Customer Service Medical
Resume:
Jimmie Hebert
Pearland, TX 77581
281-***-**** cell
******@************.***
******.******@*************.***
OBJECTIVE
Seeking a challenging career opportunity where my administrative, communicative, training and leadership skills can be utilized in a challenging and rewarding manner. I enjoy working with providers and meeting the day to day challenges of the operations of medical practices along with strategic planning for the growth and financial health of medical practices.
PROFESSIONAL EXPERIENCE
2012 – Present Bayshore Medical Center and East Houston Regional Medical Center (HCA Facilities)
Director of the Midwifery Program- Women’s Care Center
• Oversee the entire operation of all Midwifery Clinics and Maternal Fetal Medicine Clinic owned by the hospitals
• Development and implementation of a plan for Excellent Customer Service and Patient Satisfaction
• Development and implementation of a plan for Employee Satisfaction
• Business Development for all midwifery clinics and the hospitals
• Coordinate the development of new clinics
• Development and coordination of provider contracts
• Development of strategy to increase patient volume and execute plan to achieve growth goals
• Develop vision for the practices and execute plan to achieve the vision
• Coordination of provider credentialing for commercial and federal insurance carriers
• Problem solving for issues raised by hospital officers, providers, employees and patients
• Liaison between the clinics and the hospitals
• Liaison working to maintain the hospital relationships with 3 FQHCs
• Develop, implement and monitor the annual budget for each practice
• Meet with providers to review financial performance
• Interact with providers to evaluate their needs and goals
• Monitor all expenditures for each practice
• Ensure regulatory compliance
• Develop and oversee implementation and administration of internal practice policies and procedures in conjunction with corporate policies.
• Provide training for staff of these practices including but not limited to OSHA, HIPAA, CPT and ICD-9 coding
• Perform billing tasks for professional and facility billing
• Mentoring and development of staff
2008 – 2012 HCA Physician Services Texas City, Dickinson, Santa Fe, Huntsville, Pasadena, Houston
Area Practice Manager
• Oversee the operations of nine medical practices with a total of 18 providers including Primary Care, Internal Medicine, General Surgery, Urology, Obstetrics and Gynecology
• Develop strategy to increase patient volume in each practice and executed plan to achieve goals
• Develop vision for the practices and executed plan to achieve the vision
• Coordination of provider credentialing for commercial and federal insurance carriers
• Problem solving for issues raised by hospital officers, providers, employees and patients
• Coordination of physician contracts
• Coordinate the opening of new practices
• Develop, implement and monitor the annual budget for each practice
• Interact with the providers to evaluate their needs and goals
• Meet with providers to review financial performance
• Monitor all expenditures for each practice
• Ensure regulatory compliance
• Develop and oversee implementation and administration of internal practice policies and procedures in conjunction with corporate policies
• Provide training for these practices including but not limited to OSHA, HIPAA, CPT and ICD-9 coding.
• Provide certified coding training for HCAPS Houston Market pract
1997 – Present Practice Management Institute San Antonio, Texas
Instructor/Consultant
• Pen articles for a medical practice newsletter
• Research, author and maintain instructional manuals
• Maintain medical practice discussion forum website
• Frequently called upon to answer coding questions for several different websites and publications
• Training and consulting for physicians and their staff concerning management, coding and operations topics including but not limited to:
• Certified Medical Coder
• Certified Medical Insurance Specialist
• Certified Medical Office Manager
• Chart Auditing
• CMS Documentation Guidelines
• CPT & ICD-9-CM Coding, beginning thru advanced programs
• Fraud and Abuse, Risk Management
• Front Desk Operations/ Customer Service • HIPAA
• Insurance Processing/Accounts Receivable
• Medical Office Management
• Medicare and Medicaid Compliance
• Negotiating Managed Care Contracts
• OIG Compliance
• OSHA
• Texas Workers’ Compensation
• ICD - 10
1993 – 1997 Baywood Medical Associates Friendswood, Texas
Practice Administrator/Office Manager (1994 – 1997)
• Oversee the operations of the entire clinic
• Managed Care contract analysis and negotiation
• Human Resource management and development for 38 employees
• Patient advocate
• Employee advocate
• Oversee financial operations of the clinic
Billing and Insurance Specialist (1993 – 1994)
Handled all patient billing and insurance matters including coding, claims submission, appeals, verification, and referrals
PROFESSIONAL CREDENTIALS AND ACHIEVEMENTS
San Jacinto College Houston, TX
Certified Medical Office Manager 1996
Certified Medical Insurance Specialist 1997
Certified Medical Coder 2001
Advisory Board Member for PMI 2008 – 2010
MGMA 2010
Worldwide Who’s Who 2013
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