Case Management Human Resource

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Jasmine Masalawala, MHA, B.Com Phone: 806-***-****

Email: *******.*******@*****.***

City: Dallas, Texas

In pursuit of Case Management/Administration/ Operations, Accounts & Finance Management, Human Resource, or Audit positions

Education

Master’s in Healthcare Administration (Healthcare Management, Communications, Finance) GPA 3.8/4-Walden University Bachelor’s in Commerce (Accounting, Business Communication & Operations, Finance, Economics)- University of Mumbai Core Science, English and Math Courses (Anatomy & Physiology-I & II, Biology, Psychology, English & Math) - Northlake College

Career Summary

Result oriented professional and a volunteer with 20+ years of experience and service in Business Operations, Communication Accounting, Administration, Management and Sales specializing in Renesan, Renvio, iCertis, QuickBooks, and Microsoft Excel concentrating on efficiency and managed workflow with proven record of reduction in overtime of staff

Assisted CEO and CFO to plan the logistics and successfully execute a trade show attended by Texas State Governor Mr. Greg Abbott & other civic authorities from the Texas State Capitol

Lead a team of volunteers to assist community members understand and choose USA’s Affordable Care Act health insurance plans annually

Possess knowledge of United States’ federal HRSA’s 340B federal pharmacy law for outpatient discounts and pricing

Worked as Case Manager & Lead Customer Service Rep. of the rehab power wheelchair (DME) department by receiving record number of authorizations through Medicare /Medicaid in first ninety days of employment

Co-lead i-Care initiative assisting 200 plus senior citizen members in nurturing their mental, emotional and physical wellbeing through various monthly engagement activities Skills/Software

Microsoft Office Excel/Word/PowerPoint/Outlook Health Insurance Portals- UHC, Availity, HCP, Cigna Google Docs/Sheets/Slides/Calendar AdvancedMD E-Clinical Tracknet Kareo UKGpro Renvio QuickBooks Core Competencies

Analytical Approach Strategic Thinking Operations Management Leadership/Communication Finance Management Client Relationship Management Experience

April 2024- March 2025 Innovative Renal Care Asst. Facility Administrator

Oversee daily operations of 32 station outpatient dialysis clinic serving 200 plus patients (In Center and Home Hemo dialysis modalities)

Facilitated new patient admissions at various stages- corporate insurance approvals, patient first visit scheduling, accompanying social worker and RN during patient initial visit to assist with any queries and concerns

Improvized new patient admission process by proactively managing gaps that led to delayed communication

Supervised 50 plus staff members including technicians, social workers, dietitians, Administrative Assts. and Bio-Meds

Assisted staff with technical issues, PTO requests, clock in/out time management, prepared and submitted weekly time clock reports, conducted weekly huddles and monthly status meetings with the interdisciplinary team

Facilitated onboarding process for new hires, managed staff continuing education training, and mentored staff on weekly basis during 1:1 meetings

Reduced overtime expenditure by 20% within first 6 months of hire

Utilize multiple systems and prepared patients and staff schedules, maintained business flow with additional PRN staff

Successful completion of clinic/patient/staff data transfer to transition to new schedule system before deadline, received recognition from VP and Data company for achieving it sooner than other clinics

Maintained accuracy of vaccination data and compliance in accordance with HIPAA and CMS

Assisted Facility Manager in conflict resolution, crisis incidents and interviewing/onboarding candidates and new hires

Worked closely with Manager, Compliance Officer and VP on clinical metrics to achieve national and regional targets

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Communicated with Medical Director and attending physicians on patient needs and completed RN documentation audits

June 2022- September 2023 Vizient, Inc./Apexus Associate Portfolio Executive

Provide business support to Senior Director in 340B pharmacy GPO business operations

Served as National Flu Program lead by gathering upcoming flu vaccine distribution pricing and ordering information for hospitals and outpatient pharmacies nationwide

Create Amendments/ Renewal contracts and move it through the system process within the stakeholders – Distributors, Executive team members, legal department, and compliance/management officers.

