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Practice Administrator

Location:
San Antonio, TX, 78238
Posted:
February 20, 2017

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Original resume on Jobvertise

Resume:

NORMA MARTINEZ

**** ***** **** *****, **** Valley, TX 78238

Cell: 210-***-**** - acywre@r.postjobfree.com

PROFESSIONAL SUMMARY

Accomplished Practice Administrator who proudly maintains a highly productive, efficient and quality-

driven environment at all times.

SKILLS

Analytical thinker Strategic planning & development

Accomplished leader Multi-site operations

Independent judgment and decision making Process improvement strategies

Promotes positive behavior Financial aptitude

WORK HISTORY

Practice Administrator

08/2014 to

South Texas Orthopedic Specialty Group PLLC San Antonio, Texas

02/2017

Orthopedic Start Up with 6 Multi Specialty Physicians and 15 Clinical Staff

Development and Implementation for the practice mission and strategic vision.

Provide leadership in the development and implementing the business plan for the practice to the

Physicians.

Recommended, Developed, Implemented improvements throughout the practice.

Monthly meetings to notify the board of current trends, problems and medical activities to facilitate

policy making.

Established and oversee clinic operating policies and procedures.

Coordinated with CEO on processes for complete physician recruitment.

Oversee recruitment, development, performance evaluation of employees.

Oversee the business and financial affairs of the clinic and fiscal management in conjunction with

the practice CPA.

Oversee and manages the billing and collection processes/department.

Representation of the clinic in its relationships with other health organizations, government

agencies, and third party payers.

Managed all practice managed care relationships, including monitoring of related reimbursement,

negotiation with third party payers, provider credentialing, and maintenance of contracts.

Processed bi weekly staff and monthly physician payroll.

Processed all accounts payable and provided monthly reporting to Accountant.

Liaison with communication between the hospitals, health plans, insurance companies and

regulatory bodies.

Maintained strictest confidentiality.

Practice Administrator II

06/2013 to

Methodist Physician Practices San Antonio, Texas

08/2014

Orthopedic Start Up Practice with 5 Providers and 5 Clinical Staff.

Direct and manage daily operations for the clinic.

Monitor patient flow through the practice.

Ensure appropriate utilization of Physician time and staff coverage.

Review of clinical charges, visit encounters and cash receipts.

Training of Physician and staff for EMR documentation.

Provided resolution of medical/administrative issues.

Analyze financial impact of changes in clinic activities.

Forecast of actual revenue/expenditures with approved budget.

Monitor of all purchases for practice Ensure most cost effective vendors and products are used in

practice.

Oversee daily/monthly expenditures, staffing and overtime hours.

Ensure regulatory compliance and oversee internal policies/procedures.

Develop and maintain effective communication between all levels of staff.

Adhere to the Code of Conduct and ensure ethical work environment.

Practice Manager II

01/2012 to

CHRISTUS Provider Network San Antonio, Texas

06/2013

Completion of start up clinic for Family Medicine.

Completion of clinic expansion for Orthopedics.

Direct and manage daily operations for both clinics.

Manage flow of clinics to ensure compliance, efficiency and patient satisfaction.

Supervise and direct 3 providers and 7 employees.

Preparation of clinic budgets and financial analysis.

Monthly financial review of expenditures, charges and collections.

Assist with provider credentialing for managed care plans and contracting.

Worked in conjunction with Regional Director and corporate Marketing Department in practice

development.

Handle complex customer service issues.

Monitor all purchases for clinics.

Training of Physicians and staff for electronic medical records usage.

Conduct annual performance reviews.

Maintained and established CHRISTUS Group policies, procedures, objectives, quality assurance,

safety, environmental and infection control.

Review of financial and productivity management reports and took appropriate actions.

Evaluation of clinic production and revises procedures or new forms to improve efficiency of

workflow.

Adhere to the Mission and CORE values of the CHRISTUS Health System.

Business Office Manager

08/2008 to

Sports Medicine Associates of San Antonio San Antonio, Texas

12/2011

Supervise and direct 16 employees in business office for 8 physicians and 3 physical therapists.

Manage flow of complete revenue cycle to ensure compliance, efficiency and patient satisfaction.

Supervise the accuracy of coding with review of contractual reimbursement.

Discuss strategic plans for practice growth with senior leadership.

Monitor accounts receivable to ensure appropriate activities for collections.

Maintain accounts receivable and cash collections at targeted benchmarks.

Maintain physician credentialing and insurance plan contracts.

Problem resolution with issues raised by physicians, employees and patients.

Counsel, discipline and/or recommend termination of personnel.

Conduct annual performance reviews.

Oversee training of new employees

Business Office Operations Manager

11/2005 to

San Antonio Endovascular and Heart Institute San Antonio, Texas

09/2008

Implementation of revenue cycle department for 1 Physician & Physician Assistant.

Implementation of policies and procedures for business operations.

Supervise and direct 6 employees in business office.

Responsible for hiring, promoting and training of all staff.

Assisted in contract negotiations for procedure reimbursement.

Review of accuracy for coding of clinic and surgical charges.

Process improvements for charge capture and point of service collections.

Maintained physician credentialing and contracting.

Provided assistance with contract negotiations for reimbursement.

Provided assistance with annual budget for practice growth.

Reported financial operations and set benchmarks for annual strategic planning.

Liaison between health care services and referral base providers.

Conduct annual performance reviews.

Problem solve and address issues raised by physician, patients and employees.

EDUCATION

Associate of Science: Health Information Technology

2012

DeVry University - San Antonio, Texas

Certified Coding Specialist: ICD-9

1993

AHIMA -American Health Information Management Association -



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