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Eduardo R

Medical Office Manager - 10 Years of Experience - Near 78501

Occupation:

Medical Office Manager

Location:

Mcallen, TX

Education Level:

High School/GED

Will Relocate:

YES

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Exceptional leader committed to cost effective management of resources and quality performance by combining hands on experience with a broad-based knowledge of the healthcare and managed care fields. SKILL HIGHLIGHTS Billing & collections management Budget and finance administration Project management Strategic development Conflict resolution Risk management process analysis Profit & Loss management Vendor management Process implementation Contract negotiations Departmental operation management Business development Staff development and recruitment Organization restructure Team leadership CORE ACCOMPLISHMENTS Responsible for leading the billing operation of a multi-million dollar federal granted corporation. Responsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective billing process across multiple insurance carriers markets. Enhance patient relationships by resolving issues in a professional and timely manner. Manage patient care using a team-based approach to enhance interactions with patients and working to achieve stated objectives and outcomes. Establish and implemented policies and procedures to ensure compliance with applicable federal and state regulatory agencies. Director of Operations, 06/2018 to Present SMI Medical Equipment Services, Houston, TX * * * * * * * * * * * * * * Directs the operations of Diagnostics imaging to meet the clinical needs of physicians, staff and members. Manages all administrative, technical and clerical operations of the department to ensure quality, access and budget goals are achieved. Coordinates the operations of departments by maintaining appropriate staffing levels, developing/monitoring performance improvement, safety, quality and regulatory standards. Develops the planning of major facilities construction/renovation projects to ensure the safe and effective placement of imaging equipment and efficiency of operations. Ensures imaging service levels are maintained during periods of constructions and transition. Develops and administers imaging standards and protocols for the delivery of medical imaging services in keeping with service, value, quality and access goals of the organization. Develops and evaluates department budgets, cost-benefits analysis of all medical imaging services and operations. Directs the management and resolution of human resource, labor relations, employee and department safety and risk managements issues. Accountable for the on-going training and development of technical and administrative imaging staff. Develops and implements equipment maintenance plans and replacement of imaging equipment across the service line. Ensures equipment and procedures are safe, functional and capable of meeting the diagnostic needs of the medical staff in a timely manner. Recommends the acquisition and implementation of new technology based on knowledge of development in diagnostic imaging technology. Accountable for adherence to state and federal rules and regulations on safety and quality assurance programs. Ensures compliance with the Joint Commission, federal, state and local agencies. Director of Operations, 01/2018 to 06/2018 Centers for Arthritis & Osteoporosis, Edinburg TX * * * * * * * * * * * * * * * * * * * * * * * * * Enhance patient and staff relationships by resolving issues in a professional and timely manner. Design process and implementation of standard operating procedure manuals. Expand access to allow efficient communications with patients, staff, customers and vendors. Ensuring the efficient day to day management of busy medical organization with multiple locations. Manage complaints resolution through the practice complaints procedure process. Provide organization owner with daily and weekly reports on the practice progress and shortcomings. Identify areas of strength and weaknesses to achieve better patient customer service performance. Manage the incoming queries from clients, patients in an orderly, efficient manner. Ensure all staff have a performance plan with objectives Responsible for training and developing the practice team. Implement programs protocols ensuring the smooth operation in relation to direct patient services. Responsible for organization providers are up to date with all licenses and current regulatory requirements. Design and implement standard operating procedures manuals. Evaluate and recommend new office equipment to accommodate growth. Conduct staff meetings, staffing discussions and forecasting. Recruit, select and recommend office staff for hire, Orient, train, coach and disciplining staff Evaluate staff performance, counsel and discipline staff as needed. Address all patients questions, concerns and conflicts accordingly Handle all employee suggestions and complaints. Responsible for motivating team and ensured that all staff members are treated equally Responsible a/p are paid in a timely manner Schedule and conduct regular staff meetings with all staff employees Recommends performance improvements, promotions and termination of staff members. Develop strategic plans to guide the growth and development of the practice in the short and long