Description
Professional Summary I'm a respected and self-motivated professional with more than nineteen years of experience in Healthcare, and fourteen years of healthcare management. Extensive experience managing large scale projects from the requirements gathering phase to completion. Highly skilled in tracking details communicating deadlines and following up with internal and external management staff to ensure on time completion within budget Regional Operations Manager Integrated Health Management Services August 2015 - Present Responsible for operations of Southern California region, manage the day to day activities of IHMS staff in California Hospital, Northridge Hospital, Glendale Hospital, Long Beach St. Marys Hospital, and IHMS North Hollywood Business office. Improve the operational systems, processes and policies in support of organizations mission-specifically, support better management reporting, information flow and management business processes and organizational planning. Develop and maintain an effective department through proper selection, training, assignment personnel, evaluations, and recommend promotions and increases. Regularly review the progress of work in the department ensures that questions have been answered, decisions have been acted upon, and problems have been resolved. Direct weekly and monthly meetings to keep staff informed of current updates, new policies and updates on quality trends. Develop, monitor, and asses business metrics in order to re-design processes and improve efficiencies. Responsible for monitoring reporting, and reconciling weekly and monthly reports for the clients. Participate in representing IHMS in various organization such as HFMA. Managerial skill to direct the recruitment selection, and discipline of subordinate personnel. I possess skills in initiating team-building techniques to create a positive work environment, and organizational cohesiveness. Manager Revenue Cycle IPC Healthcare January 2015 - August 2015 Responsible for monitoring, reporting, reconciling and adjusting all insurance related payments and account receivables. In charge for maximizing the collection of medical services payments and reimbursements from insurance carriers, and guarantors. Monitor aged account and verified appropriate collections procedures are being followed. Regularly provides upper management with revenue cycle status including reports, metrics, and presentations. Responsible for insurance eligibility processes, charge processing, claim submission and processing, collections account receivable management, denial management, reporting of results and analysis, concurrent and retrospective auditing, credentialing insurance contract review, training and development relative to revenue cycle, analytics, and all other revenue cycle management activities. Develop, monitor, and asses business metrics in order to refine processes and improve efficiencies. Resolve escalate reimbursement issue with payers, practice and systems for optimal of accounts receivable. Develop and implement progressive short-term goals that align with company's vision and business goals. Responsible for interviewing, recommending hires, assessing performance, recommending salary charges and progressive discipline. Manager Revenue Cycle Southern California Orthopedic Institute October 2013 - December 2014 Monitor and evaluate all billing office Functions, staff productivity and quality control to ensure adherence to policies and procedures. Provide direction and support to department supervisors and leads managing performance. Ensure credit and collection policies for the department are adhered to. Measure staff performance against benchmarks and standards to ensure departmental efficiency. Handles patient complaints that are elevated to management level to ensure patient satisfaction. Review and analyzes A/R Reports and audit results reports trends. Ensure compliance with all regulatory agencies governing healthcare delivery and the rules of accrediting bodies as necessary. Facilitate regular meetings with front-end and back end billing staff and participated in required A/R related meetings. Continuously seeks ways to introduce efficiencies. Evaluates obstacles to departmental efficiency and make recommendation regarding solutions to Exc. Director Revenue Cycle Operations.
Accomplishments
Highlights:
Job Skills
Keywords
