Operations Manager Office
Resume:
LETTIE
HOLTON
Director of Medical Office Operations
Business Office Administrator
Project Manager
***************@********.***
CONTACT
PHONE:
WEBSITE:
Coachinglifetucson.com
EMAIL:
***************@********.***
HOBBIES
Exercise!
Cycling,
Hiking
Gardening
Home Improvement
EDUCATION
University of Arizona
M.I.S., 1990s
Pima College – Cochise College
1980s
EXPERIENCE:
7/2008 – 2/2009 Genesis OB/Gyn, P.C. 520-***-**** Site Coordinator / Operations Manager – Genesis OB/Gyn is a merger of ~40 medical providers serving the Tucson area. As Site Coordinator of our practice headquarters, I strengthened supervision and leadership of the administrative and clinical staff, including physicians and mid-level medical providers. As Operations Manager, I coordinated day-to-day operations of the front and back office. I was responsible for cash control processes, medical finances, personnel management, information systems analysis, inter-office and inter-departmental communication and coordination. I was responsible for effective leadership and for motivating staff to achieve practice goals. Sierra Tucson
Utilization Review – Case Management
2004 - 2008
Lago del Oro Parkway, Tucson, AZ
Sierra Tucson's business model was strictly cash pay. In order to grow the business, a program of insurance financing was embarked upon. Day to day we performed insurance case review, insurance financial negotiation, revenue projection, decision-making, project implementation and design for hospital procedures & insurance implementation.
With my experience in mental health operations, including: Risk Management; Medical Records; Quality Control, Business Operations, local, state and federal regulations include JCAHO requirements. I was placed on the implementation team. I designed and implemented reimbursement plans and championed a high level of collaboration across all departments. By careful analysis of medical records, billing and insurance criteria, we could successfully negotiate with insurance companies for improved reimbursement.
Through my leadership the UR Dept realized significant increases in quality measures
– successful appeals outcomes increased dramatically,
– days authorized by insurance improved 500%;
– admissions increased by patients utilizing insurance reimbursement
– successful collection of insurance dollars for our patients,
– significant increases in net revenue and admissions The program was so successful a new hospital wing was built. Associated Dermatologists
Business Office Manager – 30 employees
Tanque Verde Rd, Tucson, AZ
2001 - 2004
Responsible for all non-clinical operations of this single specialty, multi-physician practice (5 physicians, 3 locations). Including: front desk, cash control processes, scheduling, phones, medical records, billing and collections, third party payer relations (to include contracts, fee schedules and rate negotiations), admitting and registration, insurance authorizations.
As a member of the management team, I was responsible for effective leadership and for motivating staff to achieve practice goals. Due to my involvement, we built a cohesive, happy, productive working team and fostered a healthy, collaborative working environment.
I developed innovative procedures and processes which were tested at our location and executed group-wide. I was the supervisor, trainer, and HR oversight for approximately 30 staff members, including clinical staff. I developed extremely positive, respectful working relationships, directing a great team of employees with excellent cooperation among one another. I was the Federal HIPPA compliance officer for the group. I set up all HIPAA compliance documents, filing systems, grievance systems, procedures, education and reports.
Providence Services Corp
State Mental Health Services for Children and Adolescents Tucson, AZ
Patient Liaison, Benefits Coordinator
1998 – 2001
Mental health services for children and adolescents in Tucson. Working almost exclusively with government funding entities, I gathered data from patients in order to get their services covered by insurance. Verified & coordinated benefits, provided financial counseling. I trained incoming finance staff. I chaired Substance Abuse treatment groups @ a Masters level. During my tenure there, Providence became JCAHO accredited.
Desert Hills Centers for Youth and Families
Psychiatric Hospital and Residential Care Centers
Silverbell Rd, Tucson, AZ
1992 – 1998
Desert Hills was a psychiatric facility for children and adolescents. I managed revenue projections across all 5 group hospitals. I prepared & distributed financial reports along with analyses & recommendations.
The Eye Institute of Southern Arizona
Eye Surgery Center, Tucson, AZ
5632 E Fifth Street
I managed the non-clinical operations of the surgery center, including billing, collections, supervising front office staff, billing and business office. I supervised front office and medical records staff and maintained A/R to the highest corporate standard in the nation.
It was a great foundational experience building a cohesive team, profitable practice, & loyal employees.
SKILLS
**I really ENJOY looking at financial reports, revenue reports, etc., reporting on them, making the best use of them, trouble shooting financial matters and issues with insurance companies, contracts, fee schedules, collections, etc. I like it, & I’m good at it
**I enjoy building a happy, cohesive, productive working team. It’s so rewarding to me. I like it, & I’m good at it!
**I can manage any day to day operations of a psychiatric hospital business office. Everything from the phones to collections
& reporting.
**I am familiar with all types of reimbursement structures, from cash pay to state, government and grant funding, to Medicare & commercial insurance, workman’s comp, all of that.
**I feel comfortable as a Case Manager at a Master’s level in a mental health / dual diagnosis / sunstance abuse setting.
**I have over 20 years experience in Tucson in medical offices, hospitals, and business offices. I feel very confident in my ability to perform all aspects of the business office director role with professionalism, clear communication, and in a collaborative fashion.
**I feel confident in my ability to meet all state, local and federal requirements for the hospital as they pertain to the business office role.
**I feel confident that I possess natural, well-honed director & management traits. For instance, I feel very comfortable in the expected setting, I am well-organized, open-minded, decisive, and flexible. I am able to communicate well with others, work as a team, and lead others by example and direction.
**I haven’t met a medical management software that I didn’t understand or couldn’t work with.
**I am a substance abuse counselor & have facilitated substance abuse treatment groups at a master’s level. I really enjoyed facilitating group treatment. I was under the supervision of the teen substance abuse treatment director at the time.
**I am a certified personal trainer & Pilates instructor Excellent, creative critical thinking and leadership skills Clinical knowledge and experience in medical records analysis and documentation.
Adept at information systems management
Great client contact and marketing skills
Experienced employee training/counseling / education and personnel management
I produce terrific financial results, quickly.
Excellent organizational, verbal and written communication skills Medical/Insurance contracting, credentialing
My personal pride lies in my ability to be a catalyst for positive organizational change with regard to finances, personnel, teamwork, organization, information systems & attitude. I believe that I’ve demonstrated this ability in every job I’ve had.
**Currently studying Lean / Six Sigma Theory & PRP Project Management Science
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