term Billing & Collections Manager, 05/2016 to 11/2017 Su Clinica-Harlingen, TX * * * * * * * * * * * * * * * * * Supported Chief Financial Officer with daily operational functions. Developed new process for employee evaluation which resulted in marked performance improvements. Worked directly with fiscal department, accounting department, depa rtment managers and senior management to achieve the smooth operation of revenue and collections thru various payment methods. Manage the billing and collections daily operation for a 40 person billing and collections department. Responsible for designing, implementing and enforcing policies and procedures as well as streamlining the effective billing processes across multiple markets. Special program/billing planning and implementation. Plan and implement quality assurance for all processes. Support organization departments with the implementation of new billing system and new updates. Team building development: organize and conduct staff meetings, staffing discussions and forecasting, Field operator's problem escalation resolution (customer service) Develop filing and record keeping protocols that resulted in fast and easy access to data. Implement programs protocols ensuring the smooth operation in relation to direct patient services and system management. Schedule and conduct regular staff meetings with all staff employees Recommends performance improvements, promotions and termination of staff members. Develop strategic plans to guide the growth and development of the practice in the short and long term Maintained statistics on various measures and is responsible to turn in to board members on monthly basis Responsible for maintaining a good relationship with hospital, patients, insurance companies and other referral sources in the area. Director of Operations / Consultant, 11/2015 to 03/2016 Agua Dentistry - Edinburg TX * * * * * * * * Enhance patient and staff relationships by resolving issues in a professional and timely manner. Design process and implementation of standard operating procedure manuals. Develop filing and record keeping protocols Responsible for designing, implementing and enforcing policies and procedures as well as streamlining the effective billing processes across multiple markets. Manage the billing and collections daily operation for multiple locations. Establish payroll protocols ensuring staff members are paid accurately and on time. Expand access to allow efficient communications with patients, staff, customers and vendors. Responsible for ensuring the efficient day to day management of busy dental organization with multiple locations. * * * * * * * * * Manage complaints resolution through the practice complaints procedure process. Provide organization owner with daily and weekly reports on the practice progress and shortcomings. Identify areas of strength and weaknesses to achieve better patient customer service performance. Manage the incoming queries from clients, patients in an orderly, efficient manner. Liaise between office and dental suppliers' representatives as necessary. Ensure all staff have a performance plan with objectives Responsible for training and developing the practice team. Implement programs protocols ensuring the smooth operation in relation to direct patient services. Responsible for dental organization and providers are up to date with all licenses and current regulatory requirements. Operations Manager, 09/2014 to 09/2015 The Urology & Cardiology Institute at Renaissance - Edinburg TX * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Design and implement standard operating procedures manuals. Assist doctors Supervise clinical and non-clinical staff Manage and accurate recordkeeping of all staff hours to be review and process for payroll Approve and review all supply and equipment requisitions. Manage and distribution of all practice incoming correspondence regular mail and internal. Liaise between clinic providers and main hospital administration. Responsible for updating doctors' membership's dues and credentialing. Evaluate and recommend new office equipment to accommodate growth. Organize and conduct staff meetings, staffing discussions and forecasting. Assign and monitor clerical other secretarial functions, Recruit, select and recommend office staff for hire, Orient and train new staff Provide on the job and other training opportunities Evaluate staff performance, Coaching and disciplining staff Define procedures for record retention Plan and implement office systems and protocols Maintain and replenish inventory Schedule and conducts performance and salary reviews for staff, Address all patients questions, concerns and conflicts accordingly Handle all employee suggestions and complaints. Counsel and discipline staff as needed Responsible for motivating team and ensured that all staff members are treated equally Verify all invoices are accurate before payments is issue Responsible a/p are paid in a timely manner Reviews the reimbursement of Medicare, Medicaid, HMO, PPO payers and commercial carriers Informs physician board members of any recommendations to accommodate growth Assists billing and accounting departments prepare reports for physician monthly meetings Schedule and conduct regular staff meetings with all staff employees Recommends performance improvements, promotions and termination of staff members. Develop strategic