SHARI D. CHANEY **** SPOTTED OWL DRIVE
FORT WORTH, TX 76244
*********@*****.***
DIRECTOR OF CLINICAL OPERATIONS/REVENUE CYCLE
Director of clinical operations with nearly 10 years experience. Expertise in healthcare and clinical operations management, with progressive history of practice administration. Proven ability to manage revenue cycles, correct coding to maximize reimbursements, to recruit and retain top-quality staff, and to improve operational efficiency. Thorough knowledge and experience in specialized fields of medicine, including cardiology, cardiothoracic, general, and vascular surgery, as well as endocrinology, orthopedics, podiatry, chiropractic, and family medicine. Excellent communication and interpersonal skills that support successful leadership of high-performing, cross-functional teams.
Advertising • Budget Preparation • Client Relations • Contract Negotiations • Corporate Communications
Customer Service • Facility Management • Financial Consulting • Financial Management • Forecasting
Graphic Design • Implementation • Interviewing • Labor Relations • Office Administration
Operations Management • P&L Responsibility • Policy / Procedure Development • Process Improvement
Product Marketing • Project Management • Promotions • Proposal Preparation • Public Relations • Purchasing
Quality Control • Recruiting • Regulation Compliance • Safety Regulation • Start-Up Operations • Writing
Strategic Planning • Systems Installation • Team Facilitation • Total Quality Management • Training / Development
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CAREER ACHIEVEMENTS
Increased collections at multiple office sites by 22 – 25% by setting forth performance standards with appropriate incentives being awarded to offices that surpassed central billing office benchmarks in relation to budgetary needs.
Audited overall charges and collections and worked directly with revenue cycle vice president increasing overall revenue for company.
Implemented policies and procedures for billing and collections, increasing revenue by 80% and reduced aging accounts by 75%.
Educated practices on HIPAA compliance and implemented policies and procedures making each practice compliant.
Developed and delivered in-service workshops that focused in insurance billing, HIPAA, and reimbursement issues.
Increased employee job satisfaction with monthly in-service workshops providing additional training and education, allowing employees to become proficiently cross-trained.
Developed and implemented incentives for employees who surpassed expected benchmarks.
Optimized operations of various practices, increasing revenue and patient volume and eliminating poor moral and chaos.
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PROFESSIONAL EXPERIENCE
ALL SMILES DENTAL AND ORTHODONTICS….DALLAS, TX. 2011
DIRECTOR OF REVENUE CYCLE MANAGEMENT AND PROVIDER CREDENTIALING
• SUPERVISED ALL ASPECTS OF BILLING AND COLLECTIONS FOR MULTI-PROVIDER, MULTI-LOCATION DENTAL AND ORTHODONTIC GROUP.
• IMPLEMENTED COLLECTIONS POLICIES FOR CLINICS ENSURING CO-PAYS, CO-INSURANCE, DEDUCTIBLES, AND CASH WERE COLLECTED AT EACH CLINIC AT TIME OF SERVICE.
• IMPLEMENTED CREDENTIALING PROCESSES ENSURING NEW PROVIDERS WERE APPROPRIATELY CREDENTIALED THROUGH PPO’S, MEDICAID, AND CHIP.
• CREATED TRACKING MECHANISM FOR CREDENTIALING OF APPLICATIONS
• CREATED POLICIES PROCEDURES FOR BILLING AND COLLECTIONS STAFF IMPROVING PRODUCTIVITY
• IMPLEMENTED PERFORMANCE STANDARDS FOR BILLING AND COLLECTIONS STAFF INCREASING PRODUCTIVITY AND EFFICIENCY AND ACCURACY IN CLAIMS SUBMITTED OR WORKED.
• DIRECTED CREDENTIALING FOR NEW PROVIDERS FOR COMMERCIAL PAYERS AS WELL AS MEDICAID, CHIP, AND STAR HEALTH.
• DIRECTED AND OVERSAW CREDENTIALING OF 60+ PROVIDERS FOR UPCOMING MEDICAID TO MANAGED CARE CONVERSION.
Cardiovascular Specialty Associates of North Texas. Irving, Texas. 2008.
Director of Clinical Operations
• Supervised clinical operations for multiple cardiology, cardiothoracic, and vascular surgery offices throughout the Dallas Fort Worth Metro area, with accountability to 50+ physicians and CEOs.
• Assessed each practices’ workflow and implemented changes ensuring optimum efficiency and increasing patient volume and revenue.
• Authored and implemented policies and procedures to standardize front office operations, ensure proficient patient data entry, and reduce denied charges or unclean claims.
• Increased collections at each office site by 22 – 25% by setting forth performance standards with appropriate incentives being awarded to offices that surpassed central billing office benchmarks in relation to budgetary needs.
• Supervised all clinical staff and evaluated work performance for timely yearly evaluations.
• Recruited staff for offices with focus on appropriately placing individuals in positions that matched their skills sets, thereby reducing turnover and increasing employee satisfaction.
• Audited overall charges and collections and worked directly with revenue cycle vice president increasing overall revenue for company.
Fleetwood Chiropractic. Amarillo, Texas. 2003 – 2007.
Practice Administrator
• Administered daily operations for state-of-the-art chiropractic clinic with high patient volume.
• Triaged patients through appropriate scheduling, focusing on efficient workflow and provider schedules.
• Managed staff of 35, including physical therapist and massage therapists.
• Addressed and resolved staffing issues, recruited and developed personnel ensuring retention of employees, and reduced employee turnover by 65%.
• Implemented policies and procedures for billing and collections, increasing revenue by 80% and reduced aging accounts by 75%.
• Worked directly with attorneys for patients involved in personal injury litigation.
• Prepared all documentation for providers for deposition and court dates.
• Developed marketing and advertising strategy for practice with focus on local high school athletics and family practices in area.
• Oversaw fiscal budgets, A/P, and A/R.
• Evaluated quarterly on success in adhering to budget.
• Met or surpassed performance standards set forth by owner and primary supervisor.
Independent Contractor. San Juan, Puerto Rico. 2003.
Efficiency and HIPAA Consultant
• Consulted for 8 specialized practices in San Juan.
• Assessed practice operations and work flow, and implemented changes ensuring efficiency.
• Educated practices on HIPAA compliance and implemented policies and procedures making each practice compliant.
• Held in-service workshops for all La Cruz (Blue Cross) participating providers, focusing on billing, HIPAA, and reimbursement issues.
Piedmont Foot and Ankle. Cary, North Carolina. 2002.
Practice Administrator
• Administered daily operations for high volume podiatric practice.
• Audited billing procedures for explanation of increased denials and decreased revenue.
• Discovered substantial errors and staff turnover; increased employee job satisfaction with monthly in-service workshops providing additional training and education, allowing employees to become proficiently cross-trained.
• Offered incentives for employees who surpassed expected benchmarks.
• Optimized operations of practice, increasing revenue and patient volume and eliminating poor moral and chaos.
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EDUCATION
Ph.D. In Operational Management. University of Phoenix. Dallas, Texas. In process.
M.B.A. in Business and Healthcare Administration. University of Phoenix. Dallas, Texas. Expected February, 2011.
B.S.H.A. in Healthcare Administration. University of Phoenix. Dallas, Texas.
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