Jemel A. Alston

Bronx, NY ***** 914-***-**** ac67cf@r.postjobfree.com

SUMMARY

Healthcare administration leader; possess strong knowledge of managed healthcare operations model and keen understanding of inter-connectivity among various operational areas to ensure delivery of effective best-practices in order to meet needs of internal and external customers. Currently pursuing Executive Master of Public Administration.

EXPERIENCE

NEW YORK HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC HEALTH CENTERS, New York, NY 2017 to Present

Administrator

Direct administrative and operations efforts, assuring the delivery of high-level patient centered quality care.

Areas of impact:

Identify problems in process flow or organizational structure that impede financial outcomes, propose solutions and collaborate with departments to implement corrective action, including: allocation of resources related to front-end functions; training of front-end staff related to key operational functions;

Optimized patient flow reducing cycle time by 33% by implementing pre-arrival process and patient coordinator.

Develop and implement front-end physician fiscal management processes for clinical departments.

Analyze and improve performance of front-end operations through development and monitoring of performance criteria related to: front-end patient data acquisition and management; appointment scheduling, patient registration, insurance verification, data entry, charge and diagnosis assignment and charge capture activities; front-end billing operations key indicators, including denial trending analyses and co-pay collection. Error reports claim processing reports, accounts receivable reports and any pertinent ad hoc reports.

Reduced overtime and vendor relations expenses by 10% by ensuring adherence to budgetary targets.

Develop and prepare departmental and divisional fiscal reports, statistical and financial analyses, and other reports as needed to support mission of the health center.

Provide guidance and education to physicians and staff as appropriate, in accordance with new revenue management protocols / standards / regulatory changes.

NYU LANGONE HEALTH, Brooklyn, NY 2016 to 2017

Site Director

Strategic oversight of various community health-based programs teams responsible for providing quality care for an underserved pediatric population to include the following domains:

Operational oversight of high volume primary and subspecialty care pediatric practice

Managed staff of 45 personnel which includes administrative functions and clinical: Medical Assistants, License Practical Nurses and Registered Nurses

Manage fiscal affairs, including departmental budgets of $4M and provider productivity

Assure departmental adherence to regulatory compliance and governance

Established departmental goals in conjunction with senior leadership to achieve highest quality of care outcomes

MORRIS HEIGHTS HEALTH CENTER, Bronx, NY 2014 to 2015

Site Director and Call Center Manager

Operational oversight of two clinical practices which provided Urgent Care, Primary Care, Multi-Subspecialties

Operational oversight of the centralized Contact Center

Directed all activities involved in day to day operations to ensure provision of clinical services including: scheduling, staffing, patient flow, on-going clinical operations, maintenance and security of physical facility, and monitoring and review of daily fiscal and accounting procedures related to sliding fee and co-payments

Established Health Center goals in collaboration with the Operational and Clinical Committee to achieve highest quality of care outcomes

COMMUNITY HEALTHCARE NETWORK, Jamaica, NY 2012 to 2014

Interim Center Director and Program Coordinator

Operational oversight of a high volume, face paced federally qualified health center in which direct supervision was provided to all practice personnel, including Administrative, Clinical and Dental functions

Additional supervision provided for a team of New York State Certified Application Counselors who were tasked with providing education and facilitated enrollment into insurance plans associated with the Affordable Care Act/New York State of Health Insurance Marketplace

MOUNT SINAI HEALTH SYSTEM, New York, NY 2004 to 2012

Patient Flow Coordinator, Mount Sinai Beth Israel Pediatric Associates (2010-2012)

Supervised all front office functions, in conjunction with Ambulatory Administrator

Expedited patient flow, with the goal of optimizing throughput

Served as lead customer service/satisfaction liaison

Coached all administrative, clinical staff and off-site call center agents with new customer service initiatives to promote patient satisfaction

Master scheduler and template manager responsible for the daily schedules of the practice’s 26 providers to assure efficiency, optimization and productivity

Patient Service Center Manager, Mount Sinai Hospital (2009-2010)

Operational oversight of the multi-specialty pediatric faculty practice and call center

Monitored and championed patient flow, managed provider schedules, managed all front desk operations and collection of patient co-payments, outstanding balances and ensured that payments were obtained at the time of service as appropriate to maintain patient accounts

Directed the departmental personnel through customer service initiatives in order to enhance the patient experience

Telecom Operations Supervisor, Mount Sinai Hospital (2007-2009)

Operational oversight of telecom operations, which included supervising team of 25 telephone operators, managing Siemens platform telephone system, paging system, operations of the medical center’s public directory system, Message One Alert, Emergency Preparedness plans, Fire Alerts and Team 7000 system

Monitored productivity of telephone operators via qualitative and quantitative methods to assure efficiency

Telephone Operator, Mount Sinai Hospital (2004-2007)

Operated Medical Center’s main switchboard, which includes routing inbound calls to the appropriate department

Initialized public address, paging and voicemail systems to assure proper routing of calls

Provided specific directory information to internal and external inquiries

EDUCATION

Baruch College, CUNY – Austin W. Marxe School of Public and International Affairs

Executive Master of Public Administration, Expected Completion May 2020

Baruch College, CUNY – Weissman School of Arts and Sciences

Bachelor of Arts, Business Communications, May 2018

SKILLS/SYSTEMS

EPIC eClinicalWorks GE Centricity Climacs IDX Cerner Eagle

REGULATORY

TJC HRSA CMS FQHC PCMH NCQA AAAHC

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