Workers Compensation Program Manager
Resume:
Gay D. Justice
Forney, TX *****
********@*****.***
Cost Management
Operations Management
Revenue Growth
Systems Optimization
Resource Management
Compliance Enforcement
Team Development
Project Management
Workers Compensation Programs
Workers compensation
authorization
Workers compensation claims
knowledge
Workers compensation claims
Results-driven medical management professional with expertise in wo compensation, program development, and operational efficiency. Prov track record of driving growth, fostering healthcare partnerships, and optimizing revenue through data analysis and strategic decision-maki Skilled in financial management, compliance, staff development, and improving patient outcomes. Proficient in EMR systems, insurance bi regulations, and managing cross-functional teams to meet corporate g Workers' Compensation Program Manager
United Musculoskeletal Partners, North
Texas
September 2023 - Octob
Practice Administrator
Arlington Orthopedic Associates,
Arlington, TX
May 2022 - Septemb
Clinic Manager
Arlington Orthopedic Associates, Irving,
TX
May 2017 - M
Regional Manager
Vein Clinics of America, DFW/Houston
/KS-MO
May 2012 - M
Work History
Led 14% growth in workers' compensation patient volume by developin program and building relationships with nurse case managers and adjust Strengthened employer partnerships through service recovery initiatives DFW and Abilene.
Created and executed strategic marketing plans based on EMR data, collaborating with stakeholders for progress tracking. Coached team members to improve productivity and exceed challenging Managed clinic operations, budgets, and KPIs, driving improvements in operational efficiency and financial performance.
Ensured health and patient care compliance, partnering with Revenue C leadership on claims reimbursement and staying updated on healthcare regulations.
Oversaw staff and clinic managers, and maintained relationships with ex stakeholders, including sports organizations and insurance companies. Managed day-to-day clinic operations, including staffing, payroll, and tim requests.
Supervised staff training, performance, and development to ensure effici clinic operations.
Cultivated relationships with physicians, employers, and patients to enh referral flow and improve patient experience.
Enhanced corporate productivity by ensuring compliance with medical billing regulations, and insurance guidelines (CPT, ICD-10, HCPCS, Medicare/Medicaid).
Managed financial operations, including accounts receivable, revenue reporting, P&L analysis, and policy implementation to improve revenue Led staff performance evaluations, training, and employee relations to en operational efficiency and patient satisfaction.
Skills
Results-driven medical management professional with expertise in workers' compensation, program development, and operational efficiency. Proven track record of driving growth, fostering healthcare partnerships, and optimizing revenue through data analysis and strategic decision-making. Skilled in financial management, compliance, staff development, and improving patient outcomes. Proficient in EMR systems, insurance billing regulations, and managing cross-functional teams to meet corporate goals. Workers' Compensation Program Manager
United Musculoskeletal Partners, North
Texas
September 2023 - October 2024
Practice Administrator
Arlington Orthopedic Associates,
Arlington, TX
May 2022 - September 2023
Clinic Manager
Arlington Orthopedic Associates, Irving,
TX
May 2017 - May 2022
Regional Manager
Vein Clinics of America, DFW/Houston
/KS-MO
May 2012 - May 2017
Work History
Led 14% growth in workers' compensation patient volume by developing the program and building relationships with nurse case managers and adjusters. Strengthened employer partnerships through service recovery initiatives in DFW and Abilene.
Created and executed strategic marketing plans based on EMR data, collaborating with stakeholders for progress tracking. Coached team members to improve productivity and exceed challenging goals. Managed clinic operations, budgets, and KPIs, driving improvements in operational efficiency and financial performance.
Ensured health and patient care compliance, partnering with Revenue Cycle leadership on claims reimbursement and staying updated on healthcare regulations.
Oversaw staff and clinic managers, and maintained relationships with external stakeholders, including sports organizations and insurance companies. Managed day-to-day clinic operations, including staffing, payroll, and time-off requests.
Supervised staff training, performance, and development to ensure efficient clinic operations.
Cultivated relationships with physicians, employers, and patients to enhance referral flow and improve patient experience.
Enhanced corporate productivity by ensuring compliance with medical policies, billing regulations, and insurance guidelines (CPT, ICD-10, HCPCS, Medicare/Medicaid).
Managed financial operations, including accounts receivable, revenue reporting, P&L analysis, and policy implementation to improve revenue flow. Led staff performance evaluations, training, and employee relations to ensure operational efficiency and patient satisfaction.
The University of Texas At Arlington at Arlington, TX Business Management
Education
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