Manager Medical

Francisco O. Herrera

**** ***** **.

Victoria, Texas 77901

Mobile: 361-***-****

Objective:

To secure a position with opportunity to learn additional skills, offering upward mobility.

Work Experience:

Unemployed 11/2012 - 2014 Victoria, TX

Ÿ Caregiver for sick friends

VA Outpatient Clinic: Administrative Officer 01/2010 -11/2012 Victoria, TX

Responsible for the daily administrative and managerial activities taking place within Primary Care Clinic

Accounted for the consistency of managerial/administrative operations in support of standards of the delivery of patient care.

Provided guidance and oversight in the development, evaluation, improvement of Standard Operating Policies for all services.

Facilitated and coordinated activities of complex interaction between a variety of services and subspecialties.

Performed staff support work in short and long range planning efforts

Provided active and well-informed administrative participation in planning for delivery of health care by taking the initiative to identify needs and potential issues/concerns and devising flexibilities in operation and constructive, cost-effective approaches to the resolution of problems.

Served as Contracting Officer Technical Representative, Privacy Officer, Facility Manager, Medical Records Manager, Patient Advocate, Equipment Manager and Safety Officer.

37th Medical Group: Health System Specialist 10/2004 - 01/2010 San Antonio, TX

Planned, organized, and directed the activities of TRICARE Operations and Patient Administration, for the 37th Medical Group, ensuring compliance with legal and regulatory requirements and meeting customer needs.

Health Information Portability and Accountability Act (HIPAA) Privacy Officer responsible for policy implementation, oversight, auditing and compliance.

Administered the Medical In/Out Processing Program for the MDG. Established and maintained medical in/out processing program for MDG.

Directed the Medical Marketing and Public Education Program. Developed, evaluated and implemented a comprehensive marketing plan and implementation strategy.

Served as Chief, Referral Management Center (RMC). Served as first level supervisor, providing planning, direction, organizing and exercising control over contract employees assigned to the Air Force Medical Systems Referral Management Contract at the 37th Medical Group.

Contract Officer Technical Representative performing oversight and management to determine the feasibility of the TRICARE Managed Care Support Contractor implementing specific services. Reviewed structure, function, overall staffing and utilization.

Debt Collection Assistance Officer (DACO) would assist beneficiaries in determining the validity of collection agent claims/negative credit reports received for debts incurred as a result of medical/dentalcare under the TRICARE Program and took all measures necessary to resolve the issues presented.

Beneficiary Counseling Assistant Coordinator served as a beneficiary and active duty advocate and problem solver, providing dedicated service to all Military Health Service beneficiaries and active duty members

Education:

1970 High School Diploma New Home High Scholl, New Home, TX

1982 23 Credit Hours (LVN) Del Mar college, Corpus Christi, TX

Skills:

Electronic Consult Medical Records

Patient Appointment and Scheduling

Retiring Medical Records

CPT Coding

ICD - 9 Coding

Resource Analysis & Planning

SAP Experience

MS - Excel

MS - Access

MS - PowerPoint

MS - Word

Training:

Manager‘s Role As A Coach

Improve Management Efficiency

Medical Terminology

HIPAA Privacy Training

Private Sector Recapture

Business Objects

Group Practice Manager Course

Records Management

Fundamentals Of Contracting

Supervisory Safety

Equal Opportunity Awareness

References:

Dr. Gregorio Pedroza 210-***-****

Michael Pfeils 361-***-**** ext. 61243

Barbara Heard 361-***-**** ext. 61245

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