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Practice managment/credentialing

Location:
Pearland, Texas, United States
Posted:
January 19, 2017

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Tena Jarolimek

**** **** ******* **

Pearland, Texas 77584

713-***-****, acyddv@r.postjobfree.com

EDUCATION

High School Diploma

EXPERIENCE

Self Employed September 2016-Present

Insurance Credentialing physician’s

Consulting & Staff training

New clinic start up

Primerica

Life Insurance Agent August 2016-Present

Texas Children’s Health Plan

Houston, Texas

Quality Assurance/ Credentialing Specialist (Contract) March 2016- April 2016

Application gathering audit all information

Primary Source Verification

Getting files ready for committee meetings

BHAC

LOCC

CCAC

In put information into Macess

Scanning files into Macess

In put information into Cactus

Plaza OB/GYN Associates, PA

Houston, Texas

Practice Administrator September 2014-Dec 2015

Practice administrator for a 4 doctor OB/GYN clinic

• Initiates changes to business processes that increase profitability

• In charge of managing all aspects of the office daily operations and HR, payroll, hours, vacation time

• Worked closely with all physicians, PA’s to assure their needs were met, handled all on call and vacation schedules for the doctors

• Worked with physician to identify appropriate candidates for positions

• Credentialing of all doctors to hospitals, insurance plans & CAQH

• Reorganized office infrastructure

• Interviews and assesses job applicants to make hiring decisions

• Maintains a strong team by properly coaching, counseling, and disciplining direct reports

• Maintains a positive attitude in dealing with customer service problems or dissatisfied patients

• Managed front desk, billing & collections, & clinic

• Yearly performance evaluations in conjunction with feedback from physicians

• In charge of all quality and safety of the office

• Team player builds strong relationships with coworkers

• Cultivates talent by training and mentoring new employees

• Worked with Greenway EMR

• Made travel arrangements, set up meetings

• Ordering of supplies and keeping supply costs down Reconstructive Orthopedic Center of Houston, PA

Houston,

Texas

Practice Administrator January 2009 – June 2014

• Practice administrator for a 4 doctor Orthopedic practice, which included a therapy department

• In charge of managing all aspects of the office daily operations and HR, payroll, hours, vacation time, & overtime

• Credentialing of all doctors to hospitals, insurance plans &CAQH

• Reorganized office infrastructure including the billing and collection department collecting 95% of the accounts receivable within a 90-day collection period

• Managed petty cash, cash batches and deposits

• Weekly meetings with each department to make sure they were running efficiently

• Initiates changes to business processes that increase profitability

• Interviews and assesses job applicants to make hiring decisions working with the Physician

• Consistently exceeds sales goals set by management

• Maintains a strong team by properly coaching, counseling, and disciplining direct reports

• Maintains a positive attitude in dealing with customer service problems or dissatisfied clients

• Consistently received bonuses and salary increases based on good performance

• Received excellent performance evaluations

• Coaches and supervises direct reports to maintain efficient operations

• Team player builds strong relationships with coworkers

• Cultivates talent by training and mentoring new employees

• Worked with NextGen EMR had meetings with staff and training to make sure they were maximizing the EPM/EMR

• Ordering supplies and keeping supply costs down

• In charge of all keeping all clinic personal OSCHA certified Roc- Houston ASC, LLP

Houston,

Texas

Practice Administrator January 2009 - June 2014

• Supervising staff, HR

• Calculating cost analysis on all supplies and drugs to make sure we are getting a competitive price

• Developing cost analyses for all surgical cases in the surgery center to access profit and loss

• Renegotiated all insurance contracts for a higher reimbursement

• Analyzed financial reports to identify opportunities to increase profitability

• Prepared and gave presentations to senior management

• Maintained a positive attitude in dealing with customer service problems or dissatisfied clients

• Received outstanding performance reviews

• Streamlined organizational processes to save time and money

• Self-motivated: successfully completed responsibilities with limited supervision

• Coached and supervised direct reports to maintain efficient operations

• Worked long hours as required to meet business needs

• Negotiated insurance contracts for the ASC

• JACAHO, OSHA, CLIA

Orthopedic Care Center

Houston, Texas

Practice Administrator July 1999 – September 2008

• Responsible for managing all office personal and job duties completion

• Successful startup of a new Orthopedic Practice which included planning of architecture and the build out and starting up the billing department and hiring all new employees for the practice

• In charge of billing & collections collecting 95% of the accounts receivable within a 90- day collection period

• Liaised with information technology support to solve important computer related issues; Proactively identified and addressed problems in business processes

• Managed all patient complaints

• Managed all human resources, payroll, hours, vacation overtime

• Received strong performance reviews from management

• Promoted in recognition of outstanding performance

• Credentialing of the doctor and negotiating insurance contracts, CAQH LICENCE

. Life Insurance Agent

ADDITIONAL

• Technical Skills: Microsoft office Suite

• Kronos Time Capture

• Macess

• Cactus



Contact this candidate