Administrative/Compliance Manager
Resume:
Samantha Smith
********.****@*****.***
EDUCATION
University of Tampa –Tampa, FL Graduated May 2015
Bachelor of Science in Allied Health: Physical Therapy University of Central Florida - Orlando, FL Graduated December 2023 Executive Masters in Health Administration
SUMMARY:
Accomplished and results-driven healthcare professional with a Bachelor's in Allied Health: Physical Therapy and an Executive Master's in Health Administration. Professional expertise in revenue cycle management, office administration, and patient care coordination with a proven ability to oversee and optimize financial processes and compliance. Adept at leading remote and on-site teams, conducting financial analyses, and developing strategies for efficiency. Additionally, strong skills in customer service, scheduling, and use of EMR softwares.
WORK HISTORY:
Equilibrium Physical Therapy - remote July 2023 - May 2024 Revenue Cycle Manager
● Oversee all revenue cycle operations remotely, ensuring and optimizing seamless financial processes and revenue streams, as well as maintaining compliance with industry regulations.
● Developed and executed strategic initiatives to enhance revenue cycle efficiency.
● Provide leadership and motivation for remote teams to achieve performance targets and encourage continuous improvement and accountability.
● Effectively conduct financial analyses and comprehensive reports providing insight into RCM performance.
● Developed risk management strategies to mitigate financial risk and ensure adherence to healthcare compliance standards, denial management.
● Conduct payroll on a biweekly schedule for all employees and contractors. Goldfish Swim School – Centerville, OH July 2022 - October 2023 Swim Instructor
● Provide expert swim instruction to students of various ages and skill levels, ensuring they develop strong swimming techniques, water safety skills, and stroke proficiency.
● Maintain a safe swimming environment by closely monitoring all students and responding promptly to any water- related emergencies.
● Responsible for keeping detailed records of students’ progress and accomplishments, regularly communicating feedback to parents, and adjusting instruction as needed to support their growth.
● Efficiently manage six 30-min classes, ensuring smooth transitions between lessons and optimal pool time Equilibrium Physical Therapy – Manhattan, NY July 2018 - July 2023 Office and Billing Manager
● Supervised 15 employees (physical therapists, care coordinators and ancillary providers)
● Responsible for all employee onboarding processes (PTs, PT Techs and Care Coordinators)
● Collected and reconciled over $250K in delinquent claims and patient balances.
● Handled inventory and all office material logs.
● Performed weekly volume metric reports regarding patient retention and clinic revenue.
● Managed all billing and coding for all medical claims per week (Medicare/Medicare supplements, BCBS, Aetna, UHC, Oxford
● Oversaw and managed all revenue cycle operations and analytics
● Conducted monthly insurance aging reports.
● Responsible for encouraging and ensuring outstanding customer service from employee to patient. Equilibrium Physical Therapy – Manhattan, NY May 2017 – July 2018 Lead Care Coordinator
● Oversaw receptionists and ensured all personal health information was accurately recorded; as well as scheduled correctly.
● Applied insurance and patient payments.
● Conducted insurance aging and copay balance reports for any outstanding patient claims or payments.
● Managed 8 physical therapist’ and ancillary provider’ schedules.
● Responsible for requesting insurance authorizations, conducting insurance verifications, and the final billing decision.
● Finalized patient accounts and conducted batch closeouts at the end of the day. Optimal Performance & Physical Therapies – Tampa, FL Aug 2015 - December 2016 Business Manager
● Checked patients in/out, as well as scheduled new and existing patients.
● Collected and corrected copay amounts for each patient.
● Requested insurance authorizations when required by health insurances and conducted insurance verifications.
● Responsible for scanning, faxing (manual and electronic), filing, and answering/transferring phone calls.
● Provided outstanding customer service and interpersonal skills with patients as well as other doctor offices. IKEA – Tampa, FL June 2014 - Dec 2014
Sales Associate/Smaland Coworker
● Managed customer inquiries and questions in a helpful, friendly manner, always aiming for a win-win situation and for repeat business.
● Handled payments and customer checkout in an efficient, accurate way with minimal discrepancies at cash out.
● Managed the childcare center, supervising an average of 48 children while their parents shopped.
● Performed inventory and created inventory report in fast, efficient way ensuring department was appropriately stocked.
DTLR (Downtown Locker Room) –Tampa, FL May 2013 - Aug 2014 Retail Sales Associate
● Provided exceptional customer experience by greeting and assisting customers with shoe sizing and styling ensuring a positive shopping experience.
● Assist the onsite managers in any assigned tasks.
● Demonstrated in-depth knowledge of the store’s products, enabling effective selling opportunities.
● Assisted in maintaining accurate inventory levels, restocking shelves, and participating in inventory audits.
● Collaborated effectively with coworkers to ensure smooth store operations. University of Tampa Information Desk–Tampa, FL May 2013 - Aug 2013 Desk Attendant (On Campus-Summer Job)
● Delivered exceptional customer service by welcoming and assisting visitors, responding to inquiries and providing a positive and helpful experience.
● Served as a knowledgeable resource for visitors, offering information on facility amenities and campus events.
● Resolved visitor issues and concerns, such as lost and found items or scheduling conflicts.
● Managed multiple tasks, such as answering phones and assisting with administrative duties. Gov. Juan F. Luis Hospital & Medical Center – USVI June 2012 - August 2012 Medical Assistant/Summer Intern
● Responsible for filing patient information manually and electronically. Familiar with standards for Electronic Health Records (EHR)
● Assisted doctors with patient care notes, setting appointments, prep, breakdown of equipment, and other miscellaneous tasks.
● Answering and routed phone calls, and managed patient records
● Worked with patients daily, checked/recorded vitals, set-up, and cleanup rehab activities. RELEVANT SKILLS
Computer: Proficient in Microsoft Office Suite (Word, PowerPoint & Excel) EMR Software: A2C and TheraOffice
Safety: American Red Cross CPR and First Aid Certified Research: Certified to Protect Human Research Participants Certifications: CRCR (Certified Revenue Cycle Representative)
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