JHANSI KALAPALA
FREMONT, CA *****
510-***-**** **********@*****.*** WWW: ONLINE DIGITAL RESUME
Health Information Management (HIM) Healthcare Management Computer Applications. Telehealth Healthcare Leadership Quality, Risk, Strategic Management in Healthcare Healthcare Marketing Marketing Research Mergers & Acquisitions Economic Evaluation Healthcare Management. Computer Application Languages Programming Problem Solving Six Sigma, Database Management Systems and Design Data Analysis. Medicare/Medicaid.Root Cause Analysis, Economics Software Engineering Distributed Database Systems . Agile . SWHP operations
SKILLS
Microsoft Office Applications (Word, Excel, and PowerPoint) – Type 40 WPM
Project Management and managed end to end Hospital Management application.
MS Office
Health and Safety Regulations
Team Leadership
Staff Scheduling
Data Collection
Verbal and Written Communication
Coaching and Mentoring
Managing Operations and Efficiency
Critical Thinking
Work Planning and Prioritization
Scheduling and Coordinating
Workload Balancing
Operational Efficiency
Database Development
Public Relations
Project Management
Population Management
Health Plan Management
WORK HISTORY
AFC Urgent Care
Health Information and Operations Director/ Teaching // Fremont, CA // September 2020 to Current
As a Director of Clinical Operations, I am responsible for ensuring successful day-to-day clinical operations and delivery of clinical services across the sites of AFC Urgent Care
My primarily responsible for overseeing the operational efficiency and quality of clinic services at all clinic sites, supervising the Appeals projects, clinical technology including direct supervision of Site Managers, Docutap, Practice Velocity, Meditech, EPIC EMR systems
Along with the scheduling, budgeting, and managing the revenue cycle management is the challenging part
Addressing the patient requests quickly and efficiently.
The Director oversees front desk, medical records, scheduling, hiring, performance evaluation, Medicare and Medicaid billing, HRSA, COVID testing and Vaccine management clinic, security, billing department, OSHA, JACHO, appeals and care coordinators and call center operations.
Maxim Healthcare
HIM and Operations Associate Director // Fremont, CA // June 2018 to March 2020
Scheduling the employees, budgeting, revenue cycle management, Appeals
Oversee and manage the generation, organization, maintenance, and access to all records provided alerts to doctors regarding discharge and made transitional arrangements from Inpatient to Outpatient
Creating and executing short term and long-term plans, managing projects in waterfall model
Project planning and implementation, budget creation, preparing the audit reports, on-boarding, training, performance feedback, skills coaching and career development, as well as mentor peer office managers and emerging leaders
Envisioned, planned, and initiated strategy to introduce Electronic Health Records by identifying the key stakeholders and project goals meet AAAHC standards
Organized, managed patient records
Managed and implemented all security and privacy mandates based on HIPAA guidelines
Managed and mentored the team, assigned weekly goals, assign the timecards, provided recommendations to Director and monitored overall project progress
Teaching about health concepts, health record management
Built relationships and stayed attentive to employees by motivating them to succeed and improve.
MedIND Pharmaceuticals
Operations Director/Health Care Instructor // Hyderabad, India // February 2014 to May 2017
Leading distributor and supplier of a wide range of pharmaceutical tonics and tablets
Provided excellent customer service to the patients, addressing the patient needs, Prepared survey apps for the patient feedbacks.
Took care of excellent on-boarding, training, performance feedback, skills coaching and career development, as well as mentor peer office managers
Worked with coding staff to ensure every billing claim was appropriate
Implemented processes for storing and saving all medical information
Prepared and analyzed clinical data for research purposes and health analytics using SAS, process improvement, utilization management, and mandatory reporting.
Open Shores
Operations Director/language Trainer // Fremont, CA // August 2005 to January 2014
Involved in 3 significant modules from end-to-end development of accounting application using Agile SDLC
Provided portal as the view
Responsible for training, teaching the students, training for job placement
Interacted effectively with business to identify their needs for integrations, business processes, integration definitions, methodologies, and canonical definition
Helped the company and the IT department understand the Enterprise Application integration (EAI) process
Identified reusable components from already built integrations to reduce cost and timelines of integrations
Discussed the business requirements for users and Business Manager.
EDUCATION
Doctor of Business Administration - Healthcare Management and Leadership
California Intercontinental University // Irvine, CA // November 2021
Master's Degree - Computer And IT Applications
Osmania University // Hyderabad // April 2000
CERTIFICATIONS
webMethods Certified Developer (for the Integration Specialist) Sun Certified Developer, RHIT (Soon)
AFFILIATIONS
Well-qualified professional who combines 15+ years of cross-functional medical records, and past 7 years in Clinical Management, Operation management, healthcare project management, and technical experience to illustrate value. Able to plan, direct, and evaluate operations and processes to assure medical records are maintained in accordance with standards and applicable regulatory requirements. Oversee project deliverables, build and maintain relationships, and navigate change to meet objectives and goals. Extensive experience in delivering highly intelligent and articulate integration solutions with an assortment of Project Management, health applications, EHR, Clinical Management, Vaccine management, Operations Management, internet-based applications, client/server, supply chain management, Health Records, and relational databases. Effective problem solver, able to assess situation to identify solutions, implement changes, and facilitate cross-functional teams to work collaboratively. Critical thinking and analytical skills necessary to interpret and apply knowledge. Communicate effectively to promote a positive work environment and optimal outcomes.