plans to guide the growth and development of the practice in the short and long term Maintained statistics on various measures and is responsible to turn in to board members on monthly basis Evaluates patients and referring physician's satisfaction surveys of quality care provide. Responsible for maintaining a good relationship with hospital, patients, insurance companies and other referral sources in the area. Administrator / Director of Operations, 02/2005 to 07/2014 Family Health Specialists/Health & Wellness Specialists - Harlingen TX * * * * * * * * * * * Managed day to day operations of 8 satellite medical practice. Prepared budgets anticipating expected revenue and expenses to achieve organizational objectives and goals. Contract negotiation selecting with terms most favorable for organization to maximize reimbursement. Manage all organizational obligations to insurance carriers, vendors and suppliers are met Manage billing and collections daily operation process ensuring a steady flow of revenue. Responsible for designing, implementing and enforcing policies and procedures as well as streamlining the effective billing processes across multiple markets. Team building development: organize and conduct staff meetings, staffing discussions and forecasting, Field operator's problem escalation resolution (customer service) Develop filing and record keeping protocols that resulted in fast and easy access to data. Responsible for purchasing office supplies, office equipment, medical supplies, medical equipment. Oversee accounting department's functions such as payroll, G/L, A/P, A/R, P&L, balance sheet, financial statements, account reconciliation, cost analyzing and audit preparation. * * * * * * * Develop financial analysis by employing a variety of techniques (modeling, forecasting, benchmarking, cost/benefit analysis) to enhance understanding and improve decision making. Ensure compliance with federal and state regulations by implementing and monitoring policies and procedures to protect employees and organization. Maintain requirements for accreditation of staff and facilities in need of licensure, credentialing, recertification ensuring regulatory compliance and continuity of service with all regulatory agencies governing healthcare and the rules of accrediting bodies. Address employee problems and concerns by maintaining pro-active and responsive employee relations in order to achieve a high level of employee satisfaction and performance. Respond to patient needs and concerns through effective communications, mutual respect and consistent follow through in order to generate trust and enhance our business relationship. Represented medical clinic in its relationships with other healthcare organizations and government agencies and informs of the healthcare value provided by the medical practice by creating effective public relations programs that promote the organization. Inform board of directors about current trends, problems and medical activities to facilitate operations policies and procedure making. Responsible for leading the billing operation of a multi-million dollar federal granted corporation. Responsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective billing process across multiple insurance carriers markets. Enhance patient relationships by resolving issues in a professional and timely manner. Manage patient care using a team-based approach to enhance interactions with patients and working to achieve stated objectives and outcomes. Establish and implemented policies and procedures to ensure compliance with applicable federal and state regulatory agencies. Director of Operations, 06/2018 to Present SMI Medical Equipment Services, Houston, TX * * * * * * * * * * * * * * Directs the operations of Diagnostics imaging to meet the clinical needs of physicians, staff and members. Manages all administrative, technical and clerical operations of the department to ensure quality, access and budget goals are achieved. Coordinates the operations of departments by maintaining appropriate staffing levels, developing/monitoring performance improvement, safety, quality and regulatory standards. Develops the planning of major facilities construction/renovation projects to ensure the safe and effective placement of imaging equipment and efficiency of operations. Ensures imaging service levels are maintained during periods of constructions and transition. Develops and administers imaging standards and protocols for the delivery of medical imaging services in keeping with service, value, quality and access goals of the organization. Develops and evaluates department budgets, cost-benefits analysis of all medical imaging services and operations. Directs the management and resolution of human resource, labor relations, employee and department safety and risk managements issues. Accountable for the on-going training and development of technical and administrative imaging staff. Develops and implements equipment maintenance plans and replacement of imaging equipment across the service line. Ensures equipment and procedures are safe, functional and capable of meeting the diagnostic needs of the medical staff in a timely manner. Recommends the acquisition and implementation of new technology based on knowledge of development in diagnostic imaging technology. Accountable for adherence to state and federal rules and regulations on safety and