Philip J. Gaven
Abington, MA *****
Work Telephone: 617-***-**** Fax Number: 617-***-****
Home Telephone: 617-***-**** Cell Number: 781-***-****
OBJECTIVE: Practice Manager – Medical – Occupational Health Solutions
EXPERIENCE: ASC Practice Manager: The Boston Center for Ambulatory Surgery,
170 Commonwealth Avenue, Boston, MA 02116
May 1989 –
Present • Handled all aspects of Public Relations and Marketing for the Ambulatory Surgery Center which serves both a domestic and
international multi-specialty patient population
• Responsible for all Payment and Reimbursement systems for the
Facility, Physician Practices and Managed Care Organizations
• Managed all Staff-related functions, including Hiring, Scheduling,
and Credentialing of surgeons, anesthesiologists and nurses
• Preparation, Analysis and Interpretation of all Corporate Financial Statements and Reports for presentation to the Governing Board
• Purchasing Review, Cost Analysis, Strategic Financial Planning,
Modeling and Return on Investment for major Medical Equipment
acquired by the Ambulatory Surgery Center
• Developed systems to Monitor and Analyze financial performance,
Patient Accounts, Vendor Performance and Revenue Analysis by
Healthcare Provider and various Insurance Carriers
• Monitored the Revenue Cycle for the Organization including Net
Patient Services Revenue, Accruals, Reserves and Settlements at
the Healthcare Facility and the Individual Provider level
• In charge of all Accounts Payable, Accounts Receivable, Third Party Billing and Customer Invoicing activities for the facility
• Provided oversight to maximize Insurance Revenue, Monitored
Collection Activity and Performed Payment System Analysis
• Developed and Implemented the Annual Operating Budget for the
Facility and provided monthly Financial Performance Reports and
Presented the Budget Variance Report to the Governing Board
• Analysis and Interpretation of all data related to Surgical Volume,
Operating Room costs (by procedure), Profitability studies, Patient
Satisfaction, Infection Control and Quality Assurance
• Responsible for every aspect of the day to day operations of the
Ambulatory Surgery Center, from Surgical Scheduling, oversight
of the Operating Room staff, medical supply needs, anesthesia
coverage, and overnight accommodations for our international
clients
• Coordinated Year-End Audits with our Accounting Firm and Third
Party Auditors related to Accounts Receivable Operations. Served
as a liaison between Accountants, Auditors and Investigators
• Maintained Internal Controls, Safeguards, Patient Confidentiality,
and Records Security for Accounts Receivable and Cash Accounts
• Developed innovative programs to streamline Billing Procedures,
Insurance Data Collection, Referral Networks, and Precertification
in my ongoing effort to improve Patient Satisfaction
• Coordinated several facility renovation and expansion projects as
our patient population and surgical volume increased over the years
• Responsible for ensuring compliance with all Regulations, Rules,
Standards and Directives from Regulatory Agencies and Third
Party Insurance Carriers
• Overall responsibility for Financial Audits, Clinic Inspections and Internal Control Studies performed at the Surgery Center
• Served as the Human Resources Coordinator for the facility and
maintained Personnel Files, Credentialed Healthcare Providers,
Coordinated Benefits, Workers Compensation Claims, Hiring,
Terminations, Health Insurance, Safety Training and Education
• Acted as the Facility Representative with Contractors, Vendors,
Insurance Carriers, Managed Care Organizations, External
Agencies, Partner Organizations and Surgical Residents
• Facilitated Open Communication, Coordination, and Collaboration
between Physicians, Nurses, Anesthesiologists, and Administrative
Support Personnel at all levels of the organization
• Managerial and Financial Oversight of every aspect of three
Individual Surgeon Practices in addition to my duties as the
Practice Manager of the Ambulatory Surgery Center
EXPERIENCE: Administrator: Naval Hospitals, Newport R.I. and Okinawa, Japan
Lieutenant, Medical Service Corps – United States Navy
Jan. 1984 – • In charge of all Accounting, Finance and Operating Management April 1989 functions for the United States Navy Inspector General
• Performed Internal Review functions, Staff Utilization studies and Cost Analysis functions for the Navy Personnel and Quality Assurance Departments
• Management and Oversight of the Naval Hospital Budgets in order to justify current and future funding requirements for the health care facilities
• Oversight of all Internal Review Audits and Medical/Legal Investigations as required by the Navy Inspector General
• Developed an Inter-Service Support Agreement where the Navy, the Air Force and the Marines stationed on Okinawa shared financial resources and personnel to avoid duplication of services for Active Duty Personnel
• Oversight of all Materials Management, Purchasing and Operating Management functions for both Naval Medical Facilities
EDUCATION: Suffolk University Graduate School of Business Administration
One Ashburton Place, Boston, Massachusetts
Degree: Master in Business Administration (M.B.A.)
Majors: Managerial Accounting, Finance and Marketing
Graduated: May 1983 (Magna Cum Laude)
Degree: Bachelor of Science in Business Administration (B.S.B.A.)
Majors: Accounting, Healthcare, Marketing and Finance
Graduated: September 1982 (Cum Laude)
POST GRADUATE COURSES: Naval Officer Indoctrination, Patient Administration,
Managerial Accounting, QuickBooks Pro Software Training, Personnel Management, Quality Assurance, Risk Management, Internal Review Auditing, Automated Data Payroll (ADP), Budget Variance Analysis and Financial Report Presentation
REFERENCES: Available Upon Request