Medical Staff

MEGHA PATEL

Healthcare Administrator / Emergency Medical Services Administration

**** ********** *****, *****, ***** 75074 214-***-**** *************@*****.***

PROFESSIONAL STRENGTH

Healthcare Management (18 graduate hours)

9 years of extensive experience in the healthcare field and understanding of healthcare industry trends

In-depth understanding of Medicare, Medicaid, managed care, and private health plan operations

Understanding of healthcare reimbursement/coding and claims billing & payment methodologies (ICD-9, ICD-10, CPT, HCPCS, and Medical Terminology)

Strong understanding of HIPAA and privacy laws

Familiar with Texas Administrative Code (TAC) of Health and Human Services Commission (HHSC), Department of Aging and Disability (DADS), and Centers for Medicare & Medicaid Services (CMS)

Detail knowledge of Federal and State healthcare regulations

Detail knowledge of credentialing and license maintenance requirements for speech, physical, and occupational therapy professionals

Thorough ability to lead management team

Staff development and training knowledge

Proven ability to solve critical problems

Proficient with computer: Microsoft Office 2016 and Internet applications

Business development and event planning ability

Strong organizational and interpersonal skills

Strong problem-solving, motivational and mediation skills

Capability to work independently as well as with team

Able to work under pressure and handle multiple tasks

Creative thinking and excellent communication skills

Languages: Fluent in speaking, writing, and reading - English, Hindi, and Gujarati

PROFESSIONAL EXPERIENCE

Director of Operations/Healthcare Administrator February 2011 - Present

Therapeutic Innovations / Milestone Therapy Services, Dallas, TX

Provide supervision and direction of duties to all clinical and administrative employees/contractor

Ensure daily operations including facility, staff, equipment and technologies continued at par toward improvement

Develop and improve measurement and control systems to ensure highly effective performance in the areas of productivity, quality and cost containment

Develop, communicate, and administer policies, procedures, goals, and objectives to streamline organizational operations and to promote the overall standards of quality care

Interview, select, train, supervise, and evaluate assigned administrative and clinical employees

Successfully resolved employment turn-over by 80% through creating incentive and training programs

Ensure all staff and agency actions comply with HIPPA regulations, State and Federal laws

Direct and monitor performance improvement activities and participates in Continuous Quality Improvement Program

Ensure the proper process of all documentation to include but are not limited to evaluation and reevaluation reports, treatment plans, treatment notes and monthly summary notes for all clients

Monitor state and Office of Inspector General (OIG) audits

Develop and manage health plan vendor relationships, contract negotiation, marketing and referral development with physicians, social workers, and insurance companies

Organize and lead the staff meetings and external business meetings

Establish effective communication channels between all departments to ensure a high quality of design, upgrade, and implementation of organizational program

Oversee and direct staffing, billing, recruiting, processing, marketing, quality assurance, and credentialing department for sale and census development

Increased revenue by 45% with vendor and project negotiations

Comply with all regulations and ensure licenses, inspections and other legal requirements remain up to date

Manage compliance of credentials and licenses of clinical staff

Oversee the complete business office functions for assigned clients, ensuring timely and accurate submission of claims, cash applications, and follow-up/resolution of third-party claims

Through knowledge of client’s policies and procedures, ensure staff are instructed and adhere to client expectations

Work with EDI system to build edits/bridges to ensure clean claim rates are within best practice standards

Carry out audits of current procedures and processes, discover billing/intake operations areas to improve on and effect the necessary actions

Travel as needed to represent the organization when traveling on business

Maintain professionalism and positive promotion of the organization in any business situation

Take necessary corrective actions for reported violations of the organization’s policies and procedures with consulting CEO and COO

Prepare budgetary plans and supervise financial operations to balance with current health care budget changes

Payroll management, including tabulation of accrued employee benefits

Supervise and instruct office managers as needed

Collect reports from all the departmental heads to maintain aging report for collection purposes

