records management
- Developed job descriptions and management reports
- Developed a system of staff communication that ensured proper implementation of treatment plans and comprehensive patient care
- Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations
- Educated staff on state and Federal statutes, rules and regulations governing home care services
- Interpreted and communicated new or revised policies to staff
- Established and oversaw implementation of an effective budgeting and accounting system improving efficiency and reducing costs
- Represented and interpreted the agency's functions and services to other institutions, the public, government agencies and other organizations
- Oversee private and MCR billing, payroll, AP, and AR and verify proper procedures are followed
- Developed and achieved financial and growth goals
- Strategically planned methods to achieve operational goals and targets
- Lead the facility management staff and consultants in producing a business plan that focused on all aspects of facility operations, including setting priorities and job assignments
- Reviewed customer survey information to prioritize areas of improvement
- Routinely collaborated with department managers to correct problems and improve services
- Investigated, provided, and submitted information to Quality Department about special incidents, events, and complaints
- Assisted in resolving and satisfying client requests and internal operational issues
- Introduced, negotiated and implemented new projects to expand scope of engagement
- Established standards for selection, promotion and termination of staff
- Conducted monthly patient case conferences, in-services and staff meetings to educate staff and facilitate good communication
- Assigned employee areas, scheduled staff breaks and authorized overtime
- Identified process improvements in the day-to-day functioning of the departments
- Participated in facility surveys and inspections (CHAP, JOINT COMMISSION) made by authorized governmental agencies
Administrator
EMP Medical Services
Coral Gables, FL
11.2009 - 01.2014
- Organized the department in accordance with administrative guidelines in order to provide specified nursing services to meet the legal, organizational and medical staff guidelines
- Responsible for primary care, case management, and medication management
- Trained new staff on quality control procedures
- Implemented necessary changes based on evaluation of staffing requirements and floor assignments
- Managed team of medical support personnel
- Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care
- Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation
- Verified patients' eligibility and claims status with insurance agencies
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations
- Interpreted and communicated new or revised policies to staff
- Continually maintained and improved the company's reputation and positive image in the markets served
- Effectively served as primary liaison for HMS and client, political stakeholders, provider and public policy associations, lobbyists and partners
- Coordinated the allocation of nursing service equipment and supplies within the facility and established guidelines for efficient, economical use
- Coordinated nursing department activities to ensure availability of appropriate clinical and support staff for resident care
- Confirmed accurate completion of forms/reports for the admission, transfer and/or discharge of each resident
- Led clinical team in delivering care services that promoted optimal resident health
- Created and maintained computerized record management systems to record and process data and generate reports
Education
Master of Health Administration -
University of Phoenix
Phoenix, AZ01.2014
Bachelor of Science - Human Services
University of Phoenix
Tempe, AZ06-2010
Skills
- Strategic Project Oversight
- Collaborative Team Management
- Staff Orientation and Retention Strategies
- Strategic Planning Expertise
- Financial Budgeting
- Strategic Resource Optimization
- Provider Network Management
- Proficient in Microsoft Data Solutions
- Insurance Billing Proficiency
- Financial Accounting
- Contract Negotiation Expertise
- Electronic Health Record Management
- Client Relationship Development
- Business Growth Strategy
- Policy Development Expertise
- Administrative Operations Specialist
- Skilled in Computer Applications
- Clinical Terminology Proficiency
- Billing System Implementation
- Regulatory Compliance Applications
- Home Health and Hospice Advisor
- Salesforce Administration Skills
Certification
CHAP Certified Consultant, 10/01/26
Languages
Spanish
Professional
Timeline
Implementation Director
SimiTree
12.2021 - Current
Implementation Director
iMark Consulting
02.2018 - 12.2021
Administrator
IC Quality Health, Corp.
04.2016 - 11.2017
Administrator
Nine Home Health, Inc.
08.2014 - 04.2016
Manager
Health Med Home Care, Inc.
08.2014 - 04.2016
Administrator
EMP Medical Services
11.2009 - 01.2014
CHAP Certified Consultant, 10/01/26
Master of Health Administration -
University of Phoenix
Bachelor of Science - Human Services
University of Phoenix
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