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Practice Management - Healthcare Administration

Location:
Abington, MA
Posted:
January 25, 2016

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Resume:

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



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