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Practice Management

Location:
Newfoundland, NJ
Salary:
Open
Posted:
October 20, 2021

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Resume:

ALBERT LOPEZ, ACMPE FACHE

NY/NJ

845-***-**** ~ ado3lm@r.postjobfree.com

BUSINESS DEVELOPMENT EXECUTIVE / STRATEGIC LEADERSHIP

Effectively Integrating Design with Business Operations

Highly successful business executive with a solid record of developing large successful projects at all organizational levels to positively affect bottom-line performance. Skilled in business development, quality assurance, and personnel management, as well as strategic cost-cutting initiatives. Professionally dedicated individual with desire to develop innovative solutions that influence operational and strategic decisions while exceeding customer needs and expectations. Proven track record of providing quality deliverables and supporting corporate objectives with pervasive management knowledge. A builder of high-performance teams that produce self-motivated, self-sustaining, goal-oriented, and multi-disciplined professionals. A business partner who thrives in environments requiring a high-level strategist and big-picture thinker. Detailed manager who streamlines processes, reduces unnecessary expenses, and focuses on profit goals, while investing in people.

CORE COMPETENCIES

Budgeting

Forecasting / Review

Quality Assurance

Executive Leadership

Business Development

Process Improvement

Profit Growth

Cost Cutting Initiatives

Cost / Benefit Analysis

Account Management

Revenue Cycle

Organization Leadership

Risk Assessment

Strategic Planning

Project Management

MSO/Article 28

Resource Planning

Manage Construction

Team Building

EHR Implementation

Contract Negotiations

Design & Buildout

PROFESSIONAL EXPERIENCE

Visiting Docs LLC 2020 to Present

Executive Director

Developed a multi specialty service line Article 28 start up Medical Practice with Outpatient clinics and Assisted Living Offices from the ground up, serving 14 facilities throughout New York State, NYC and Long Island. Recruited staff, Medical Providers and Management; Composed Provider contracts and in line with NYS state Article 28 guidelines; Implemented state of the art EMR/PM Software, trained staff and Providers. Developed relationships with Assisted Living facility Leadership; Introduced Medical Practice protocols to natural partners;

Key Accomplishments

Introduced new service line to 14 facilities

Spearheaded operational protocols

Recruited 44 Providers in 4 months

Developed compensation models for Providers

Developed multi site multi specialty schedules for all facilities

Spearheaded Compliance program for Ambulatory site

Management Vaccine initiative for over 2500 employees and 5000 residents

Negotiated Vendor contracts for Medical and Office supplies

Networked ancillary services for all facilities

Developed budget and financial reports for Practice

NYAllergy & Sinus Centers PC 2019 to2020

Chief Operating Officer

Resdirect and develop change management the operational and Financial process in a multi-location Allergy immunology practice in NYC. Recruit, negotiate and review Physician contract terms; Upgrade EMR & PM software, introduce kiosk technology to improve patient intake; Restructure the entire Revenue Cycle division by introducing high performance protocols; Develop and introduce monthly financial reports; Mentor Management staff on leadership development; Negotiate real Estate contract for practice expansion and spearhead buildout initiative;

Key Accomplishments

Introduced Revenue Cycle initiative to improved collections;

Initiated and implemented a state of the art Call Center Reporting System

Added two new locations

Developed new Management team.

Expanded IT system to Enterprise including remote access

Introduce peer to peer evaluations to ensure quality controls

Contemporary Orthopedics, PLLC 2014 to 2019

Executive Director

Assess and restructure the financial and operational processes of a multi-site multi-specialty Article 28 orthopedic practice, Physical Therapy facility and Legal Departments. Improve physician and staff relationships, including minimizing high turnover through implementing effective recruiting protocols. Recruit, negotiate and review Physician contract; Upgrade EMR & PM system, introduce kiosk technology to improve patient intake; Revamp the entire Billing and collection department by introducing high performance protocols; Develop and introduce monthly financial reports; Mentor Management staff on leadership development; Negotiate real Estate contract for practice expansion and spearhead buildout initiative; Improve IME referrals; Enhanced the out of network model to maximize reimbursement; implemented inventory control for DME and ancillary supplies; Negotiated contracts with various hospitals regarding specialty services and call.

