Luis A. Nuñez, MHSA

Orlando, ***** 786-***-**** adjg8o@r.postjobfree.com

Results-driven and growth-driven healthcare professional with expertise in practice operations, managing operational staff to ensure efficient performance, and strategically plan procedures to meet/exceed financial goals. Skilled in identifying new opportunities through the analysis of performance metrics and implementing process improvements. Strong leadership, interpersonal, organizational, communication, data analysis, planning, presentation, management, and problem solving skills. Fluent language proficiency in Spanish.

PROFESSIONAL EXPERIENCE

Envision Physician Services, Miami, FL 2018-Current

Practice Manager II

Manage radiology and anesthesia practice operations for 10 Hospital Corporation of America (HCA) hospitals and 4 urgent care centers spanning the state of Florida. Managed 45 radiologists and 20 anesthesiologists with various levels of direct/indirect reports to run a proficient practice. Prepared and managed budgets of over 7+ million dollars with precise efficiency and cost-effectiveness. Ensured proper hospital privileges and credentials for radiologists via supervising the credentialing process. Trained, organized training sessions with vendors, and provided performance feedback to instruct radiologists on software use (i.e. voice recognition templates, billing performance/corrections). Heavily involved with our tele-medicine platform to ensure proper coverage and timely delivery of patient reports.

Work closely with Regional Medical Director and Facility Chiefs to ensure the needs/concerns/issues of the hospital(s) are being addressed. Provide and implemented solutions, when necessary, to ensure we were providing the best service to the facility(client) and our patients.

Effective labor management of physicians by having an intimate understanding of the schedule, provide support where necessary to our work-force team to ensure the most cost-effective solution is utilized.

Manage payroll to budgetary expectation, minimized premium physician coverage to a minimum by ensure usage is monitored and appropriate, for example, use of per diems, locums, and agency providers as necessary; for vacation/emergency coverage.

Lead the recruitment effort for open positions. Interface with the physician(s) directly through face-to-face interviews, selection in concert with MD leadership, and physician orientation.

Identify local developments, potential threats, and opportunities, including with sister departments: ER, Anesthesia, OBGYN, and Children services to ensure hospital administration satisfaction.

Served as primary contact source to hospital staff (Physicians, Allied Staff, and C-suite)

Presented Quarterly to hospital C-suite our productivity and quality metrics.

Managed hospital contractual requirements (quality, financial, satisfaction) and educate providers appropriately. Coordinate the renewal or modification of contracts with all required parties.

Performed continuous audits, reimbursement analysis, and reviewed payor contracts to ensure optimal collections.

Worked closely with 3rd party billing company to review actual payments based on payor contracts: Managed Care, Medicare, and Hospital contracts.

Work with credentialing departments to facilitate credentialing issues such as deficient records, renewal of privileges, missing licensure/certifications, etc.

Manage onboarding process for assigned facilities (facility orientation, access cards, introductions, etc.)

RADIOLOGY ASSOCIATES OF SOUTH FLORIDA (RASF), Miami, FL 2012 – 2017

Operations Manager (Practice Manager), 2012 – 2017

Directed billing, quality assurance, and telemedicine (spanning 4 different U.S. states and in Jerusalem, Israel) operations. Managed the monthly schedules for 75 radiologists among 6 hospitals and 25+ outpatient centers. Prepared budgets, staffing reports, invoices, reports, physician contracts, and payroll. Purchased, tested, implemented, and maintained computer equipment for radiologists. Spearheaded technical support and fixed all technological issues. Permitted by management to create this new position as Operations Manager & Practice Manager and job description to better address all issues and improve processes.

Appointed as the advisor to the CEO and 4 executive directors.

Increased profits by nearly 20% (allowing the company to earn over $50M in gross for the 1st time in company history) by overseeing the billing cycle.

Installed reporting processes for the organization (since there was never one present) that projected future staffing needs, improved scheduling to prevent under and over staffing, improved billing operations, etc.

Grew business and spearheaded business development initiatives by generating a benchmark report comparing the organization to competitors, adjusting radiologist schedule shifts to better meet patient demands, and managing all documents for a new business line (i.e. patient history documents, reporting templates, billing documents).

Developed marketing materials (i.e. annual report for a magazine, pamphlets to promote new radiologists to referring physicians) for clients, patients, and insurance providers that better positioned RASF among competitors.

Implemented, and instructed physicians on, Clinical Physician Ordering Entry Program (CPOE), which decreased the medical necessity denial rate by 20% by improving the identification of applicable radiological exams for patients with the use of a drop-down diagnosis list.

Reduced billing cycle issues and increased collection rates via analyzing the data collected from CPOE, generating root cause analysis (RCA) reports, and liaising with 3rd party billing companies and the billing committee chairman.

Revamped 80% of the quality program (i.e. created and oversaw analytical data concerning Baptist facility-wide OPPEA/FPPEA forms).

Improved patient outcomes, identified/resolved issues (i.e. misreads, misdiagnoses, radiological report errors), and enhanced report reading efforts by spearheading the new patient safety partnership program.

Reshaped the payroll process of 4 payrolls by setting payroll dates, and eliminating all mistakes and inconsistencies.

Business Analyst, 2013 – 2015

Introduced the gathering of never-before-collected data by designing dashboards on productivity, Turnaround time (TAT), and individual radiologist performance.

Multiplied productivity by analyzing data collected from the dashboards, redistributing workload, and reorganizing radiologist schedules and shifts.

Enhanced transparency and equality among staff radiologists by implementing new rules on requesting vacations and shift rotations, creating reports showing equal distribution of evening shifts, and implementing an open door policy regarding schedules and changes.

Quality & Performance Improvement Analyst, 2012 – 2013

Oversaw RADPEER, radiation dose, and the patient safety program. Shared RADPEER data analytics with the American College of Radiology, received benchmarking data that compared all practices to one another, and shared data with section chiefs to identify areas needing improvement.

Transformed overall quality, simplified workflow, increased staff collaboration/communication, and earned 100% compliance scores by launching a new peer review process.

Increased the number of peer reviewed cases by 22% (approximately 17,000 more cases) by upgrading RADPEER to an automated process, which asked physicians to peer review cases rather than manually logging in and searching.

BAPTIST HOSPITAL OF MIAMI, Miami, FL 2008 – 2013

Lead PACS

Liaised between hospitals, urgent care centers, and physicians to ensure timely delivery of radiological results and critical findings.

BAPTIST HOSPITAL OF MIAMI, Miami, FL 2007 – 2008

Imaging Liaison

Cut the turnaround time of radiological results by addressing program communication issues in collaboration with IT.

EDUCATION & CREDENTIALS

Master of Health Services Administration Florida International University Miami, FL 2010

oAdministrative Resident – Radiology Associates of South Florida – 2011

oAdministrative Resident – Baptist Hospital of Miami & Baptist Outpatient Services – 2010

Bachelor of Health Services Administration Florida International University Miami, FL 2006

Lean Six Sigma Green Belt Certification Florida International University Miami, FL 2010

REFERENCES

Dr. Bao Tran Doan, National Medical Director

oCellphone: 561-***-****

oEmail: adjg8o@r.postjobfree.com

Dr. Adam Gittleman, Chief radiologist for Northwest Medical Center

oCellphone: 561-***-****

oEmail: adjg8o@r.postjobfree.com

Dr. Johnathan Fields, Staffed Radiologist at RASF

oCellphone: 786-***-****

oEmail: adjg8o@r.postjobfree.com

Dr. James Greve, Staffed Radiologist at RASF and Quality Chairman

oCellphone: 305-***-****

oEmail: adjg8o@r.postjobfree.com

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