Medical & Dental Director/Management

Vanessa Jones

P.O. Box ******

Houston, Texas ***42-4202

Cell: 281-***-****

*************@*******.***

CAREER SUMMARY

I have utilized my business/operations/revenue cycle management skills, while applying the knowledge and achievements I have gained in my current and previous job experiences to champion amazing working relationships in the healthcare industry (Plastic Surgery, ENT, Medical, Cosmetic Dental) and ensure maximization of profit within a practice as well as improve patient, physician, and customer relations

EDUCATION

Texas Southern University, Houston, Texas

(Fall 1992-1996 Business Management Major)

PROFESSIONAL EXPERIENCE

ST. HOPE FOUNDATION

DIRECTOR OF DENTAL/COSMETIC SERVICE Sept. 2014 – March 2017 (Grant Funding Ended)

*Monitor daily/monthly turnaround time for compliance contract requirements for client

*In charge of 4 clinics in the Greater Houston Area/worked closely with Legacy Healthcare

*Knowledge of Practice Fusion, and Curve Hero practice software

*Develop action plans for monthly report gaps/potential deficiencies within program

*Ensure dental program meets State Laws/Regulations, CMS, and JACHO clinic guidelines

*Participated in client audits both on site and off site/prepared corrective action plans if needed

*Provided recommendation to CEO for improvements within the clinic/program

*Oversaw dental team meetings/training/hiring as well as performance/wage evaluations of team

*Advanced knowledge of CPCDMS and TMHP guidelines and standards

*Practiced fiscal management to keep integrity of program performance at a high level

*Implement process improvement pertaining to each clinic and its financial state

*Knowledgeable and experience at benchmarking /provider relations

*Managed and oversaw billing and collection department/risk management

*Coded and reviewed all dental/medical insurance claims to reduce delay in processing

*Employee payroll/credentialing for insurance companies/claims submission

*In charge of all areas of vendor management/supply ordering

*Collaborated with CEO on development/implementation of business objectives

*Prepared all business reports and operation budget analysis

*Scheduled all surgery and patient appointments/referrals/analyze trends impacting charge entry

*Presented and closed all treatment plans for procedures with patients/case management

*Improved patient care and quality/day to day order of business and its success

ELITE BODY SCULPTURE HOUSTON OFFICE

TEMP OFFICE MANAGER OF OPERATION April-June 2014(Contract Ended)

*Maintained office services by organizing office operations and procedures

*Set-up filing systems/reviewed and approved supply requisitions

*Planned/implemented office layout and equipment procurement

*Designed and put into place office policies by establishing standards and procedures

*Developed office staff by recruiting, selecting, orientating, and training employees

*Achieved financial objectives by preparing a monthly budget structure

*Scheduled expenditures, analyzed variances, and initiated corrective actions

*Supply management, tracking budget expenses, inventory control, delegation

*Proficient in INET Portals practice management software systems

*Complete new office set-up (contracts, build out, vendor relations) Employee payroll

*Opened a successful Aesthetic Medical/Cosmetic Plastic Surgery Practice

FAMILY & COSMETIC DENTISTRY OF FORT BEND 2009-2014

PATIENT FINANCE &COLLECTION/REVENUE CYCLE MANAGER

*Treatment Plan/ Case Presentation/Procedure sales

*Recouped prior two years insurance billing error balances on EOB’s/appeals

*Decreased ratio of outstanding claims being billed/insurance verification

*Working knowledge of Navi-net and Availity for all insurance purposes

*Proficient in Practice Works/Denticon/Dentrix, and Eaglesoft dental software

*Provided understandable explanations to patients for charges/ copay/ deductibles

*Made all adjustments to patient schedule/appointments and follow-up

*Patient account audits/ check-out/ payment posting and payment arrangements

*Procedural coding/ all data entry for days business/ medical records request

*Registered patients/ chart completion and filing/staff development

*Optimized patient satisfaction, provider time, and treatment room utilization

*Created collection/production stat worksheet for practice as well as hygiene recall system

*Maintained confidentiality of personal and financial information in accordance with HIPPA

SMITH COSMETIC/ENT SURGERY CENTER 2004-2009

PRACTICE ADMINISTRATOR for FACIAL COSMETIC SURGERY/ENT DOCTOR

*Oversaw and installed Athena Healthcare Software for Practice/surgical billing and coding

*Supported all daily practice operations and financial reporting/revenue cycle management

*First year employed recouped over 120K prior year insurance billing errors

*Worked closely with doctor to ensure cosmetic/medical patient flow for practice moved smoothly

*Patient finance with Capital One/Care Credit/JP Morgan Chase/My Medical Loan.com

*Proficient in Medi-Soft, & Nextech practice software/E-Clinical Works EMR

*Insurance company relations/doctor scheduling/surgical posting/treatment plan presentation

*Ordered radiology testing/polysomnographic studies/performed all HR functions new hires

*Liaison to physicians for doctor/credentialing/practice marketing/patient referral

INDEPENDENT COURSEWORK/CERTIFICATIONS:

*Foundations Pre-Course

*Foundations Pre-Course 1-5v2

*HIV Case Management 101 2013 Update

*STD Facts & Fallacies: Chlamydia, Gonorrhea & Pelvic Inflammatory Disease (PID)

*STD Facts and Fallacies: Syphilis

*FEMA IS-00700.a : National Incident Management System (NIMS) An Introduction

*FEMA: IS-00100.hcb : Introduction to the Incident Command System ICS 100 for

Healthcare and Hospitals

*FEMA: IS-00200.hca : Applying ICS to Healthcare Organizations ICS-200 for Healthcare

and Hospitals

*FEMA: IS-00800.b: National response Framework, An Introduction

*Dental Compliance Specialist Risk Management of Dental Office Staff

TEXAS DEPARTMENT OF LIFE & HEALTH INSURANCE LICENSE NUMBER:

#2024142

STATE OF TEXAS LICENSED AGENT

ISSUED BY: TEXAS DEPARTMENT OF INSURANCE (TDI)

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