quality assurance programs. Ensures compliance with the Joint Commission, federal, state and local agencies. Director of Operations, 01/2018 to 06/2018 Centers for Arthritis & Osteoporosis, Edinburg TX * * * * * * * * * * * * * * * * * * * * * * * * * Enhance patient and staff relationships by resolving issues in a professional and timely manner. Design process and implementation of standard operating procedure manuals. Expand access to allow efficient communications with patients, staff, customers and vendors. Ensuring the efficient day to day management of busy medical organization with multiple locations. Manage complaints resolution through the practice complaints procedure process. Provide organization owner with daily and weekly reports on the practice progress and shortcomings. Identify areas of strength and weaknesses to achieve better patient customer service performance. Manage the incoming queries from clients, patients in an orderly, efficient manner. Ensure all staff have a performance plan with objectives Responsible for training and developing the practice team. Implement programs protocols ensuring the smooth operation in relation to direct patient services. Responsible for organization providers are up to date with all licenses and current regulatory requirements. Design and implement standard operating procedures manuals. Evaluate and recommend new office equipment to accommodate growth. Conduct staff meetings, staffing discussions and forecasting. Recruit, select and recommend office staff for hire, Orient, train, coach and disciplining staff Evaluate staff performance, counsel and discipline staff as needed. Address all patients questions, concerns and conflicts accordingly Handle all employee suggestions and complaints. Responsible for motivating team and ensured that all staff members are treated equally Responsible a/p are paid in a timely manner Schedule and conduct regular staff meetings with all staff employees Recommends performance improvements, promotions and termination of staff members. Develop strategic plans to guide the growth and development of the practice in the short and long term Billing & Collections Manager, 05/2016 to 11/2017 Su Clinica-Harlingen, TX * * * * * * * * * * * * * * * * * Supported Chief Financial Officer with daily operational functions. Developed new process for employee evaluation which resulted in marked performance improvements. Worked directly with fiscal department, accounting department, depa rtment managers and senior management to achieve the smooth operation of revenue and collections thru various payment methods. Manage the billing and collections daily operation for a 40 person billing and collections department. Responsible for designing, implementing and enforcing policies and procedures as well as streamlining the effective billing processes across multiple markets. Special program/billing planning and implementation. Plan and implement quality assurance for all processes. Support organization departments with the implementation of new billing system and new updates. Team building development: organize and conduct staff meetings, staffing discussions and forecasting, Field operator's problem escalation resolution (customer service) Develop filing and record keeping protocols that resulted in fast and easy access to data. Implement programs protocols ensuring the smooth operation in relation to direct patient services and system management. Schedule and conduct regular staff meetings with all staff employees Recommends performance improvements, promotions and termination of staff members. Develop strategic plans to guide the growth and development of the practice in the short and long term Maintained statistics on various measures and is responsible to turn in to board members on monthly basis Responsible for maintaining a good relationship with hospital, patients, insurance companies and other referral sources in the area. Director of Operations / Consultant, 11/2015 to 03/2016 Agua Dentistry - Edinburg TX * * * * * * * * Enhance patient and staff relationships by resolving issues in a professional and timely manner. Design process and implementation of standard operating procedure manuals. Develop filing and record keeping protocols Responsible for designing, implementing and enforcing policies and procedures as well as streamlining the effective billing processes across multiple markets. Manage the billing and collections daily operation for multiple locations. Establish payroll protocols ensuring staff members are paid accurately and on time. Expand access to allow efficient communications with patients, staff, customers and vendors. Responsible for ensuring the efficient day to day management of busy dental organization with multiple locations. * * * * * * * * * Manage complaints resolution through the practice complaints procedure process. Provide organization owner with daily and weekly reports on the practice progress and shortcomings. Identify areas of strength and weaknesses to achieve better patient customer service performance. Manage the incoming queries from clients, patients in an orderly, efficient manner. Liaise between office and dental suppliers' representatives as necessary. Ensure all staff have a performance plan with objectives Responsible for training and developing the practice team. Implement programs protocols ensuring the smooth operation in