Sign in

Sales Representative Manager

Richmond, Texas, United States
March 01, 2018

Contact this candidate



***** ******** ****** **** • Richmond, TX 77407

Cell: 832-***-**** •


Experience in managing and delivering strategic consulting within the healthcare industries

Analytics-Knowledge of data analytics: Complying and reporting results based on analysis

Experience in communicating with Senior Management-Summarizing project status in reports; communicating to the director of nursing, CFO, CEO and Administrator to help drive decisions

Experience in CPT, ICD 9/ICD 10; HIPAA compliance, HR compliance, federal and state regulations (Medicare and Medicaid) in reference to Healthcare

Experience in Texas Medicaid policies and Texas State Specific plans

Experience in Microsoft office, outlook, Microsoft projects Data analytics.


ABL Homehealth Services Inc, Houston, TX, Office Manager- November 2015-Date

Recruited by ABL Homehealth Services firm to provide management over a large scale and complex initiatives

Serve as primary client liaison and provided on-site client and team support

Report key project milestones to Administrator/CFO/CEO/Director of Nursing

Responsible for requesting Prior authorization and sending all necessary credentials to insurance copies

Responsible for Revenue Cycle Management

Responsible for all third-party billing

Responsible for hiring and training all staff

Responsible for monitoring compliance with HIPPA, all managed care, Medicare and Medicaid regulations

Responsible for payor relations

Responsible for Revenue cycle management, cash flow, AR, AP

Responsible for Quality assurance

Responsible for handling billing projects worth $1.5 million

Responsible for Budget control

Responsible for verifying all Licenses

Responsible for performing all annual and monthly background checks

Ensuring all personnel folders are up to date

Responsible for Processing all claims and exporting Oasis

Responsible for all account receivable

Responsible for all account payable

Responsible for reviewing and approving all third-party contracts

Coordinated with all personnel and making sure all visits are made to patient’s residences and on time

Provide all operational support to all staff.

Responsible for processing payroll.

Ensure that each staff understands their associated roles and responsibilities.

Provided support to office team and the executives as necessary

Serve as a liaison between top executives, payors, staff and vendors to allow smooth flow of operations

Monitor compliance with the organization’s policies, procedures and processes

Implement and monitor payor relations policies and procedures

Responsible for monthly meetings for staff, quarter board meeting, and ad hoc meetings, executive meetings, and third-party vendors

Bringing resolution to recurring payor, client and vendor issues

Create weekly status of reports of various progress

Responsible for scheduling patient to nurses per geographical areas

Operations Manager -August 2009 to 2015

TAB Healthcare Services – Houston, Texas

Served as primary Client liaison and provided on-site Client and team support leading to quality satisfaction which increased to 96%.

Report key project milestones to Administrator /Director of Nursing.

Responsible for all aspects of project planning for core administrative software implementations.

Request Prior authorization with insurance company.

Responsible for sending all requested document to insurance company for authorization.

Handle billing with third party insurance.

Process RAP/EOE claims through kinnser.

Send therapy referral to Therapy Company.

Track all plan of care and fax it to the doctor.

Ensuring all medical records are in compliance with CMS guidelines and meet requirements for recertifications if necessary

Ensuring all personnel folders are up to date and all licensed personnel licenses are active every month.

Ensured all case conference is done and all personnel involved with the patient case are present for the case conference for recertification.

Check monthly OIG for all personnel and making sure all personnel are employable through OIG and DADS.

Keeping track and recording of complain log.

Responsible for invoices and ensuring all invoices are paid on time.

Handle all third-party contracts.

Processing claims and exporting Oasis.

Administer orientation and training to new employees.

Establish and removed user internet access.

Monitor compliance with the organization’s corporate policies, processes and procedures.

Coordinate with all personnel and making sure all visits are made to patient’s home and on time.

Provide operational Support to the all staff.

Responsible for exporting Oasis.

Ensure each team member is clear on their associated role, responsibilities and deliverables.

Support to the office team as necessary.

Create weekly status reports of progress.


President/Tutor – January 2004- Date

Impact Educational Services – Houston, Texas

Ensure that all referrals received were processed accurately and in a time manner

Ensure that all staff provided tutoring services as requested and on time

Responsible for processing all accounts receivables

Ensure that all personnel files are following hiring policies

Encourage and motive employees to attain a high standard of excellence

Enforce and adhere to all legal guidelines ensuring that all work ethics are strictly adhered to

Develop curriculum for all grade levels

Review financial and non-financial reports to conclude on improvements and/or suggestions

Develop quality business plans ensuring alignment with long and short-term goals and objectives

Oversee all operations and all business activities to ensure that the desired result are consistent with overall mission

Senior Loan Processor – March 2001 – April 2003

Onyx Acceptance Corporation

Reviewed all auto loan applications

Served as liaison between clients and sales representative at dealership to ensure smooth auto loan processing

Verified all signatures and documents received to confirm authenticity

Approved all qualified buyer

Printed and issued checks for all approved auto loans

Trained and orientated all new staff

Answering and making outbound calls.

Ensured all new patients are added into Oasis software.

Created new client’s folder.


Bachelor of Science, Mathematics – May 2004

Worcester State University, Worcester, Massachusetts

Contact this candidate