Quality Assurance Manager
Resume:
Dell P Snellings ***** Youpon Leaf Way, Houston, TX 77084________________________________________
***********@*****.*** • Cellular 770-***-****
Summary
Excellent leadership ability, interpersonal skills and the ability to adapt in an evolving environment. Demonstrated proficiency in information systems, training and staff development. Knowledgeable and experienced in assessment, planning, implementation and streamlining workflow processes. Excellent communication and management skills. A self-motivated health professional with practical experience in multiple clinical settings. Proven ability to work independently or as a member of top performing team.
Areas of Expertise
Full responsibility for daily operations related to collection activities including retrospective audits. Accomplished in rendering feedback and recommendations to personnel on key areas of improvement and opportunities to maximize profitability.
• Implemented training documents for departmental standards. Trained new employees on departmental processes and procedures. Including staff education and training on ICD-9 and CPT coding
• Effectively managed and maintained relationships with payer clients and internal departments, to proactively maintain positive client relations with minimal business interruption to ensure contract guidelines and operational procedures were met or exceeded.
• Effectively evaluated staff performance and provided ongoing feedback to employee focusing on performance standards and ongoing education to improve and increase employees' production.
• Proficient with MS Word, Excel, Outlook, Access
• Experience in multiple practice management/billing software programs, including Compudata, Medisift, Medical Manager, MegaWest, EMR and multiple hospital based systems.
Experience
Independent Healthcare Consultant, Houston, TX August 2009 to Present
Concentrated focus on streamlining physician practice management by increasing and exceeding revenues with a proven and successful record in maintaining relationships with internal and external customers at all levels.
• Identification of opportunities to enhance practice growth
• Demonstrated effective leadership and communication to enhance and promote practice growth.
• Development of policies and procedures to enhance productivity and growth for the practice.
• Development and analysis of financial reporting to promote growth
Valley Healthcare Systems, Columbus, GA September 2007 to 2009
Office Manager
• Administratively organize and coordinate all billing and collections for new practice.
• Oversee application process for all government certifications, developed written operation and procedural manuals in accordance with federal, state and county regulations. (HIPPA, Med-Cal, Health and Safety).
• Coordinated staff to ensure appropriate accreditation was maintained and safety standards met.
Management Technology Resource (MTR), San Diego, CA June 2006 to July 2007
Senior Medical Biller
Analyzed and processed claims for multi-discipline physician practice based on specific contractual and benefit levels. Managed quality assurance audits both internal and external.
• Full responsibility for billing and collection process
• Full cycle revenue responsibility focusing on Workers' Compensation and Personal Injury Protection business lines.
• Full cycle responsibility for office management
Teresa Dudarewicz, M.D., La Jolla, CA December 2005 to June 2006
Medical Practice Consultant
Responsibility in establishing business office practice functionality.
• Full cycle administrative duties including front and back office.
• Billing, collections, accounts receivable and payable
Comprehensive Health Center (CHC), San Diego, CA August 2005 to December 2005
Healthcare Consultant
Directed and successfully managed collection and billing activities for multiple locations ensuring compliance and improved operational effectiveness.
• Administratively organized and coordinated all billing and collection activities for three separate locations.
• Oversee application process for all government certifications, developed written operation and procedural manuals in accordance with federal, state and county regulations. (HIPPA, Med-Cal, Health and Safety).
• Part of a multidiscipline team in developing strategic plans, operational goals and objectives.
• Coordinated staff to ensure appropriate accreditation was maintained and safety standards met.
INTERFAITH Community Council, Inc., Escondido, CA November 2004 to August 2005
Director of Operations
Administratively organize and coordinate all service functions o Interfaith's Behavioral Health Department.
• Oversee application process for all Government certifications, developed and wrote operational policy and procedure manuals in accordance with federal, state and county regulations.
• Developed and maintained department budget.
• Full responsibility for daily operations related to collection activities including retrospective audits. Accomplished in rendering feedback and recommendations to personnel on key areas of improvement and opportunities to maximize profitability.
Early Career
Dr. Rohonda T Williams, OBGYM – Marietta, GA
Client Services Resource Group – Houston, TX
National Marketing & Administration – Houston, TX
Community Health Center of South Columbus
Dr. Jay Brodwyn – Columbus, GA
Blue Cross Blue Shield Georgia – Columbus, GA
Education and Training
Columbus State University, Columbus, GA 1977
Medical Technology
WLT Software, Clearwater, FL 2000
Certified
Training/Cognac Systems
Blue Cross Blue Shield Georgia, Columbus, GA 1982
Medical Coding ICD-9, CPT and Medical Terminology
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