Financial Analyst

Financial Analyst

Industry Preference: Healthcare

QUALIFICATIONS PROFILE

Detail-oriented, performance-focused, and accomplished professional with an extensive background in physician credentialing, database administration, human resource management, and financial operations within the healthcare and hospitality industry. Innovative leader, recognized for strategic and proactive management approaches in identifying complex solutions, leading and coordinating team efforts, and streamlining processes to achieve productive flow operations. Equipped with excellent oral and written communication skills, effective in establishing a positive rapport and working collaboratively with key clients, healthcare professionals, and individuals of diverse backgrounds.

CORE COMPETENCIES

Operations Management ~ Budget Preparation ~ Profit, Loss, and Cash Flow Statements Analyses ~

Healthcare Data Management ~ Event Scheduling and Coordination ~ Customer Service and Business Relations ~

Cross-functional Collaboration ~ Staff Coordination, Development, and Training ~ Organizational Leadership

PROFESSIONAL EXPERIENCE

Aventura Hospital & Medical Center – Hospital Corporation Of America (HCA) Aventura, FL

Credentialing Specialist 2017–Present

Function as subject matter expert to new applicants regarding initial credentialing activity while coordinating all aspects of credentialing procedure for 900 healthcare providers.

Administer and submit weekly, monthly, and quarterly reports concerning expiring documents such as licenses, Drug Enforcement Administration (DEA) registration, malpractice insurance, and board certifications while monitoring office of inspector general (OIG) monthly sanctions against providers.

Perform a wide array of responsibilities including:

-Gathering and organization of data needed for privileging, re-privileging, ongoing professional practice evaluation (OPPE), focused professional practice evaluation (FPPE), and other regulatory records;

-Collection and review of physician and allied health care professional profiles in adherence to state and federal regulatory standards as well as Joint Commission (JCAHO) guidelines;

-Preparation and evaluation of all application information including requested delineation of privileges (DOP);

-Communication with the Clinical Department’s chairpersons for review and approval of all documents; and

- Success with all aspects of primary source verifications and investigations procedures for any discrepancies recognized.

Oversee data management activities for documents administered and received as well as privileges granted.

Hold responsibility in encoding and updating approval dates in CACTUS database; administering sedation privileges; and interpreting and monitoring medical staff roster.

Process credentialing/privileging procedures for medical staff, associate healthcare professionals, medical students, residents, fellows, locum tenens, healthcare representatives, and visiting physicians.

Guarantee accomplishment of files for credentialing, re-credentialing, and privileging approvals by recognizing and resolving problems before they arise.

Actively participate in Credentialing Committee and board conferences as well as organize Medical Executive Committee, Medical Care Review Committee, and other special committee meetings.

Accomplish key responsibilities which include:

-Provision of support in the development of policies for departmental procedures;

-Coordination of review and revision of bylaws, guidelines, credentialing manual, organizational manual, and privileges delineations;

-Monitoring of primary verification process;

-Facilitation of FPPE /OPPE evaluations for all departments; and

-Administration of medical staff quality management findings to designated review committees/department.

Take charge of orienting newly hired staff and providers as well as delivering customer service support to almost 900 medical professionals, including physicians, allied health professionals, and ambulatory care providers.

Career Highlights:

Fulfilled expanded roles such as initial and re-credentialing specialist within six months of employment in the department.

Significantly reduced for initial credentialing processing time from 120 days to 45 days.

Played a significant role in streamlining credentialing procedure by taking part in the automation of various organizational processes including developing of electronic applications for both the credentialing and re-credentialing activity.

Achieved score of 95% for passing in the National Committee for Quality Assurance (NCQA) and Accreditation Association for Ambulatory Health Care (AAAHC) audits.

Intern: Vice President of Quality - Quality Manager, Risk Coordinator, and Medical Staff Manager 2016–2017

Assumed full responsibility in performing and managing all medical staff OPPE/FPPE performance evaluations through Crimson.

Provided assistance in the execution of day-to-day administrative duties in compliance with corporate, state, and federal quality standards as well as accomplishment of patient grievance logs and slip and falls documentation.

Held accountability in receiving, documenting, and distributing medical device/products recalls and alerts.

Assisted in conducting concurrent patient/provider chart reviews for documentation and accuracy.

Rendered support in the medical personnel onboarding, credentialing procedure, and process improvement initiatives.

Expertly handled MEDITECH, CACTUS, Crimson, and Central Logic physician call scheduling.

ADDITIONAL EXPERIENCE

Best Western Tallahassee Downtown Tallahassee, FL (2009–2014)

Front Office Manager 2012–2014

Accomplished administrative and financial tasks including daily reports, credit card reversals, bank deposits, accounts receivables, rooming lists, and office supply inventory.

Expertly handled and administered departmental expenses within financial plan guidelines.

Keenly managed all property renovation projects while overseeing daily housekeeping activities, maintenance, and service supply chain demands.

Took charge of hiring, training, and disciplining staff as well as organizing work schedules.

Displayed excellent leadership and training skills in instructing front desk staff regarding proper revenue management procedures, which included effective selling techniques, current specials and/or promotions, and rate structures.

Demonstrated strong commitment in reducing waste and improving operational efficiency by designing new operational programs.

Career Highlights:

Drove initiatives in conceptualizing and implementing online customer service training modules for all front desk staff to improve customer service and computer software operations.

Played an instrumental role in increasing online customer service feedback and public image through Facebook and TripAdvisor and moving the hotel to top 20 hotels in the city.

Spearheaded efforts in streamlining hotel operations procedures including daily housekeeping room assignments and room turnover.

Front Desk Agent/Night Auditor 2009–2011

Responded to and resolved all customer concerns in a professional and timely manner.

Assumed full accountability in handling cash transactions as well as preparing and compiling summary reports of the hotel’s daily financial performance, which involved cash, check, and credit card activities.

Held responsibility in auditing front office accounting data to ensure accuracy as well as tracking room incomes, occupancy percentages, and other front office operating statistics.

Dealt with processing guest charge and credit card vouchers.

Took charge of validating account postings and balances as well as presenting room charges and room taxes to guest accounts.

EDUCATION

Master’s Degree in Health Services Administration: 2017

Barry University Miami, FL

GPA: 4.0

Master’s Degree in Public Health: May 2017

Barry University Miami, FL

GPA: 4.0

Bachelor of Science in Environmental Studies: 2013

Florida State University Tallahassee, FL

AWARD

2nd Place, South Florida Health Care Executive Forum - Annual Case Competition: 2016

AFFILIATIONS

Community Chair Coordinator and Treasurer, Sigma Beta Rho – National Multicultural Fraternity

Member, Upsilon Phi Delta – Healthcare Managers Honors Society

Member, American College of Healthcare Executives,

Member, USSTRIDE

TECHNICAL SKILLS

Microsoft Office Suite (Word, Excel, PowerPoint, and Outlook) Crimson CACTUS MEDITECH

Patient Information Software (HPF) Crystal Reports Central Logic

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