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Medical Staff

Location:
United States
Salary:
60,000
Posted:
August 09, 2014

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Resume:

Adrienne E. Burke

***** ********* **. ********** *****, CA 92649

714-***-**** *********@*****.***

Medical Practice Manager ~ Surgery Scheduler ~ Front Office Lead ~ Patient Accounts Coordinator ~

Certified Medical Staff Coordinator ~ Credentialing Specialist

Career Objective

To utilize my professional experience, knowledge and skills in an efficient, organized and productive manner. Utilizing my strong interpersonal skills to resolve employee challenges using innovative solutions resulting in better communication among staff. To achieve an overall improvement by increasing efficiency thru education and training.

Medical Office Manager Qualifications

Extensive experience in Medical Practice Management working for multiple specialties. Responsible for overseeing the day-to-

day operations of a medical practice while providing support and supervision to the office staff. Offer advanced computer skills. in MS Office and other applications/systems.

1Act as liaison between physicians, staff and outside vendors.

2Hire and train new administrative staff and clinical employees.

3Monitor and evaluate staff performance.

4Managed payroll of staff.

5Managing the schedule of physicians.

6Establish, implement and enforce office policies and procedures.

7Experience working with highly confidential material and executive level professionals in the healthcare industry.

8Ensure compliance with current healthcare regulations, medical laws and ethics.

9Knowledge of HIPPA Requirements, Privacy Act and Meaningful Use.

11Prior Medical Staff Services Coordinator and Credentialing Specialist (CMSC) with knowledge of hospital based

requirements for staff membership, reappointment, privileges, and committee meetings.

Education

Certified Medical Staff Coordinator (CMSC)

Bachelor's Degree; Business Administration, University of California, Irvine

Certified Microsoft Office

Proficient in Office Hours Professional Scheduler

Medical Office Manager Experience

Theodore Coutsoftides, M.D., Inc, Orange, Ca. 2008 - Current

Responsible for managing the front/back office in this surgical practice. Ensure practice compliance with all regulatory agencies, recommends, develop implements and make improvements for the practice. Serves as a liaison between the hospital, health plans and insurance companies to keep the practice abreast of currents trends. Represents the practice in its relationship with health organizations to keep the lines of communication open and ensure high referrals of new patients to the practice. Responsible for surgery scheduling and maintaining block time for maximum use. Prepares all credentialing and reappointments applications to hospital and surgery centers.

Alan Parker, M.D. Tustin, Ca.

Managed a staff of (4) employees in this Family Practice/General Surgery practice. Responsible for the management of all

clinic activities. Performed all the accounting duties, including payroll. Managed all billing and collections processes.

Provided administrative support to form one of the first Independent Physicians Associations (IPA) in OC. Applied and

completed all Medical Staff applications for membership for the new IPA. Negotiated 3rd party contractual agreements for new

IPAs.

Adrienne E. Burke Page 2

Additional Medical Office Experience

Medical Staff Coordinator

Orange County Heart Institute & Research Center, Orange, CA

Provided medical administrative support for 10 Cardiologists in a successful private practice. Hired and supervised temporary

staff for a wide variety of statistical reporting projects used to aid the CFO in determining insurance contracts negotiations.

Processed all physician based new appointment and reappointment applications for privileges for 15 hospitals. Prepared,

complied and presented “Contracts Projects & Progress” Data Reports for monthly view by the Board of Directors and

Executive Management Team.

Front Office Lead

Drs. Collins, Metzger, Roque, Hung & Lee, Orange, CA

Responsible for all front office duties for 5 Gastroenterologists in this busy private practice. Worked directly with physicians to

ensure overall speciality compliance for patient care was met. Answered phones, scheduled appointments, procedures, verified

insurance and authorization submissions.

Patient Accounts Coordinator

Drs. Thaler, Liao, Sarkaria, Tustin, CA

Responsible for maintaining and updating patient database with current demographics, insurance and financial information.

Verification of insurance and requesting authorizations for managed care patients. Insurance billing and processing patient’s

statements for account collections.

Medical Staff Services Experience

12 years of hospital based" Medical Staff Services" experience. Working knowledge of the credentialing process,

appointments, reappointments, privileges, proctoring and upgrading procedures. Experienced in agenda preparation, recording

of minutes, establishing chart review criteria and performing follow-ups recommendations. Knowledge of JCAHO Standards

and Title 22 guidelines.

Credentialing Specialist

Western Medical Center/Santa Ana

Responsible for credentialing of all new physician applicants and reappointments. Prepared files for presentation to the

Credentials Committee. Prepared agenda, recorded minutes, completed follow up recommendations. Presented physicians’

completed file to Credentials Committee for review and approval for staff membership. Used primary source verification.

Medical Staff Coordinator (CMSC)

Healthcare Medical Center of Tustin

Responsible for recording monthly department and committee meeting assigned. Prepared agenda, recorded minutes and

completed follow-up as recommended. Monitoring all physicians proctoring and upgrading of privileges. Responsible for

credentialing on all new applicants and reappointments for current medical staff members. Maintained log for all current

licensure requirements. Worked directly with chairmans to keep physician up to date with recent changes to ensure JCAHO

standards of compliance were met. Performed annual review of the JACHO Standards for each hospital department where

current standard have been changed or new ones added. Responsible for updating, monitoring or providing additional

documentation via minutes showing compliance of the requirements for JACHO accreditation. Successfully completed (2)

JCAHO Accreditations.

References Available Upon Request



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