Objective:

Dedicated professional with over ** years of experience, specializing in project management, process improvement, and cross-functional leadership. Seeking an administrative assistant role to contribute my skills and expertise in optimizing operations and delivering exceptional results.

Professional Experience:

Dement Consulting, Vallejo, CA

Healthcare Consultant, Revenue Cycle & Operations

January 2019 – September 2023

-Utilized Six Sigma principles for process improvement and operational optimization.

-Analyzed and resolved payment variances and denials from payers.

-Developed, managed, and maintained Key Performance Indicators and established Coding and Compliance departments and programs to enhance revenue cycle efficiency and billing integrity.

-Supported operations and process improvements within multi-specialty group practices.

-Designed and implemented business strategies, plans, and procedures.

-Developed workflows and process enhancements with EMR/EHR for improved revenue cycle processes.

-Onboarding of staff including development, performance improvement plans, fair market value research for salary review, annual review, and termination management

Unified Physicians Management, Boca Raton, FL

Director of Revenue Cycle Management

June 2014 – September 2019

-Analyzed, trended, and resolved payment variances and denials from payers.

-Managed Key Performance Indicators for Revenue Cycle and enterprise.

-Oversaw credentialing to ensure claims activities were not hindered.

-Promoted a culture of best practices and productivity within a team of over 20 FTE.

-Conducted contract negotiations and maintained payer relationships.

-Streamlined processes between Operations and Revenue Cycle, improving patient care.

Director of Process and Quality Improvement

Unified Physicians Management, Boca Raton, FL

-Developed standard operating procedures for enterprise and practice management clients.

-Created RCM training modules for over 100 practices nationally.

-Monitored and improved coding and billing compliance.

-Bridged the gap between Operations and RCM, improving process, policy, and patient care.

-Achieved exceptional quality and compliance performance metrics.

Chief Operations Officer

Unified Physicians Management, Boca Raton, FL

-Promoted to COO, responsible for 13 locations and multi-specialty group practices.

-Designed and implemented business strategies and adaptable departmental practices.

-Evaluated organizational performance, analyzed data, and interpreted metrics.

-Oversee payroll activities including auditing

-Onboarding of staff including development, performance improvement plans, fair market value research for salary review, annual review, and termination management

CareCentrix, Tampa, FL

Senior Manager Reimbursement Operations

September 2011 - June 2014

-Managed accounts receivables for diversified payer contracts.

-Led a team of over 25 employees.

-Conducted root cause analysis of payment variances and denials.

-Collaborated with Points of Contact for payment and denial analysis.

-Created workflows, procedures, and provided training.

-Prepared monthly A/R reports and initiated payment initiatives.

Director Reimbursement Operations

CareCentrix, Tampa, FL

-Managed the inception of new contracts and worked with various third-party administrators.

-Collaborated with POCs for special project resolution and aged A/R reduction.

-Implemented efficiencies for collectors and reduced claims processing times.

Professional Training:

-Six Sigma Green Belt (DMAIC) - Six Sigma Global Institute, 2008

-Six Sigma Lean Black Belt - University of South Florida, 2016

-Project Management Professional - University of South Florida, 2016

Computer Skills:

-Software: athenaNet (certified trainer), NextGen, EPIC, SAGE (certified trainer), eClinical Works, PrognoCis, Centricity QuickBooks, Salesforce, Smartsheet, Monday.com, Slack, Google G-Suite, ZOOM, WebEx, and more.

-Microsoft Office Products: Windows proficient, Power BI, SharePoint, Power-Point, Word, Access, Outlook, Project, Teams, Visio and more.

-Type 55wpm with 99% accuracy

Education:

-Certification in Professional Medical Auditor, Arkansas State University, June 2020

-Bachelor of Science in Healthcare Administration, Saint Leo University, May 2011

-Certification in Medical Billing & Coding, Penn Foster, May 2003

-Associate of Arts in Billing and Coding, Everest University, September 2001

-Certification in Professional Medical Office and Billing, ATI Technical College, December 1995

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