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Operations Manager, Project Coordinator, dialysis, billing

Location:
Texas
Posted:
February 05, 2016

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Resume:

FRAN BORDAS

Conroe, TX ***** 813-***-**** actev9@r.postjobfree.com

PROFESSIONAL SUMMARY

Operations Manager, Project Coordinator, MBA in Project Management, minor in International Business. Have worked across three functional areas of Fresenius Medical Care. Performed and followed up on clinic audits, established updated Houston area medical staff hiring process, involved in Six Sigma training, coordinated and opened 4 new Houston clinics, attended numerous Medicare/state audits in dialysis clinics and followed up on deficiencies, reviewed P&L, reviewed and established QAI/Quality Assessment measures for area clinics.

WORK EXPERIENCE

HOUSTON HOME THERAPIES ADMIN, 5/14 – CURRENT FRESENIUS MEDICAL CARE HOUSTON, TX

Administrative support to Home Therapies Director of Operations

Conducting home therapies personnel audits, providing feedback to management on new

best practices for collecting and maintaining audits data and files

Provided on-going project support to open a new home therapies clinic from beginning

to end, working, continuing to function as project liaison for clinic and for project team

Supporting new Clinic Manager and Program Manager in their roles; providing business

expertise and knowledge in current role

OPERATIONS MANAGER, 9/2012 - 5/2014 FRESENIUS MEDICAL CARE HOUSTON, TX

Screening and hiring RN, LVN, PCT candidates for 34 clinics, providing salary comparisons

Created comprehensive new hire packet used to hire candidates in Houston region

Provided financial and cost analysis on new and existing clinic projects, and led project team

that opened 5 new clinics in Houston region

Conducted fourteen clinic audits in anticipation of state audits; reviewed all quality metrics,

conducted follow up meetings; established action plans, provided oversight on new initiatives

Conducted employee file audits in anticipation of state surveys

Provided expertise on projects, hiring and internal quality initiatives for regional quality and

corporate meetings, as well as local staff

IMPAC/The Lean Clinic – trained in and worked on Lean Six Sigma adapted for clinics; provided

support on inventory and staffing focus in clinics. Graduated from Participant Facilitator to

Support Facilitator.

PROJECT COORDINATOR, 9/2008 - 9/2012 FRESENIUS MEDICAL CARE ATLANTA, GA

Analysis of project management reports as part of project oversight and continued

feasibility

Evaluated potential clinic locations utilizing marketing data, regional information and

fiscal expectations to determine project costs, project scope and project viability

Provided direction on viability of joint venture projects with interested investors

Supported peripheral project functional teams, management, architects and

contractors

MEDICARE/MEDICAID COLLECTION SPECIALIST, 2/2004 - 9/2008 FRESENIUS MEDICAL CARE TAMPA, FL

Collected on new Chicago Medicaid account for one year; gathered medical record

documentation and back-up audit documentation for all Medicaid write-offs

After one year became Florida Medicare/Medicaid Specialist; in first year collected $3 million in

Medicare and $1 million in Medicaid outstanding/unpaid accounts

Medicare and Medicaid Subject Matter Expert, established monthly collection of $5 million in

Medicare and $250K in Medicaid; Medicare monthly unpaid accounts was consistently under

$30K, and Medicaid had no unpaid claims >90 days old

Provided medical records and justification for all Medicare drug denials; provided back-up

documentation for second level review after Medicare initial denial

Specialized in Medicare and Medicaid research and issue resolution, eligibility/COB problems and

in Medicare Collections >365 days old

EDUCATION

Masters in Business Administration – Keller / DeVry University - Graduated 2007

Project Management Concentration

Minor in International Business

AWARDS RECEIVED

5 Year Service Award - Fresenius Medical Care - March 2007

10 Year Service Award - Fresenius Medical Care - March 2012



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