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Manager Medical

Location:
Houston, TX
Posted:
December 08, 2013

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Resume:

MAURICIO TRUJILLO

**** ***** **** **, ******* TX 77082 713-***-**** Cell ************@*****.***

H ealth Care Administrator / On - Site IT

Dedicated and technically skilled business professional with a versatile administrative support skill set developed

through experience as an Office Manager, IT Support Specialist, Electronic Health Record Specialist, Search

Engine Optimization (SEO), and Health Care Marketing (SEM).

Effective and motivated professional who combines clinical experience with compassion to meet the challenges

facing today s healthcare organizations; This includes developing, configuring, maintaining, supporting and

optimizing all clinical software. Clear awareness of diverse backgrounds, alert to widely varied patient needs and

circumstances.

Offer advanced computerized skills in Practice Management Systems and Integrated Health Care Delivery Systems.

K ey Skills

Office Management Analytics / Applications Data Management

Teambuilding & Supervision Information Technology Bi-lingual English/Spanish

Business Intelligence Information Security Medicare / Medicaid

Lean Sixth Sigma IT Support / Troubleshoot Expense Reduction

Search Engine Optimization (SEO) Health Care Marketing (SEM) Project Management

E xperience

Liver Associates of Texas, P.A 04/2012 to 08/2013

Practice Manager /IT

Proficient knowledge of business and management principles involved in

strategic planning, resource allocation, human resources, leadership

technique and coordination of people.

Oversee and manage the daily operations of the physician office

including staff scheduling, cash reconciliation, charge entry, and

operational checks and balances.

Manage the facility assuring appearance, cleanliness, safety. Particular

emphasis on keeping the lobby and patient care areas are clean.

Ensure compliance with policies and protocols. Responsible for

compliance in all areas including HR, OSHA, HIPAA, etc.

Handle all escalate billing matters and provide patient with resolutions or

payment plans to get out collections status.

Assist Research Department with new studies and protocols.

Outstanding patient collections and setting up payment plans.

Ensure patient outstanding balances are accurate and correct.

Scheduling new and established office appointments.

Remicade Infusion processes for Irritable Bowel Disease patients.

Monitor daily appointment calendar to ensure each provider has

adequate number of patient scheduled per clinic.

Schedule appointments for International and Oversee patients.

Process medical record requests requiring a signed affidavit, notarized,

and answer medical questionnaires required from attorney offices,

physician offices and insurance companies.

Manage Doctor Speaker Programs and Training Calendar including

meetings, events, and others reminder appointment.

Coordinate out of town events, work with appropriate representatives to

arrange traveling, hotel and car services.

Re-credentialing with current contracted insurance companies which

consist of filling out a new credentialing application or re-appointment

application for hospital privileges.

Review all Insurance Company newsletters, memos, and updates.

Handle all Lab invoices inquiry from patient and lab facilities needing

additional diagnosis codes for medical necessity.

Work with Centricity for all clearing house issues, submission issues, and

rejection messages.

Setting up SLS and weekly upload the Memorial Hermann quality

measure for Clinical Integration requirements.

Review bi-weekly timecards, total hours for Pearland Premier Surgical

Center employees, obtain copy of all time offs, late/early arrival.

Address employees discipline/counseling issues or work improvement.

Family Practice Burt L. Forgason M.D 10/2005-04/2012

Practice Manager /IT

Practice Manager maintains efficient day to day operations of the medical office, meets profitability

goals, improves provider and patient satisfaction and contributes to market growth and development.

Reviewing and organizing operation work flows by assigning and scheduling employees effectively.

Troubleshoot network, phone system, firewall, applications, connectivity (data and voice), and printers to

identify and correct malfunctions and other operational difficulties.

Managing finances through annual budget preparation and then following through with scheduling

expenditures, analyzing variances and initiating corrective actions.

Manage the interviewing, hiring, training, performance evaluations, salary increases and promotions;

encouraged a productive and team-spirited, customer-centric environment.

M.D Anderson Cancer Center 01/2000- 10/2005

Patient Account Manager

Managed a team of 32 successful billers collecting over $300 billion during fiscal year. Acted as resource

evaluator to Medicare and Medicaid patients by providing product guidance such as recommendations

of medical equipment and supplies based on coverage.

Utilizes specialized knowledge of insurance billing cycles for proper collections. Monitor patient

accounts sent to collections and reimbursements from insurance companies.

Oversee and maintain daily administrative operations to enhance and support a cohesive environment.

Supervise, support and resolve issues with department professionals and support staff.

.

E ducation

University of Phoenix 2007 to 2011

Bachelor of Science Health Care Administration / Information Systems



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