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Healthcare Administrator/Operations Executive
05.494.Z.09

A versatile healthcare administrator/operations professional with 13 years of progressively increasing management responsibilities for the largest privately-owned health system on the West Coast, three medical groups and the largest imaging company in the United States.

Completely knowledgeable of all back and front office services in billing, reimbursement, scheduling, qualifying patients, staffing, training, correspondence, facilities management, medical reporting, compliance and day-to-day operations. A personable, energetic and dedicated leader who can handle a wide range of responsibilities in fast-paced medical businesses.

EXPERIENCE

Cedars Sinai Medical Group, Beverly Hills, California                                                                         2006-2009

Operations Manager

Directed administrative and clinical operations for a medical group with 100 physicians and 400 staff serving the greater Los Angeles area with six locations. Managed the reconstructive surgery, general surgery, nephrology, executive medical services, and ears, nose and throat (ENT) multi-specialties affiliated with Cedars Sinai Health Systems. Reported to the Executive Director.

  • Managed a staff of 45, including 15 medical assistants and two registered nurses.

  • Restructured the Reconstructive Surgery Department to improve efficiency and morale.

  • Managed each department’s recruitment, training and staffing.

  • Resolved employee and physician relations, disciplinary action, absenteeism, productivity, and performance issues.

  • Actively controlled wage and non-wage expenses.

  • Assisted in the development and operating of the capital budget.

  • Successfully transitioned a physician’s ENT practice into the group.

  • Oversaw facilities management, patient billing, risk management and human resources.

  • Reduced overtime by 75% through readjusting staffing schedules and providing cross coverage.

  • Evaluated the performance of all staff.

  • Participated in revising the group’s policies and procedures.

  • Integrated new practices into the group, which included staff recruitment, facilities setup and development of specialty specific workflows.

  • Worked with the Executive and Management Teams to identify opportunities for operational improvement, workflow redesign, and incorporation of new processes and systems.

InSight Health Services Corporation, Lake Forest, California                                                              2005-2006

Supervisor, Billing Department

Supervised the day-to-day operations of the Billing Department for an independent radiology company that provides diagnostic imaging services through a network of 60 fixed-site centers and more than 100 mobile facilities, including MRI, CT, PET, x-ray, mammography, bone density, nuclear medicine, radiation therapy and ultrasonic fluoroscopic services.

  • Performed billing services to HMOs, PPOs, POSs and cash pay clients with a staff of 25, processing more than 4,000 claims per week.

  • Ensured that all data was obtained, analyzed and reviewed from 30 centers and was accurate with timely payments.

  • Spearheaded a taskforce that worked with each center, completing missing account information and increasing collected accounts receivable by 75%.

  • Followed up and expedited reimbursement by all providers.

  • Recruited, trained and scheduled staff, including evaluations, productivity, performance and discipline.

Flanigan & Harward, A Medical Corporation, Orange, California                                                       2004-2005

Office Manager

Restructured and managed day-to-day operations of a vascular surgeon medical practice comprised of three vascular surgeons, three interventional radiologists, one physician assistant, an onsite vascular lab and ten staff members.

  • Oversaw surgery scheduling, physicians’ schedules, medical records, orientation/training of new staff, and implementation of policies, procedures and workflows to ensure timely completion and payment of all assignments.

Universal Care Medical Group, Van Nuys, California                                                                         2003-2004

Office Manager

Managed all functions of the front and back office, medical records, and facilities for a medical group with 13 offices, contracting with 12 hospitals serving Los Angeles and Orange County patients.

  • Implemented an effective check-in/-out process that decreased patient complaints by more than 65% in a three-month period and increased patient satisfaction by 85%.

  • Managed and maintained provider schedules to ensure availability and easy access for patients.

  • Provided the facility manager and senior management with monthly updates on the progress of patient payments, health insurance and cash flow.

Alliance Imaging Inc., Anaheim, California                                                                        1998-2003

Supervisor, Patient Scheduling Services

Monitored and supervised the day-to-day operations of the Patient Scheduling Services Department for the largest provider of advanced outpatient diagnostic imaging services in the United States.

  • Gathered required data for the implementation and system setup for all new scheduling locations throughout the United States as well as the maintenance and updating of all scheduler files.

  • Managed a call center made up of 40 patient service representatives processing 500 calls per day.

  • Monitored staff productivity in the regional office.

  • Provided the site manager with analytics concerning the call center’s performance.

  • Trained patient service representatives, insurance verifiers, follow-up staff, administrative and clerical support in insurance verification, completion of data gathering, follow-up with vendors, service performance, productivity, staff employment issues and ordering medical supplies, including radioactive materials.

MedPartners Inc., Long Beach, California                                                                                           1996-1998

Regional Clerical Supervisor, Utilization Management

Led 45 utilization management coordinators and clerical staff providing authorizations and referrals for a medical group with more than 200 physicians. Provided continual support/updates to staff and clinical personnel concerning contracts, provider updates, referral processes and implementation within the Utilization Management Department. Maintained and coordinated payroll/time-sheets, staffing coverage, productivity analyses, yearly evaluations and monthly reports for the Regional Director.

HealthCare Partners Medical Group, El Monte, California                                                                   1991-1996

Ambulatory Care Coordinator (1994-1996)

Managed the company’s prime programs, including ambulatory case management; options program and oncology case management for a medical group with 40 offices and 500 physicians.

  • Maintained daily contact with physicians, social workers and nurses, facilitating and assessing patient eligibility, use of community resources and social support. Prepared and organized worksheet reports for the medical director and all committees. Represented the group with community agencies.

Correspondence Coordinator, Medical Records Department (1993-1994)

Managed and generated correspondence for the entire facility. Supervised the processing and resolving of patient and staff complaints.

  • Created a work environment fostering teamwork and a methodized system approach to handling patient records. Coordinated and reviewed medical charts for copying services, and processed disability forms, subpoenas and additional physician documentation.

Unit Clerk II (Float) (1991-1993)

Provided clerical services in all department units, including internal medicine, optometry, surgical specialties, radiology and registration. Assisted and supported the front office and patients.

EDUCATION

Cerritos College, Cerritos, California

Two years towards a Bachelor of Healthcare Administration  

Other Courses: Management, Budget Overview and Analysis, Team Building, Sexual Harassment, Leadership, Human Resources, Workers’ Compensation, CPR Certified (Course B)

Software: Microsoft Office Suite, IDX, CS-Link, Word Perfect, The Print Shop Deluxe, CMC, MED/MC, METS, TMR, PCN – Versyss, Medical Manager, PSI-Med, Cal-Med

Languages: Bilingual – English and Spanish

Super-Job-Search is a registered trade mark by Peter K. Studner. All rights reserved.
Copyrighted © Peter K. Studner 1997-2006
http://www.superjobsearch.com
Los Angeles - Burbank - Westlake Village - Irvine
Mailing Address: P.O. Box 241957, West Los Angeles, California 90024-9757
(310) 470-6688 - FAX (3