relation to direct patient services. Responsible for dental organization and providers are up to date with all licenses and current regulatory requirements. Operations Manager, 09/2014 to 09/2015 The Urology & Cardiology Institute at Renaissance - Edinburg TX * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Design and implement standard operating procedures manuals. Assist doctors Supervise clinical and non-clinical staff Manage and accurate recordkeeping of all staff hours to be review and process for payroll Approve and review all supply and equipment requisitions. Manage and distribution of all practice incoming correspondence regular mail and internal. Liaise between clinic providers and main hospital administration. Responsible for updating doctors' membership's dues and credentialing. Evaluate and recommend new office equipment to accommodate growth. Organize and conduct staff meetings, staffing discussions and forecasting. Assign and monitor clerical other secretarial functions, Recruit, select and recommend office staff for hire, Orient and train new staff Provide on the job and other training opportunities Evaluate staff performance, Coaching and disciplining staff Define procedures for record retention Plan and implement office systems and protocols Maintain and replenish inventory Schedule and conducts performance and salary reviews for staff, Address all patients questions, concerns and conflicts accordingly Handle all employee suggestions and complaints. Counsel and discipline staff as needed Responsible for motivating team and ensured that all staff members are treated equally Verify all invoices are accurate before payments is issue Responsible a/p are paid in a timely manner Reviews the reimbursement of Medicare, Medicaid, HMO, PPO payers and commercial carriers Informs physician board members of any recommendations to accommodate growth Assists billing and accounting departments prepare reports for physician monthly meetings Schedule and conduct regular staff meetings with all staff employees Recommends performance improvements, promotions and termination of staff members. Develop strategic plans to guide the growth and development of the practice in the short and long term Maintained statistics on various measures and is responsible to turn in to board members on monthly basis Evaluates patients and referring physician's satisfaction surveys of quality care provide. Responsible for maintaining a good relationship with hospital, patients, insurance companies and other referral sources in the area. Administrator / Director of Operations, 02/2005 to 07/2014 Family Health Specialists/Health & Wellness Specialists - Harlingen TX * * * * * * * * * * * Managed day to day operations of 8 satellite medical practice. Prepared budgets anticipating expected revenue and expenses to achieve organizational objectives and goals. Contract negotiation selecting with terms most favorable for organization to maximize reimbursement. Manage all organizational obligations to insurance carriers, vendors and suppliers are met Manage billing and collections daily operation process ensuring a steady flow of revenue. Responsible for designing, implementing and enforcing policies and procedures as well as streamlining the effective billing processes across multiple markets. Team building development: organize and conduct staff meetings, staffing discussions and forecasting, Field operator's problem escalation resolution (customer service) Develop filing and record keeping protocols that resulted in fast and easy access to data. Responsible for purchasing office supplies, office equipment, medical supplies, medical equipment. Oversee accounting department's functions such as payroll, G/L, A/P, A/R, P&L, balance sheet, financial statements, account reconciliation, cost analyzing and audit preparation. * * * * * * * Develop financial analysis by employing a variety of techniques (modeling, forecasting, benchmarking, cost/benefit analysis) to enhance understanding and improve decision making. Ensure compliance with federal and state regulations by implementing and monitoring policies and procedures to protect employees and organization. Maintain requirements for accreditation of staff and facilities in need of licensure, credentialing, recertification ensuring regulatory compliance and continuity of service with all regulatory agencies governing healthcare and the rules of accrediting bodies. Address employee problems and concerns by maintaining pro-active and responsive employee relations in order to achieve a high level of employee satisfaction and performance. Respond to patient needs and concerns through effective communications, mutual respect and consistent follow through in order to generate trust and enhance our business relationship. Represented medical clinic in its relationships with other healthcare organizations and government agencies and informs of the healthcare value provided by the medical practice by creating effective public relations programs that promote the organization. Inform board of directors about current trends, problems and medical activities to facilitate operations policies and procedure making.

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COMPANY POSITION HELD DATES WORKED

San Benito Healthcare Llc Project Manager/Director Of Operations 5/2000 - 10/2005
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