SUMMARY

An effective manager with a proven track record in program planning, financial management, contract negotiations, regulatory and accreditation compliance. Experience in facilitating successful staff growth and development. Mature understanding of complex organizations requiring decisiveness and diplomacy.

Confidential

Practice Administrator

Health Partner Services

• Reports to the Vice President of Physician Services to Provide daily oversight for ten hospital based provider practices including Pediatrics, Neonatology, Hematology/Oncology, ICU and Internal Medicine
• Developed and implemented co-payment collection policy for Ambulatory Sites
• Provide practice projections and targets
• Implemented a revenue management process that resulted in a 60 increase
• for Hematology/Oncology collections for CY2005
• Responsible for monitoring over half a million dollars in billable events monthly
• Review third party billing contracts
• Developing an individualized strategic plan to address revenue enhancement opportunities in each practice
• Review denial report and use as tool for staff development
• Manage and develop all newly acquired practices
• Monitor A/R and credentialing for 17 ftes
• Conduct monthly billing audits
• Supervise and train front end staff
• In-service providers on revised billing and compliance policies

Confidential Practice Administrator

Medicine Specialties

• Provided daily oversight for ten Department of Medicine specialty practices including Dermatology, Endocrinology, Gastroenterology, Geriatrics, Allergy Immunology, Hematology and Rheumatology
• Coordinated and managed construction/capital projects
• Supervised, trained and recruited professional and support staff members
• Developed and implemented departmental policies and procedures across ten specialty practices
• Worked on relocation project to merge faculty practice and clinic site locations
• Ensured departmental compliance with JCAHO Article 28 regulations at all times
• Provided statistical reports
• Monitored departmental budget
• Overseer of all billing activities including denial management, A/R monitoring and monthly audits
• Perform and assist with compliance and chart audits

Confidential

Clinical Administrator

Department of Geriatrics

• Responsible for the daily operations for the department of Geriatrics including specialty care covering
• Rheumatology, Cardiology, Gynecology, Podiatry and Psychiatry.
• Oversee all financial aspects of the practice including budget maintenance, denial and A/R
• management and monthly system audits
• Organize and conduct billing compliance and other operational seminars
• Coordinate activities across the inpatient and outpatient setting
• Implement and coordinate all redesign and expansion efforts
• Designed Access Database to monitor departmental referral activity
• Assist with all QA/PI projects for the department
• Manage activity and budget for Elder Abuse Study
• Ensure that department maintains compliance with JCAHO Article 28 regulations at all times
• Supervise professional and support staff members
• Conduct satisfaction surveys, monitor patient complaints and implement appropriate corrective action

Assistant Administrator

Faculty Practice Associates

• Responsible for the consolidation and daily operations of seven specialty practices including Endocrinology, Gastroenterology, Clinical Immunology, Infectious Diseases, Nephrology, Rheumatology, Travel Medicine
• Implemented duplicable administrative processes across seven practices resulting in a reduction in overhead
• Responsible for 1million in monthly billing activity
• Coordinate patient care for four research projects
• Developed billing and referral procedures that resulted in a 30 increase in payments
• Develop and conduct multi-disciplinary training programs
• Supervise and motivate administrative and professional staff
• Facilitate performance improvement and compliance activities
• Developed Policy and Procedure Manual
• Conduct patient satisfaction survey

Confidential

Associate Director

Outpatient Pulmonary Division

• Provided administrative oversight for all activities in the Outpatient Pulmonary Division and
• The Charles P. Felton Model Tuberculosis Center
• Ensured compliance with institutional and programmatic goals
• Prepared and managed 2.5 million federal grant and operations budget
• Coordinated activities between three Nation Model Tuberculosis Centers, The Centers for Disease Control
• and the New York State Department of Health
• Prepared research outcomes for publication and distribution
• Implemented an appointment reminder system that resulted in a 25 decrease in missed appointments
• Recruited, supervised and evaluated staff
• Oversight of daily billing activities
• Conducted chart audits and case reviews
• Confidential Coordinating Manager Department of Managed Care
• Negotiated, reviewed and implemented network-wide contracts
• Coordinated and conducted site surveys and reviews
• Assessed staff training and continuing education needs identified resources to meet the needs
• Worked with finance to facilitate appropriate billing activities
• Developed a technical data system to support the Managed Care Program
• Implemented a Community Referral Process that resulted in a 25 increase in referrals
• Developed a departmental Policy and Procedure manual
• Coordinated 12 million dollar capital renovation and relocation
• Developed a Nurse Triage and Centralized Appointment Scheduling Unit that resulted in a 100 compliance to New York State Guidelines in less than 90 days
• Prepared and maintained utilization, access, enrollment and panel capacity reports

Office Manage

• Assisted in the research and implementation of the Medicaid Managed Care Program
• Provided patient education
• Monitored provider and patient complaints
• Assisted with departmental credentialing and quality management monitoring
• Coordinated training sessions, educational seminars and special programs
• Supervised support staff
• Revised and reformatted departmental policy and procedure manuals
• Prepared and maintained reports

Confidential

Recruitment Coordinator

Office of Admissions

• Assisted in the implementation of the department's first newsletter
• Designed and edited departmental handouts, brochures, invitations, and bulletins
• Liaison between international students and the University Processing Unit
• Scheduled and coordinated special events
• Recruited High School Students
• Supervised College Work Study Students
• Prepared statistical reports