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Skills

  • Business Administration
  • Process improvement
  • Operational improvement
  • Regulatory compliance
  • Agile Methodologies in Health Services
  • Relationship development
  • Data-driven decision making
  • First Aid/CPR
  • Communications
  • Strategic planning

Work Experiences

  • Completed 15 employees' bi-weekly payroll.
  • Was in charge of the supervisor's schedule and appointments, as well as streamlining the scheduling process.
  • Achieved a 75% improvement in satisfaction metrics.
  • Improved the organization's payment collection, AP/AR, deposit, and recordkeeping systems.
  • Achieved a success rate of over 22% on overturned claims.
  • Coached team members on effective communication.
  • Investigated and resolved a variety of issues that impacted executive leaders and business initiatives.
  • Achieved results in the past year.
  • Supervised and guided new employees, and I responded quickly to questions, which improved understanding of job responsibilities on budget management and cross-functional collaboration.
  • Aligned with regulatory requirements.

Summaries

  • Achieved 25% faster outpatient clinic management.
  • Accomplished Supervisor skilled at reducing claim denials by 27% through thorough medical necessity assessments and regulatory-compliant case reviews.
  • These abilities, as well as a strong work ethic, are available.
  • Miscellaneous administrative office management, related regulatory guidelines, and performance reporting certified PMP and Utilization Management Supervisor.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Excellent communicator and project manager with expertise in day-to-day operations, workflow improvements, and customer service.
  • Independently solved problems and kept teams on task to handle a variety of business requirements.
  • Support specialist and leader with advanced organizational, technical, and business acumen who is highly dependable, ethical, and trustworthy.
  • Highly skilled in team leadership terminology, as well as departmental payroll, budgeting, and AP/AR activities.
  • Adaptable person with strategic planning and budget management abilities.

Accomplishments

  • Produced monthly benchmarking reports that identified areas for operational improvement and led to a 15% cost reduction in service delivery.
  • Standardized case logging workflows in Tableau, reducing review time by 2 hours per case.
  • Collaborated with IT and clinical teams to implement a new EMR system, reducing administrative documentation hours by 4%.
  • Championed cross-department collaboration that led to a smoother transition of care and decreased outpatient clinic wait times by 33%.
  • Monitored real-time data using Power BI to identify bottlenecks, reducing patient wait times for clinic approvals by 28%.
  • Trained new staff members in the use of Jira, achieving full team onboarding within 6 weeks.
  • Pioneered provider engagement initiatives that led to a 57% increase in documented care plans and better patient outcomes.
  • Optimized medical review workflows, leading to a 60% increase in approval speed for pre-authorization requests.
  • Developed and implemented a comprehensive utilization review policy that enhanced compliance by 75%, aligning practices with national regulatory standards.
  • Developed and maintained tracking tools that monitored case load distribution, improving workload management and resource deployment.

Affiliations

  • American Case Management Association (ACMA)
  • Rotary International
  • Association for Clinical Documentation Improvement Specialists (ACDIS)
  • Health Care Compliance Association (HCCA)
  • American Association of Managed Care Nurses (AAMCN)
  • Project Management Institute (PMI) - Healthcare Applications Group
  • American Health Information Management Association (AHIMA)
  • American Medical Group Association (AMGA)
  • Institute for Healthcare Improvement (IHI) - Open School Certificates 2018
  • American Nurses Association (ANA)

Certifications

  • Certificate in Medical Management (CMM)
  • Certified Professional in Patient Safety (CPPS)
  • Healthcare Financial Management Association (HFMA) Certification
  • Certified Public Accountant (CPA)
  • Apple Certified Associate (ACA)
  • Certified Health Data Analyst (CHDA)
  • Certified Specialist in Managed Care (CSMC)
  • CompTIA Security+
  • Certified Professional Coder (CPC)
  • Healthcare Compliance Certification - Compliance Certification Board (CCB)

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