Conduct patient chart audit for State regulation compliance and quality improvement

Implemented and maintain health care software systems - KanTime and ZirMed

Work with configuration management and IT department to control the activities that require the updating and using multiple versions of project artifacts

Generate and establish short-term and long-term plans for business development

Petroleum Laboratory Specialist (92L) December 2015 - Present

U.S. Army Reserve, Grand Prairie, TX

Currently in process of reclassification to Health Care Administrator (70A) Direct Commission Officer

Conduct laboratory tests on petroleum, oils, and lubricants (POL) products

Evaluate test results with specification requirements and makes recommendations regarding product disposition

Apply fire prevention and safety control procedures in handling volatile POL products

Identify sources and types of contamination and deterioration and make recommendations for reclamation

Perform organizational and preventive maintenance and calibration on lab equipment

EKG Technician February 2007 – December 2007

Gujarat Cancer and Research Institute, Ahmedabad, INDIA

Administered pre-operative EKG and ECG tests

Prepared patients for stress tests and other assessments

Educated each patient on test protocols

Monitored patient behavior and physical responses

Documented patient vitals and treatment responses

Inspected and maintained unit equipment

Work effectively in critical situations to complete assessments

Follow all hospital and government requirements

Lab Assistant August 2005 – February 2007

New Sarvoday Pathology Laboratory, Ahmedabad, INDIA

Assist in the Gross Room including grossing specimens and assuring each specimen is properly prepared for processing tissue

Complete tissue intake, which includes properly labeling each specimen and assuring each specimen is properly prepared for processing

Pick up specimens in various operating rooms and deliver to Surgical Pathology for processing

File blocks and slides to ensure all cases can be found when needed

Record laboratory data and graph the results to identify significant variations

Type reports of laboratory information for review by the lab managers

Maintain inventory and order supplies as need to keep the lab adequately stocked

Follow all safety policies to clean the gross room and dispose of bio-hazardous waste

VOLUNTEER WORK EXPERIENCE

Volunteer October 2010 - December 2011

Baylor Health Care System, Dallas, TX

Foster a sensitive and caring atmosphere for the patients and their visitors

Be able to recognize and appropriately respond to any non-medical needs of the patient or significant others when approved by nurse

Assist staff members in locating family members throughout the waiting area

Provide immediate directional assistance to various areas throughout the facility

Provide elbow assistance for guest, as needed, into wheelchair from car or to car at discharge

Inform families and visitors of hospitality areas within the organization i.e. Gift Shop, cafeteria, rest rooms, courtesy/pay phones, etc. to aid in their comfort while waiting

Maintain awareness of the environment and notify proper staff members of concerns or potential problems

Straighten waiting area and notify if additional cleaning services are needed

Assist the receptionist with maintaining a secure environment for all waiting room guests by making them aware of policies related to safety i.e. no smoking, visitation policies

Volunteer April 2010 - October 2010

Atria Senior Living Group, Richardson, TX

Offer to accompany patients during walks, help them with their crutches or wheel chairs

Spend quality time with patients reading, playing chess or other games or just chatting

Remind patients to take medication as indicated by medical staff

Assist patients with personal hygiene needs such as toileting, grooming and dressing due to incapacity

Serve lunch to patients

Assist staff with administrative tasks

EDUCATION

Master of Business Administration in Healthcare Management Dallas Baptist University

Healthcare Management (18 graduate hours)

Bachelor of Science in Emergency Medical Services Administration (Expected Aug 2019)

Columbia Southern University

Bachelor of Science in Microbiology Gujarat University

Advanced Diploma Software Engineering Ahmedabad Municipal Corporation

CERTIFICATE

Certificate of Achievement USAR

HIPAA for Health Care Professionals Training Certificate

National Career Readiness Certificate – ACT

Play Wisely Certificate of Graduation

REFERENCES

***References are available upon request***

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