Human Resources Primary Care
Resume:
Joy McCartney
Medical Facility Administrator
Denham Springs, LA 70726
ad33zk@r.postjobfree.com
Authorized to work in the US for any employer
Work Experience
Center Administrator
CenterWell Primary Care - Denham Springs, LA
August 2021 to Present
• Open new practice in Denham Springs
• Market and promote business to ensure engaged patients.
• Research and incorporate ways to keep marketing cost down and patient engagement up.
• Assist with opening of other centers in LA.
• Quality Manager-educate staff on ways to help get patient GAPS closed, ensure quality measures are met.
• Conducts monthly staff meeting
• Conducts monthly provider meetings
• Utilize Power BI- to ensure providers are updated on HCC scores, Heidi’s measures, GAP’s, high utilizers inpatient and ED’s, provide number of unengaged and engaged patients, in order to find ways to increase these scores.
• Host in-house and community events to educate potential patients of the services we offer our patients.
• Continuous engagement with community partners.
• Human Resources - Select, train, orient and assigns departmental staff members in a manner that ensures efficient departmental operations and complies with relevant regulations governing the employment process.
• Implements and monitors departmental work schedules and duty assignments, and oversee departmental staffing levels.
• Prepares performance appraisals, evaluates the performance, and provides feedback to employees.
• Resolves divisional problems related to staff, equipment, and system issues in an effort to improve divisional efficiency and ensure the cost-conscious utilization of all resources. Works with service line leaders to prepare for new physicians which will impact clinic operations.
• Monitors the precertification, billing and patient collection functions and -ensures practice adherence to provider contracts and collection policies and procedures.
• Participates in the development of annual department operating and capital budgets and monitors the economical use and procurement of personnel, equipment and supplies. Maintains inventory control of all general office and medical supplies. Practices effective cost containment when ordering operational supplies.
• Adheres to and monitors staff compliance of established policies and procedures.
• Assist with all aspects of new practice start-ups and/or divestitures to include credentialing and enrollment, workflow design, requisitioning of equipment and supplies, human resources, and Physician Practice Manager II
Our Lady of the Lake Regional Medical Center - Baton Rouge, LA April 2014 to August 2021
• Conducts monthly staff meetings
• Conducts monthly provider meetings
• Human Resources - Select, train, orient and assigns departmental staff members in a manner that ensures efficient departmental operations and complies with relevant regulations governing the employment process.
- Implements and monitors departmental work schedules and duty assignments, and oversee departmental staffing levels.
- Prepares performance appraisals, evaluates the performance, and provides feedback to employees.
• Resolves divisional problems related to staff, equipment, and system issues in an effort to improve divisional efficiency and ensure the cost-conscious utilization of all resources. Works with service line leaders to prepare for new physicians which will impact clinic operations.
• Monitors the precertification, billing and patient collection functions and -ensures practice adherence to provider contracts and collection policies and procedures.
• Participates in the development of annual department operating and capital budgets and monitors the economical use and procurement of personnel, equipment and supplies. Maintains inventory control of all general office and medical supplies. Practices effective cost containment when ordering operational supplies.
• Adheres to and monitors staff compliance of established policies and procedures.
• Assist with all aspects of new practice start-ups and/or divestitures to include credentialing and enrollment, workflow design, requisitioning of equipment and supplies, human resources, and marketing. Practice Administrator
Zachary Orthopedics and Advance Smartlipo - Zachary, LA January 2012 to April 2014
• Oversee the daily operations of Zachary Orthopaedic Clinic and Advanced Postmarital Center of La.
• Physician meetings: establishes agenda in consultation with physicians; prepares data for meeting; contributes to decision-making
• Financial Management - manage accounts payable, accounts receivable and payroll in QuickBooks.
- Participates in the development of annual office operating and capital budget
- Approve all expenditures
• Assure proper maintenance of all offices; assist in ordering new equipment; arrange for services.
• Monitors credentialing, precertification, billing and patient collection functions.
• Human Resources - Select, train, orient and assigns departmental staff members in a manner that ensures efficient departmental operations and complies with relevant regulations governing the employment process.
- Implements and monitors departmental work schedules and duty assignments, and oversee departmental staffing levels.
- Prepares performance appraisals, evaluates the performance, and provides feedback to employees.
- Conduct background checks on potential employees.
- Design and implement policies and procedures.
Billing and Collections Specialist
Computer Management Consultants - Baton Rouge, LA
December 2002 to 2011
• Receive and review résumé's and conduct background checks on potential employees.
• Set up EFT funds for all Clients.
• Setup and maintain Internet access of insurance companies for employee's usage.
• Print insurance reports.
• Generate aging reports and identify unpaid claims or disputed charges/claims and initiate subsequent request for payments, resubmit clean claims with any necessary documents to process claims.
• Initiate and respond to calls and other inquires regarding the status of billed claims.
• Respond to payers request for additional information regarding claims.
• Analyze Explanation of Benefits.
• Generate aging reports and identify unpaid claims.
• Research and resolve billing issues.
• Financial consulting with patients with delinquent accounts to secure payment.
• Assignee problem accounts to collection agency.
• Initiate or respond to calls and other inquires regarding the status of billed claims.
• Ensure that payments are within the established contracted rates or applicable fee schedules and generate proper adjustments within the established guidelines. Office Manager
Gulf Waste - Baton Rouge, LA
2001 to 2002
• Oversaw the daily operation of the company to ensure that all functions were performed in an effective and efficient manner.
• Accounts Payable and Accounts Receivable.
• Time Keeper and Payroll
• Daily Bank Deposits
• Human resources director
• Employee relations
• Entered new contract agreements
• Entered and generated invoices for customer billing
• Received and posted payments.
• Canceled service on delinquent accounts.
• Inside Sales, as well as occasional cold call sales
• Customer Relations
• Submitted bids for contracts
• Attended bid openings for government contracts.
• Dispatched drivers on non-route and extra pickup calls. Billing Department Manager
Stanocola Medical Center - Baton Rouge, LA
1988 to 2001
• Primary and Secondary insurance billing
• Primary and Secondary insurance collections
• Generated aging reports and identified unpaid claims.
• Patient Representative.
• Daily Deposits.
• A/R sub ledger.
Education
Associate in Business Management
Southeastern University - Hammond, LA
2004 to 2010
Associate in Business
Young Memorial Vo-Tech - Morgan City, LA
1986 to 1987
Associate in General Studies
Morgan City Sr. High School - Morgan City, LA
1982 to 1986
College in Business Management
Skills
• Data Entry (10+ years)
• Customer Service
• Management Consulting (10+ years)
• Financial Management (10+ years)
• Accounts Receivable (10+ years)
• EMR Systems (10+ years)
• Insurance Verification
• Medical Records
• Accounts Payable (10+ years)
• Management (10+ years)
• Accounting (10+ years)
• Medical Office Experience (10+ years)
• Supervising experience (10+ years)
• Microsoft Outlook
• Medical Terminology (10+ years)
• QuickBooks (3 years)
• Human Resources (10+ years)
• Business Management (10+ years)
• Practice Management (10+ years)
• Healthcare Management (10+ years)
• Budgeting (10+ years)
• HIPAA (10+ years)
• Medical Scheduling
• Communication skills (10+ years)
• Medicare (10+ years)
• Data analysis skills
• Managed care (10+ years)
• Power BI (2 years)
• Analytics (10+ years)
Certifications and Licenses
Driver's License
Assessments
Office manager — Completed
November 2020
Scheduling and budgeting
Full results: Completed
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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