Healthcare Practice Manager / Practice Administrator

KAM

nanaksach@gmail, 908-***-****

HEALTHCARE MANAGEMENT PROFESSIONAL

(PRACTICE ADMINISTRATOR / PRACTICE MANAGER / ADMINISTRATIVE MANAGER / ADMINISTRATIVE DIRECTOR)

Robust professional seeking opportunity in healthcare practice management. Employs personnel and relationship development/management, financial and operations and administrative re-engineering, and contract negotiation skills to achieve desired outcomes. History of adding value (3-8% increases in HMO contract rates; correction of $1.7 million A/R loss, to a gain, considerable improvement in workflow efficiency). Strong goal focus, enthusiasm, and drive. Thorough understanding of health industry dynamics and challenges.

SKILLS

º Human resources management

º Employee relationships

º Staff / physician recruiting

º Patient satisfaction survey

º Contract negotiations

º Department performance monitoring

º Finance / budgets

º Grant accounting

º P & L management

º Consultation to executives

º Business and product line development

º Revenue cycle turnaround

º Compliance

º Marketing

PROFESSIONAL HISTORY

Consultant

Practice Solutions HC Bridgewater, NJ 2012-Present

º Developed marketing framework for physician practices

º Developed business guidelines for DOL Marketing and Opportunity committees

Practice Manager

Surgical Anesthesia Associates Washington, DC 2008-2011

Planned, organized, directed, and evaluated all practice systems including, personnel management, physician scheduling, billing, collections, and finance and compliance, (30 clinical FTEs, $11 million budget).

Accomplishments:

º Provided timely facilitation of recruiting, licensing, credentialing and orientation of locum tenum physicians and nurse anesthetists to meet rapid expansion needs

º Negotiated cost reductions in locum tenum, malpractice, health benefit and bank fees

º Established collaborative approach to negotiate a significant increase in HMO contract rates (3-8% for CareFirst, Aetna, United and Multiplan (multiple years))

º Developed front end procedures/checks to allow collections of all self-pay fees

Practice Manager

Trenton Anesthesiology Associates Trenton, NJ 2006-2008

Built an administrative foundation of all business functions, (22 clinical FTEs, 2 staff, $10 million budget). Provided monthly consultation support to company president. Accomplishments:

º Worked with outsource billing to clean up $1.7 million physician credentialing problem

º Provided 98% accountability for all patient bills and cosmetics and reconstructive surgery fees

º Relocated administrative offices to hospital site with minimum down time

º Established detailed accounting structure (Quick Books) to increase audit accuracy

Administrator (12 month assignment)

Pain Centers of New Jersey Clark, NJ 2005

Worked closely with Doctor of Osteopathic Medicine and 5 support staff, to restructure practice operations. Focus on front and back end improvements, staff training, and patient care. Liaison with referring and pharmaceutical, entities, billing, staff performance, and compliance with Federal and State regulatory policies. Developed ads to market practice in community newspapers. Resolved patient complaints filed with New Jersey Medical Board.

Administrator

UMDNJ, Department of Anesthesiology Newark, NJ 2003-2004

Provided administrative oversight for all clinical and academic operations, including human resources, finance, budgeting, physician practice plan, operating room scheduling, physician contract formulations, and support for 4 specialty divisions, (24 clinical FTEs, 5 staff). Accomplishments:

º Involved in relocation of pain practice to hospital site, with mass mailing to patients and referring entities

º $50,000 physical plant improvements and space negotiation for all department locations

º Established a framework to develop and monitor operations budget (including capital budgets)

º Developed clinical faculty recruiting plan

º Negotiated $11 million budget to averted physician turnover and morale problem

º Established foundation for research grant program including director recruiting

Administrator

Johns Hopkins Anesthesiology Baltimore, MD 1993-2003

Provided oversight and strategic direction of departmental and practice management activities, including operations, compliance and physician education, and credentialing. Managed all front-end billing needs for Department of Surgery, Anesthesiology, Otolaryngology and Orthopedic Surgery departments. Represented department in Central Practice Plan Meeting. Developed processes and audit systems to ensure accountability and operational efficiency and alignment of costs to budget, (100 plus clinical FTEs, 24 staff/supervisor FTEs).

Accomplishments:

º Promoted (Assistant Administrator (2001), Senior Manager (1999), Senior Financial Analyst/Manager (1995))

º Restructured and strategically positioned second largest billing processes at two hospital sites

(annual billings $54 million)

º Cleared $2.7 million charge posting deficit within first five weeks of assuming responsibility

º Improved pain center collection activities by restructuring billing flows

º Served as co-chair for Clinical Practice Compliance Training Subcommittee

º Developed a best practice compliance plan

º Pioneered coding certification program within School of Medicine and three-tier job

designations to provide motivational growth ladder

º Developed $21 million budget and implemented financial controls to ensure performance within budget

º Prepared what-if-analysis to assess financial implication of new product lines

º Developed global fees for contract negotiations

EDUCATION

University of Baltimore, MBA

University of Toronto, BA

Continued education courses: conflict and change management, team development, staff motivation and mentorship, negotiation strategies, and marketing

TECHNICAL EXPERTISE

Quick Books, PICIS (EHR, and Patient registration, OR and Anesthesia Management modules), Scheduling software (Lightning Bolt), ABC, MEDAC and IDX billing software. Proficient in Windows XP, Microsoft Office suite (7.0)

AFFILIATIONS

Medical Group Management, Anesthesia Administrative Assembly, Washington Anesthesia Administrator

VOLUNTEER

Somerset County Professional Service Group

Fund raising for local community group to support women and children in need of assistance

Fund raising for student scholarship

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