Ensured accuracy in expediting the execution process of Amendments and Renewals before deadline

Created Amendments SOP to reduce time utilized in half, for the management to execute the contract negotiation process

Record and save more than a hundred Distributors’ HRSA required reports on monthly basis ensuring National, State and local Distributors remain in compliance

Present relevant and up to date information on flu programs, new additions of prescription drugs in 340B space to external stakeholders during in-person and online meetings

Reduced reports saving process time by organizing various Distributor’s folders efficiently

Completed 340B online education to understand HRSA’s 340B law federally mandated for Pharmacy Manufacturers, Distributors and 3PLs.

May 2021- April 2022 CodeRIte Healthcare Consulting Office Manager

Execute Revenue Cycle Management tasks including managing confidential patient data, send charges, post electronic and virtual payments from payers and patients, investigate denials, follow up with patients and insurances over discrepancies utilizing various systems including E-clinical, Advanced MD,Tracknet, Kareo, Availity, Novitas, NGs, Trizetto and other health insurance portals

Assisted CEO in onboarding physicians, act as a liaison between company and onboarding physician staff, perform daily checks during onboarding process and inform the status to the physicians

Schedule and execute online and in-person meetings, send out notices and reminders to company and physicians’ staff for weekly and monthly reporting

Reviewed client contracts and ensured proper handling of patient documentation per HIPAA guidelines

Prepared electronic statements and received payments via QuickBooks, reconcile credit card and bank charges

Participated in monthly meetings with physicians, providers and executive staff members to provide gains, AR and other administrative triumphs and challenges

Brainstorm work flow to improve efficiency in revenue cycle and physician practice management

Attend webinars and in-person trainings to ensure HIPAA compliance and other healthcare laws and policies August 2018- May 2021 4 Aces Import & Texas Prince Properties Accounting and Office Manager

Review, record and pay invoices through QuickBooks, formulate business data in Microsoft Excel

Prepare and assess weekly and monthly accounts receivables and payables

Track accounts to ensure timely payment procedures, maintain business relations with all stakeholders

Optimized strategies each month with qualitative directional approach and implementation

Prepare daily sales reports to balance general ledger, manage daily cash handling, process checks online

Reconciled daily and monthly credit card transactions and assist with disputes, rollout weekly and monthly payroll, file sales tax online

Organized digital filing system to ensure efficacy and maintain confidentiality with cloud backups

Facilitated the development & roll out of online reporting to CPA and stakeholders

Implemented and executed a systemic employee records and data management system June 2014 to August 2018 All In One Medical Supply Head of Department/Case Manager

Lead the department of Power Wheelchair authorization from Medicare/Medicaid pivoting a key role in meeting the team’s core deliverables namely time sensitive documentations, constant communication with responsible parties and performance measurement

Ensure accurate entry and regular update of patients’ demographics and insurance information

Approval of record number of authorizations during first ninety days of joining the office using Brightree

Managed multiple phone call lines, made outbound calls to patients on monthly basis to check on supplies

Work closely with home health, PT/OT and their clinics to schedule patients for PWC visits

Accountable for increasing revenue, reducing time required to gather documentation and apply for wheelchairs when doctor prescribed, resulting in lesser turnaround time for authorization

Implemented a framework that facilitated efficient analysis of data, leading to data driven business decisions

Set up data management ensuring all applicable regulatory requirements including HIPAA compliance

Successfully piloted the department and hired additional help to meet demands of other DME supplies

Worked with Operations team in setting up & executing plans to establish multiple locations pg. 3

Voluntary Services

Microsoft Office Excel Instructor Central US Quality of Life/Skills Development initiative Virtually co-instructed Microsoft Office Excel basics and intermediate to older adults for a better scope of income generation

Lead- Affordable Care Act Access Aga Khan Health Board for Central US Lead a team of volunteers to assist 1000+ community members access health insurance through healthcare.gov website Assisted community members with various health insurance alternatives Community Healthcare Worker Aga Khan Health Board for Central US Assisted community wellness clinic director in organizing and implementing various healthcare projects including annual cardiovascular screenings, healthy lifestyle and fitness events and weekly health centre operations. Received health coach certification for preventive care and healthy lifestyle alternatives Silver Award Advisor Girls Scouts Troops USA

Facilitated girls’ scouts cadettes on their individual and group silver award projects guiding them towards sustainable initiatives to create awareness and difference in their communities Personal Vitae

Language Proficiency: English, Hindi, Marathi & Gujarati Interests & Hobbies: Painting, Reading & Writing

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