Patient Services Operations Manager
Resume:
Ariana Prophete
Palm Bay, FL *****
***********@*****.***
Professional Summary
Resourceful and results-oriented healthcare operations leader with 8+ years of progressive experience across patient services, clinic administration, and centralized support functions. Proven track record in optimizing workflows, enhancing compliance, and delivering measurable service improvements. Adept in EMR systems, revenue cycle operations, staff training, and quality assurance. Familiar with SaaS tools, CRM platforms, and technical support systems to bridge healthcare and technology environments. Willing to relocate: Anywhere
Work Experience
Centralized Operations Manager
Oak Street Health-Chicago, IL
May 2023 to Present
· Lead operations for high-volume patient services hub, resolving 60+ patient concerns daily with emphasis on safety and satisfaction.
· Supervise cross-functional teams (referral, outreach), ensuring training, coaching, and quality metrics are achieved.
· Manage clinical workflows: insurance authorizations, ICD-10 coding, provider credentialing, and compliance.
· Optimize systems using EMR/EHR (Epic, Athena), SAP, and practice management platforms.
· Conduct workforce planning, payroll (ADP, Workday), and regular performance reviews.
· Perform quality audits to ensure adherence to clinical and administrative standards. Clinic Manager
OMNI Healthcare-Palm Bay, FL
January 2020 to May 2023
· Oversaw front and back-office operations: scheduling, eligibility verification, intake, and billing workflows.
· Enhanced billing accuracy through improved ICD-10 coding and documentation protocols.
· Coordinated utilization review processes and expedited insurance approvals.
· Managed compliance reporting (HEDIS, COVID-19 protocols), ensuring up-to-date documentation.
· Maintained HIPAA compliance and streamlined communication across departments. Eligibility Coordinator
Health First Health Plans-Melbourne, FL
August 2015 to November 2019
· Handled eligibility determinations, member inquiries, and benefits education.
· Conducted applicant interviews, verified financial/personal info, and ensured program compliance.
· Maintained accurate case records, processed insurance updates, and communicated decisions effectively.
· Provided referrals to appropriate community services when needed. Education
Herzing University
November 2024 to August 2025
Diploma in Medical Billing & Coding
Herzing University (Remote)
June 2021 to December 2022
Diploma in Medical Administration
Everest University
June 2016 to February 2017
Associate in Business Management
Briarcliffe College-NY
September 2002 to January 2007
High School Diploma
Freeport High School-NY
June 2003 to June 2003
Skills
• Centricity
• Transportation management
• CPT
• Workday
• Analysis skills
• HIPAA
• Forecasting
• Microsoft Office
• Fleet management
• SAP
• Microsoft Word
• Conflict management
• Healthcare Operations & Compliance
• Operations management
• Profit & loss
• Team management
• Logistics
• Athena
• Lean
• Communication skills
• Negotiation
• Financial acumen
• HEDIS
• 3PL
• Budgeting
• Leadership
• Microsoft Office Suite (Excel, SharePoint, Visual Basic)
• Mentoring
• Salesforce
• Epic
• Supply chain
• Six Sigma
• Supervising experience
• Process improvement
• Warehouse management system
• ICD-10
• Microsoft Outlook
• Project management
• Microsoft Excel
• Prior Authorizations
• Google Suite
• Credentialing, Utilization Review, Peer-to-Peer Processes Technology & Systems
• Continuous improvement
• Employee evaluation
• Supply chain management
• Transportation management systems
• CRM & SaaS platforms
• Inventory control
• Customer service
• Oracle
• ADP
• Canopy
• Management
• ERP systems
• Cost control
Certifications and Licenses
Medical Billing Certification
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