SUMMARY OF QUALIFICATIONS
Seasoned Professional with over 22 years of experience in Supervising, Coordinating, Instructor/Healthcare Education, Administrative, Budgeting, Customer Service and Direct and Indirect Patient Care.
Administrative Supervisor of an Outpatient Registration Department for more than four years; managing department procedures related to insurance, billing, and supervising administrative staff of several departments that include; Laboratory, Radiology, Breast Clinic, Pain & Endo Clinic and the Emergency Department. Ensuring efficient, functional running of the healthcare facility and operative administrative activities. Possessing extensive experience of supporting, developing and motivating staff to do better and to drive continuous improvements across a range of work activities.
Experience with Epic, Kronos, ADP, Oracle PeopleSoft, Taleo Talent Management, Care Advance, SharePoint, all Microsoft Office Products, HR functions and processes, leading projects, facilitating meetings, and interacting with all levels of staff.
Experience with CMS, NCQA, JACHO, HEDIS, HIPAA and MI Duals Program; responsible for managing and coordinating tasks of administrative support staff in tracking the Care Coordinators Assessments, that include the Health Risk Assessment, DSM-5 and NFLOC Assessments, ICT Meetings and locating unable to reach members for the Care Coordinators and all other Molina Lines of Business.
Managed and coordinated the clinical and professional schedules of 45 physicians in a Dermatology Clinic.
PROFESSIONAL EXPERIENCE
BLUE CROSS BLUE SHIELD, Detroit, MI 2016-Present
Team Leader II
Supervise and promote the professional development of assigned staff through selection, development, and exploration of more effective methods of managing projects and time.
Prioritize and assign work to employees and initiate corrective measures to resolve problems, including scheduling or adjusting overtime requirements as necessary.
Research, (internally and externally), initiate, and plan strategic changes in assigned department(s)/area(s) to optimize technologies and personnel.
Recommend and assist in acquisition of technology and other tools or equipment and resources to optimize departmental performance and output.
Interface with diverse levels of internal and external personnel to develop and maintain effective rapport and to resolve issues and inquires.
Administer and adhere to Corporate and Departmental policies, practices and procedures.
Business Analyst (Contract Assignment) Iconma Staffing Company 2016-2017
Coordinate the Work-from-Home Transition Program for the entire Utilization Management and Care Management Departments.
Troubleshoot and provide technical support to over 200 Case Managers, RN who Work-from-Home.
Order all necessary equipment and supplies to support the Utilization Management Departments and Work-from-Home Program.
Train Case Managers on their equipment to Work-from-Home.
Maintain and distribute the 72 hour On-Call Holiday Coverage list for the Health Care Value Department.
Interim Administrative Assistant to Michelle Silvaggi, Director Utilization Management.
Coordinate the Utilization Management and Quality Assessment Committee Meetings.
Plan builder for the Utilization Management Departments Business Continuity Risk Management Team.
MOLINA HEALTHCARE of MICHIGAN, Troy, MI 2015-2016
Supervisor Non-Clinical Support Team
Manage 15 employees of our Non-Clinical Support Team for all lines of business.
Created the Standard Operating Procedure for our Case Management Processors/Sherlock Unit and Care Review Processor/Schedulers.
Hire, coach, develop, and evaluate the performance of my team members.
Manage weekly payroll, quarterly performance evaluations and monthly coaching.
Experience with MI Duals program; responsible for managing and coordinating tasks of administrative support staff in tracking the Care Coordinators assessments, that include the Health Risk Assessment, DSM-5 and NFLOC assessments, ICT meetings and locating unable to reach members for the Care Coordinators and all other Molina lines of business.
Develop and revise processes, protocols, and metrics to assure quality performance and outcomes.
HENRY FORD HEALTH SYSTEM, West Bloomfield, MI 2011-2015
Supervisor, Registration Department
Pivotal management role at the core of hospital operations to provide registration and insurance verification services 24hr/ 7 days a week.
Coordinate the revenue cycle process with the interdepartmental team.
Managed 40+ employees of the Outpatient Registration Department that includes: Laboratory, Radiology, Breast Clinic, Pain & Endo Clinic and Emergency Department, to assure successful financial outcomes.
Excellent service and communication skills as demonstrated by courtesy, tact, and respect of others.
Developed and maintained budgets and resource allocations while identifying strategies to reduce cost and improve the quality of care delivery.
Evaluate individual performance which includes written and verbal performance appraisals and performance improvement plans as necessary.
HENRY FORD HEALTH SYSTEM, Detroit & West Bloomfield, MI
Scheduling Coordinator 2008-2011
Secretary II 2005-2008
Medical Assistant II 2003-2005
Admitting Representative 2000-2003
Nurse Specialty Technician 1997-2000
Clinical Service Representative 1995-1997
DORSEY SCHOOLS, Roseville, MI 2008-2010
Instructor
Provided classroom instruction to students in medical related courses that include: Medical Terminology, Medical Billing, Medical Office Assistant and Basic Computer.
Evaluated students with written and verbal feedback on weekly assignments.
Measured the progress of student achievements, provided information that was helpful to their growth and development as future practitioners.
EDUCATION
Master of Business Administration, University of Phoenix, Southfield, Michigan 2007
Bachelor in Health Care Services, University of Phoenix, Southfield, Michigan 2005
PROFESSIONAL AFFILIATIONS
National Notary Association Member 2007- current
American College of Healthcare Executives 2005- current