Key Accomplishments

Increase revenue by 80% in 12 months via Out of Network negotiations

Decrease turnover by 50%, recruiting improvements

Implemented best practices in the Billing and coding forum

Upgrade EMR, interfaced with PACS and state of the art Kiosk PM system

Upgrade IT infrastructure

Introduced Financial controls

Increased legal volume by negotiating with carriers and attorneys

Launched a regional Marketing campaign

Implemented new Website to include patient portal and live chat

Designed and launched 24 hours concierge service portal

Practice Director

Redirect infrastructure by reassessing current operational processes. Improve relationships with multiple clients; Implement EMR, Introduce ancillary service line; Coordinate and implement partner operating agreements; design compensation formulas; improve staff communication; Accounts payable; Negotiate contracts; Develop staff skill set through mentoring model; Improve Partner relations as it relates to bylaws of practice'; Introduce protocols that promote superior customer service; upgrade systems infrastructure; Develop monthly financial reports: recruit for Physician leadership; Prepare practice for next service level;

Key Accomplishments

Implemented best practices coding and billing module (meaningful use compliant)

Implemented 3D Mammography service line

Implemented State of the art PM/EMR software

Upgraded IT infrastructure

Renovation of space layout

Improve charge capture and revenue

Innovative Sports & Spine Associates of New York 2012 to 2014

Orthopaedic Sports and Spine Article 28 Surgical Practice, specifically focused on personal injuries as a result of Work related and Automobile injuries

Practice Administrator/Director

Direct the development of a 10 Surgeon partnership merger between three practices, spearhead real estate lease and purchase negotiations five additional sites. Peruse financial, business model and agreements of existing practices and develop a model for consolidation. Manage a budget of $35mil, while integrating a combined staff of 50, including Physicians, licensed and support staff. Implemented methodologies to support and ensure patient flow of 52,000 patient encounters annually. Developed ancillary services offerings for increased revenue. Key negotiator in the purchase and build out of a surgery center and other practices.

Key Accomplishments

Led the expansion and build out to 5 additional center locations through the five boroughs of New York City, including lease negotiations, contract bidding and overseeing and managing entire project.

Instrumental in developing partnership agreements among new Practitioners.

Dramatically improved infrastructure, develop operational protocols for staff (Human Resources); Negotiated and managed construction contracts of five locations.

Implemented remote Hospital & Office technology, including EMR, digital radiology/imaging & wireless networks, PACS, as well as VPN remote access for Surgeons.

Increase services by 30% and revenue trending at 50% compared to previous year. Expenses reduced by eliminated redundancies and negotiating better pricing in all purchasing aspects by 20%.

Instrumental in developing Partners Operating agreement with attorney which included compensation formula provisions and partner track requirements.

THE HEART INSTITUTE OF STATEN ISLAND 2000 to 2011

Open Heart, Cardiothoracic and Angioplasty Operation, a Joint Venture Agreement between Staten Island University Hospital and Saint Vincent Catholic Medical Center.

COO/Administrator/Corporate Secretary

Managed all aspects of daily operations, financial, and business development, overseeing 200 FTE's in the Catheterization Diagnostic and Interventional Lab, Open Heart and Cardio thoracic Unit, and all licensed staff. Managed budget of $79M, with profit and loss oversight of $100M. Negotiated reimbursement fees with healthcare carriers, ensuring revenue increase in the front and back end collection process. Served as liaison with other Institutions and managed patient flow of 650 open-heart cases and over 1,200 interventional cases annually. Arranged rehabilitation care and negotiated contracts with vendors in various cross-functional facets. Implemented technology and hosted Board of Trustees meetings, serving as Member of Finance Committee, Cardiac Advisory Panel Committee, Strategic Planning and Marketing Committee, and Executive Committee. Ensured compliance, mentored management staff, and collaborated effectively with HR on all core competencies including employee relations and union contract negotiations.

