CORE COMPETENCIES

Clinical Operations Practice Administration and Management Lean Six Sigma Principles Finance/Business Strategy Operational Effectiveness Continuous Improvement Resource Utilization Budget Administration

Forecasting & Planning Business Development Fee-For Service Managed Care and Endocrinology Practice Management Regulatory and Law Compliance Human Resources Policy Development

Program and Project Management Medical Report Documentation Sales and Marketing

Data Analytics Quality Assurance and Improvement Contract Negotiation Payer Relations

Financial and Human Resources Operations Cross-functional Collaboration Proficient Public Speaker

QUALIFICATIONS PROFILE

Goal-driven, performance-focused, and compassionate professional with well-rounded experience in managing healthcare operations and providing clinical services to patients. Adept at developing medical special needs plans; addressing client needs and concerns; supervising cross-functional teams and formulating cost-effective solutions to ensure profitability and achieve organizational growth. Armed with excellent interpersonal skills to establish long-term relationships with patients, management, and other healthcare professionals. Articulate communicator; bilingual in English and Spanish.

PROFESSIONAL EXPERIENCE

Endocrine Partners. P.A., Fl

Medical Practice Administrator April 2023- Present

Oversee and manage the day-to-day operations which include and are not limited to overall daily decision-making, not limited to setting goals, and assuring the following performance expectations are met financial performance, quality care, service excellence, access, and resource utilization.

Responsible for the overall P&L overall for the practice.

Introduced a new process for booking appointments, resulting in a reduction in waiting times of 25% over three months.

Oversee all records for all contract negotiations, licensing, credentialing, and regulatory standards.

Management and oversight of Revenue Cycle Management, which has increased by 75% in the last 6 months.

Ensure excellent patient and customer service through staff recruiting, retaining, managing, and developing the support staff, and ensuring effective staff training.

Management of all billing, daily and month-end process, developed a procedure for the closing of month-end to enable all billing within that month to be sent out in a timely manner. Increased revenue by 75% through a thorough review and created identifiable measures and key processes.

Provide mentoring, and leadership to the staff with role performance, goal setting, and with an environment of diversity, community involvement, intellectual excitement, and collaboration.

Oversight and management of all functions of the clinic, including organization and planning of the delivery of staff and services, payroll, reports, accounts payable, billing, credentialing, and onboarding employees, ordering supplies, and maintaining adequate supply inventory levels; all instrumental in developing the clinic process for both administrative and clinical processes.

Independent Consultant, Fl

Consultant – Healthcare and Insurance Management April 2014–Present

Evaluate office operations of medical practice. Develop and implement action initiatives and streamlined recommendations in the areas of healthcare, insurance, policy, and procedures that resulted in improved customer service, and quality patient care.

As a contracted consultant, providing support for various in and out-of-state hospitals, insurance companies, and agencies with reimbursements and accounts receivable assistance, but not limited to providing extensive project management, including handling all aspects of quotations, renewals, alterations, and claims and benefits design which include medical, vision, life, prescription, dental, vision, but not limited to STD and LTD.

Analyze potential client requirements and prepare comprehensive plans that meet individual insurance needs and financial goals (Employee Benefits, U65, MAPD, Medicare Supplements, Life).

Independent Consultant, Fl

Consultant – Healthcare and Insurance Management Con’t April 2014–2023

Analyze operational, clinical, and financial performance and diagnose issues/causes to provide recommendations and drive.

Develop and maintain relationships with Insurance Companies on behalf of Provider offices. Including all phases of contracting, credentialing, and HR-related training which included HIPPA, FMLA, and problem resolution.

Manage relationships and the exchange of information with insurance carriers and all brokers for claim and utilization data, enrollment information, and negotiating renewals.

Oversee ACA processing and ensure all legally required plan notices are distributed in accordance with regulations.

Ensure compliance with relevant federal and statutory regulations and requirements, including but not limited to CMS, FMLA, ERISA, COBRA, HIPAA, etc.

Provide benchmark health and welfare data to determine industry trends and best practices.

Apply organization and time management skills when coordinating and responding to inbound telephone and email inquiries.

Consistently meet and exceed agency long and short-term goals while maintaining a 98% client satisfaction rate.

Experience with self-funded medical plans and their unique financial implications

A high level of integrity, discretion, and judgment, and ability to maintain strict confidentiality.

Ability to build relationships, collaborate, and partner with stakeholders at all levels in the organization to deliver a great employee and client experience.

Research and stay abreast of current insurance regulations to proactively inform clients of policy and fee updates.

Extremely motivated, and organized, with an excellent work ethic.

JSA Healthcare, Inc. (DaVita)

Practice Administrator Jun 2014–Nov 2014

Rendered keen oversight on day-to-day center operations with ambulatory services, while administering all human resources functions and facilitating training and continuous career development activities for all newly hired employees.

Directed clinical and non-clinical personnel, in-house ambulatory urgent services nurses, and case management staff in managing patient care as well as assessing and recommending enhancements to meet patient needs.

Implemented fiscal management including budget, accounts receivable, deposits, billing, forecasting, monthly reporting, and purchasing.

Efficiently handled continuous analysis of all operational activities and practice development entailing practice and retention marketing and growth, as well as staff production, quality, and attendance through company objectives, vision, and mission

Led and participated in all onsite physician chart audits for HEDIS and medical risk adjustment (MRA) while coordinating with clearing house and contracted carriers to optimize maximum efficiency in collections.

Steered efforts in analyzing, interpreting, and assigning coding based on medical documentation review and coding guidelines explanation.

Presided over Agency for Health Care Administration (AHCA), Occupational Safety and Health Administration (OSHA), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and HIPAA training.

Supervised preliminary discoveries and due diligence reviews of all centers for internal control weaknesses, potential liabilities, and financial integrity.

EARLIER CAREER

Amicus MSO, LLC

Director of Operations, MSO Operations

Varian Medical Systems, Inc., Miami, FL

Operations Administrator, Oncology Sales – Latin America (LATAM)

EDUCATION

Bachelor of Science in Interdisciplinary Studies, BSN: 2016-2017 Keiser University, Ft. Lauderdale, FL (Online) GPA: 3.67/4.0

Associate of Science in Occupational Studies – Corinthian Colleges, Miami, FL GPA: 4.0/4.0

PROFESSIONAL DEVELOPMENT

Certification/Membership:

National Notary Association

International Foundation of Employee Benefits Plans (IF)

National Association of Health Underwriters (NAHU) certified

Centers for Medicare and Medicaid Services (CMS) Fraud, Waste, and Abuse Certification

TECHNICAL SKILLS

ADP Kronos MEDITECH McKesson Medisoft Billing Software eClinicalWorks Practice Fusion EPIC Athena Healthcare 2000 QNXT Allscripts Impact 360 Altegra QSHR TIM HEDIS Tracking Application (HTA) Citrix Facets CIOX AS/400 QuickBooks Pro SAS Salesforce TL Dialer Microsoft Office Applications (Excel, Outlook, PowerPoint, Access, and Word) Microsoft Windows SQL

Medical Records and PM Software ADP Payroll Typing Speed Ability (55+ words per minute)

* References will be furnished upon request

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