KELI WILSON

**** ****** ******* **., *********, TN 38002 · 901-***-****

ad1bcv@r.postjobfree.com

EXPERIENCE

OCTOBER 2023 – PRESENT

REGISTERED NURSE, prolink

Peri-operative nursing for multiple specialties including Endo and Pulmonology. PACU for multi-specialties.

JANUARY 2023 – SEPTEMBER 2023

REVENUE CYCLE MANAGER, one GI

Revenue Cycle Manager for Billing and Coding Department

- Oversight of billing and coding operations

- Payroll and PTO approval, management of staff schedules

- Oversight of billing and coding staff

- Production and analysis of reports for productivity, charge lag, unposted and posted superbills/claims

- Human Resource tasks: hiring, terminating, corrective actions, coaching, mentoring

- Policy and procedure development and implementation

- Process and workflow improvement

- Chart reviews and audits, documentation compliance, third party payer guidelines and compliance, Medicare guidelines and compliance

JULY 2021 – PRESENT

CONSULTANT, parkside surgery center

- Oversight, consulting, and advising management on daily operations, quality assurance, compliance, and financials.

APRIL 2022 – JANUARY 2023

DIRECTOR OF CLINICAL SERVICES, gastro one

Director of Clinical Services, Front Desk Operations, and Medical Records

- Oversight of all clinic, front desk, and medical records operations

- Payroll approval

- Oversight of all staff including leaders, supervisors, and employees

- Oversight of patient, staff, and provider scheduling

- Contact for all clinic providers including physicians, nurse practitioners, and physician assistants

- Human Resources: hiring, terminating, corrective actions, coaching, mentoring

- Policy and procedure development and implementation

- Patient and clinic process and workflow improvement

- Billing and coding audits, denials and resubmissions

- Capital expenditures and budgeting

- Analysis of cost versus reimbursement for office visits and procedures

- Analysis of efficiency of front desk processes and improvement in workflow

- Implementation of new protocols: oral medication pre-certs, cardiac clearance process, team matrix and composition

- Implementation of new provider services

- Assistance with provider and employee on-boarding, orientation, and competencies

- Chart reviews and audits, documentation compliance

AUGUST 2021 – APRIL 2022

CLINIC MANAGER, methodist lebonheur healthcare

Manager of the Transplant Institute

- Oversight of all clinic operations

- DNV Compliance, Quality measure reporting

- Payroll

- Staff credentialing

- Oversight of all staff including business office, nursing staff, and ancillary associates

- Scheduling for staff and patients

- Contact for all clinic providers including physicians, nurse practitioners, and physician assistants

- Patient satisfaction, Quality Improvement, Risk and Safety Management

- Policies and procedures development and implementation

- Billing and coding audits, corrections and resubmissions

During the COVID pandemic I also assisted in the hospital’s emergency department offering them assistance with patient care as a registered nurse.

AUGUST 2015 – JULY 2021

ADMINISTRATOR, parkside surgery center

Administrator

- Governing Board, QAPI Committee

- Accreditation surveys (AAAHC), State and CMS surveys

- Primary contact for AAAHC, CMS, and State

- Insurance contracts/third-party payers

- Finances, accounts payable, accounts receivable, payroll

- Human Resources, credentialing for staff, anesthesia, and physicians

- Contracts for vendors

- Bank reconciliation, QuickBooks, accounting

- Materials Management

- Quality measure reporting, State reporting, Medicare reporting, THCIC, NHSN, TxHSN

- Financial reporting and benchmarking (clinical and financial, internal and external)

- Billing and coding audits and reports

- Management of employee benefits and 401K plans

- TWC reporting and appeals

- ASCA Member

- Annual operating budget, capital expenditure budget

Business Office Manager

- Oversight of Business Office staff

- Scheduling for staff and patients

- Primary contact for all physician offices, anesthesia providers, and staff

- Oversight of third-party billing company

- Patient collections and refunds

- Insurance collections and refunds

Clinical Director

- Staff scheduling

- Quality Improvement program/Safety risk management program

- Risk and Safety Management

- OSHA and CDC requirements

- Policies and procedures

- Oversight of pharmacy

- Pre-operative phone calls

- Oversight of pathology/specimens

MARCH 2015 – JUNE 2015

CLINICAL DIRECTOR, binz surgery center

Clinical Director

- Hiring of clinical staff

- Purchasing of all surgical instruments and medical supplies

- Pre-operative, intra-operative, and post-operative nursing for GYN cases

- Coordination of patient scheduling with anesthesia providers and physicians

- Oversight of pharmacy and sterile processing

- Pre-operative phone calls

MAY 2013 – MARCH 2015

REGISTERED NURSE, pearland surgery center

Pre-operative, intra-operative, and post-operative nursing for multiple specialties including Endo, Ortho, Plastics, Hand, Pain Management, General, and ENT

Pathology

Chart Audits and Medical Records

Pharmacy management

Pre-operative phone calls

JUNE 2013 – MARCH 2015

REGISTERED NURSE, st. luke’s patients medical center

PRN Pre-operative, intra-operative, and post-operative nursing for multiple specialties including Endo, Ortho, General, GYN

FEBRUARY 2013 – MAY 2013

REGISTERED NURSE, baptist st. anthony’s

Intra-operative nursing for multiple specialties including Heart, Ortho, ENT, and Neuro

JULY 2012 – FEBRUARY 2013

REGISTERED NURSE, regional health

Pre-operative, intra-operative, and post-operative nursing for multiple specialties including OB/GYN, Ortho, General, Endo, and ENT

EDUCATION

NOVEMBER 2022 – PROJECTED DECEMBER 2024 GRADUATION

MASTER’S IN HEALTH INFORMATION MANAGEMENT, SOUTHERN NEW HAMPSHIRE UNiversity

MAY 2017

MASTER OF SCIENCE IN NURSING, west texas a&m university

MSN with an emphasis in business administration

DECEMBER 2011

BACHELOR OF SCIENCE IN NURSING, south dakota state university

SKILLS

QuickBooks, Microsoft Office, gMed, Meditech, Cerner, Epic

Punctual, dependable, fast-learner, initiative-taking, ambitious

Proficient critical thinking, problem solving, and communication skills

Billing and coding audits, chart review

Excellent time management and multi-tasking

Multi-specialty nursing skills: pre-operative, intra-operative, post-operative, emergency room, gastroenterology, transplant

Coaching and mentoring staff and leaders

Anatomy, physiology, medical terminology

REFERENCES AVAILABLE UPON REQUEST.

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