Restructured Cardiologists Group infrastructure, improving revenue and reducing expenses.

Key player in acquisition and merger of additional Cardiology Medical Groups.

Implemented best practices and increased overall volume of business managed by organization.

Enhanced communication throughout organization, developing high performing teams, streamlining workforce, and effectuating strong mission statements.

NEW YORK MEDICAL GROUP P.C. (Beth Israel) 1994 to 2000

Multi-specialty Article 28 medical practice.

Director/Administrator

Managed and developed the financial, day-to-day operation, and business expansion of a 12 Physician practice, conducting fiscal planning for annual budget of $22M. Designed cost saving solutions, arranged long term care, and ensured compliance with various applicable regulation agencies. Developed strategic business growth programs to deliver care to 300 to 600 daily patient encounters, adding 15 additional multi disciplines. Directly managed a Union staff of 125 FTE's throughout multi-disciplinary departments. Managed Human Resources initiatives, recruitment, Employee Relations, and negotiation of union contracts.

Key Accomplishments:

Instrumental in the development design of a state of the art ambulatory practice model.

Negotiated and led the development of a 200,000 sq. ft, multi floor, multi-disciplinary facility from the inception to turn key. Negotiated lease, managed design, construction, system applications, communications, capital equipment purchases and strategic marketing initiatives for facility.

Recruited personnel, migrated policies and procedures and managed department and staff transition to new facility.

Engage Leadership and Physician participation in deliverable processes.

Career Note: In addition to the aforementioned experience, served 10 years as an Administrator on duty at various NYC hospitals, 10 years served as a Director of Consumer Markets and Manager of New York Markets for Empire Blue Cross and Blue shield. Additionally has been a consultant to the following practices.

Vanguard Dermatology PC 2016 to 2017

Multi location Cosmetic and Dermatology practice focused on MOhs, Cosmetics, laser treatments and general Dermatological treatment;

Progressive Orthopedics, LLC 2005 to 2009

Multi-disciplinary Multi location Orthopedic Sports Medicine, Pain Management & Spine Surgical Practice, focused on overall injuries and personal injuries as a result of Work related, slip and fall as well as Automobile injuries

Sclafani & Vitale MD, P.C. 2002 to 2015

Multi-disciplinary Orthopedic Sports Medicine & Spine Surgical Practice, focused on overall injuries and personal injuries as a result of Work related, slip and fall as well as Automobile injuries

Active Orthopedics, LLC 2010 - 2015

Multi-disciplinary Orthopaedic Sports Medicine & Spine Surgical Practice, focused on overall injuries and personal injuries as a result of Work related, slip and fall as well as Automobile injuries

Pisacano Eye & Laser Surgery 2012 to 2016

A Surgical Ophthalmology Multi Physician practice, specializing in Retina, cataract and Lasik Eye surgery.

NEW JERSEY PHYSICIANS, LLC 2006 to 2011

Large multi-specialty group consisting of Cardiology, Dermatology, Aesthetics, Clinical research, Rheumatology, Gastroenterology, Pain Management, Women’s Health, Pulmonary services & Physical Therapy.

EDUCATION

Fordham University, BS

TECHNICAL EXPERTISE

EDI Mainframe/LAN/HP Server application, Digital storage, Medinfomatics, Medical Manager, IDX, ADS, Mantis, Signature, Medic, HIS, Genius, Excel Pro, Fiber optic transmission and web hosting

ACD Communication Systems, (ROLM, Meridian, Star, Rockwell, Lucent, Altigen)

Microsoft Office Suite, EMR/EHR Systems, PeopleSoft, Lotus notes

(Cisco, Netopia, 3M) Multi-platform systems (Blades)

SRS, EClinical Works, Allscripts, Practice Partners, Centricity, Eclipse

NextGen, Epic, Criterions, PheonixOrtho, EScribe, Eclipse, Athenaclinics, CureMD

PROFESSIONAL ASSOCIATIONS

Bones Society ~ MGMA ~ AHHE ~ ACHE~AAOE



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