Healthcare Management, Data Management

Location:

Posted:

June 15, 2015

Resume:

Objective:

A position in the health care industry where my financial and analytical, human resource, negotiating and leadership skills, and education can be utilized while providing professional and personal fulfillment.

Education:

Winthrop University Rock Hill, SC

Master of Business Administration May, 2002

West Virginia University Morgantown, WV

Bachelor of Science, Business Administration May, 1984

Major: Finance

Certification:

Certified by American College of Medical Practice Executives (ACMPE), June, 2005

Experience:

Physicians Choice Lab Services (PCLS) Rock Hill, SC

Financial Analyst December, 2014 – June, 2015

Responsible for the development of multiple financial reports using Business Objects, Microsoft Excel, and Microsoft Access.

Responsible for all Sales Commission Calculations and reporting for more than 100 Field Salespeople, Managers, etc.

Responsible for ad hoc Business Objects reports.

Maintained all Commission Calculation files.

Built numerous End of Month Reports including Revenue per Accession Analysis, Revenue per Test Analysis, etc.

Box Arthritis and Rheumatology of the Carolinas, PLLC Charlotte, NC

Administrator August, 2013 – December, 2014

Responsible for operations of a four provider Rheumatology practice.

Management of staff of approximately 25 people.

Responsible for operation of in-office infusion, in-office lab, in-office ultrasound.

Responsible for physician schedules.

Developed all financial reporting and additional matrices and measures for reporting practice statistics.

Responsible for $14.2million in Gross Revenue, and $5.0million in Net Revenue.

Developed new Revenue Source – Durable Medical Equipment.

Resolved multiple EHR (Electronic Health Record) Issues.

Successfully recruited two Physician Assistants.

Responsible for all HIPAA, OSHA compliance.

Healthcare Consultant – Private Practice Charleston, SC

January, 2009 – August, 2013

Assisted Client Marianne W. Rosen, MD and Associates, LLC with Office Expansion, Management of 20 Staff, Employee Benefit Plans, Financial Reorganization Including Banking and Payroll Relationships, Development of Various Benchmarks, Hired New Provider, Installed New Computerized Physician Schedule, Physician Credentialing, Built New Physician Compensation Model, Developed New Budgeting System and Cost Containment, Revised Infection Control Policy, Personnel Policy, Various Other Policies.

Assisted Client Roper Physician Partners with Acquisition of and Analysis of Various Data Points, Including but not limited to Preparation of Pro-Forma Projections for Their Acquisition Department.

Assisted Client Coastal Surgical Vascular and Vein Specialists, LLC with Office Expansion, Management of 25 Staff, Employee Benefit Plans, Development of Vein Center, Development of Electronic Health Record, Improvement in Financial Stability of Practice, Development of Budgeting System and Cost Containment, Development of Various Benchmarks, Increased Capacity of Vascular Lab.

Charleston Cancer Center Charleston, SC

Administrator January, 2007 to January, 2009

Responsible of operations of 4 provider hematology-oncology practice.

Management of staff of approximately 40 people.

Responsible for hiring, employee discipline, and employee terminations.

Responsible for all physician and employee benefit plans.

Direct supervision of Management Team including Clinical Manager, Lab Manager, Front Office Manager, Finance Manager, Billing Manager, Research Manager, and CT Manager.

Responsible for $35million in Gross Charges and $15million in Net Revenue

Responsible for all Financial Reporting including, Budget Development, Monthly Financial Statements, Monthly Physician Reporting, Payroll Reporting, etc.

Developed systems needed for monitoring of chemotherapy drug scenarios, individual drug profit/loss, and monitored same for pricing and reimbursement changes.

Developed systems needed for improved charge capture related to drugs, pharmacy, lab, CT, office charges, and hospital charges.

Worked with Hospital Administration to facilitate improved hospital relations.

Successfully recruited 2 physicians to begin work in July, 2009.

Carolinas Physicians Network Charlotte, NC

Assistant Vice President April, 2005 to June, 2006

Responsible for physician practice acquisitions.

Worked with various departments including credentialing, legal, human resources, accounting to accomplish multiple tasks related to the purchase of existing practices in Charlotte and surrounding communities.

Assisted Executive Team with development of various reporting mechanisms.

Solidified various work plans related to acquisitions.

Developed timelines and deadlines for use in acquisitions.

Handled transitions from outside practices into Carolinas Physicians Network.

Appointed to the Data Warehouse Development Project – member of three of four Task Forces related to the project.

Appointed as Data Warehouse Definitions Committee Chair.

Developed various analytical tools including new physician/practice template, revenue analysis tool, etc.

Carolina Neurological Clinic, PA/Carolinas Physicians Network Charlotte, NC

Administrator of Carolina Neurological Clinic, PA December, 1998 to April, 2005

Began working as a consultant (H & P Consulting Services) in December, 1998.

Developed working plan for short-term practice rescue and strategic plan for practice.

Administration of a 10 physician neurological practice initially via a management services agreement subsequently as an employee of the practice.

Responsible for overall management of practice.

Successfully negotiated all managed care contracts increasing reimbursement.

Developed, implemented and maintained budget.

Developed, implemented and maintained numerous spreadsheet files and numerous Access Databases for financial reporting.

Budgetary responsibility for approximately $8 million in gross revenue.

Managed three locations, approximately 50 employees, all departments.

Provided direction to physicians resulting in increased charge per encounter, increased number of encounters and increased physician income.

Improved retirement plan resulting in maximization for the physicians at lowest possible cost.

Reduced Overhead by 12%

Reduced Employee Turnover to 1%.

Improved Physician Salaries by 40% for Lowest Provider to 61% for Highest Provider.

Reduced A/R by $1.3 million to 32 Days Gross.

H & P Consulting Services Rock Hill, SC

Owner April, 1997 to April, 1999

Provide management consulting services to hospital, physician, and HMO clients in the areas of health care management, staff training, computer systems, database management, analysis and other related services.

Practice Management Positions Dating Back to 1987 to include Administrative, Accounting, and Consulting Positions.

Computer Knowledge:

Expert in Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft Office Productivity Products, Peachtree Accounting & Quickbooks for Windows, Network Administration

Medical Office Computer Systems: Workflow (EHR), IDX Extend System, Misys, Medical Manager, Medic System, Info-Systems.

Knowledge of PC Hardware diagnosis and repair.

References:

Thomas C. Appleby, MD (Tommy)

General and Vascular Surgeon

Coastal Surgical Vascular and Vein Specialists

Charleston, SC

843-***-**** (cell)

John Scott Story, MD (Scott)

Carolinas HealthCare System Division of Neurology

Neurologist

Charlotte, NC