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Work Experience

2023-02present

Healthcare Management Consultant

M.T. FIORE & ASSOCIATES, Oreland, US

Managed medical practice operations including primary care and specialty practices, improving efficiency through best practice protocols and effective financial management. Evaluated financials and performance while leading a team of 60 administrative and clinical staff. Forecasted growth and coordinated the addition of two new providers. Projected and extrapolated revenue forecasting, expense budgeting, and ACO forecasting. Automated pre-authorization process for specialty practices. Managed credentialing processes, as well as APP workflows and protocols. Employed Sam.gov for specialty practices and managed interactions with federal payers and federal payer programs. Streamlined office and surgical schedules to optimize efficiency.

  • Executed budget analyses, P&L management, and management of AR/AP; 91% of AR less than 90 days, 35% increase in fee-for-service collections; gross profit increase of $210K.
  • Developing Day-Forward department operations, budgets, annual operating plans, and workflows through systematically analyzing current operations to identify areas for improvement, focusing on efficiency and cost-effectiveness resulting in 150% net income growth.
  • Conduct operational audits to determine productivity and utilization improvements; 68% decrease in administrative staff member overtime.
  • Aligned with vertical partners for specialty practices reaching 80% care gap closures and management of existing vendors including updating contracts.
  • Decreased vendor contract by 113%.
  • Eliminated physicians' administrative operations tasks increasing gross profit by 15%.
  • Revaluated staffing by auditing workflow and tasks eliminating the need for additional human capital.
  • Increased net income 157% by improving onsite billable hours.
  • Provided expert guidance on the implementation and optimization of medical technology systems within client health facilities.
  • Developed and implemented strategies for clear communication within the team, resulting in improved operational efficiency.
  • Experience in implementing and developing plans, improving overall business processes, and contributing to the successful turnaround of struggling departments as a seasoned Management Consultant
  • Primary ACO representative focused on enhancing key performance indicators and patient care.
  • Implemented disciplined strategies to improve the healthcare delivery system, leading to an overall patient satisfactory rating of 96%.
  • Increased net income for client by 300%.
2020-012023-01

Practice Administrator

POINTE PRIMARY CARE, Lewes, US

Managed daily operations and business development of Sussex County's largest private primary care practice (at the time). $4M+ annual revenues, enhancing productivity and efficiencies. Streamlined workflows, reduced costs, and updated policies. Resolved organizational issues and ensured compliance with HIPAA and OSHA. Served as Managed Services agent.

  • Enhanced profitability resulting in a net worth increase from -$800K to $400K.
  • Introduced Value-Based Care (VBC) improving healthcare quality and reducing costs; 400% shared savings increase.
  • Developed strategic plan and facilitated closing of care gaps surpassing the ACO's goal of 80% closure.
  • Established systems to improve finances during Covid reducing debt by $400K and a savings of $42K in interest using stellar management skills.
  • Oversaw all financial aspects of AP and AR with 90% of AR at less than 90 days; recorded and monitored transactions in QBs.
  • Increased net income 767% by reducing debt and increasing productivity.
  • Coordinated acquisition of original owner's shares ensuring airtight documents such as stock power, stock pledge, security agreement, and stock purchase agreement.
  • Formulated and reviewed budget with accounting firm to ensure accurate financial data.
  • Created and negotiated contracts for goods and services including provider compensation, employment agreements, BAAs, technology managed services, MFPs, maintenance, and janitorial services.
  • Established and maintained professional relationships with Legal and Accounting firms improving internal investigations, negotiating settlements, reviewing contracts, and establishing a compliant Human Resources department saving $78K.
  • Managed multiple client relationships, leading to increased patient satisfaction and repeat business.
  • Exercised strong ability to maintain confidentiality while overseeing sensitive company operations and personnel issues as the human resources agent.
  • Implemented new training programs and procedures to enhance customer service skills among the staff leading to improved company reputation.
2018-052019-12

Operations Manager

FIRST STATE ORTHOPAEDICS, Newark, US

  • Managed operations for a 27+ physician orthopaedic practice with five sub-specialties, generating $64M in revenue across 10 offices. Responsible for negotiating managed care plans, ensuring regulatory compliance, and overseeing recruitment and development of clerical staff.
  • Assisted CEO in developing and implementing strategic plan for entire organization.
  • Enhanced operational effectiveness through cost containment and high-quality healthcare.
  • Assisted supervisors in implementing policies and procedures resulting in consistent processes and open communication.
  • Established and maintained an efficient patient flow system implementing new scheduling software.

Education

Doctorate

Capella University

Administration

Master of Arts

University of Phoenix

Education

Bachelor of Science

University of Texas

Biology Chemistry

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Qualifications

Core Skills

Athena, NextGen, QuickBooks (QBs), Medical / Surgical Coding, ADP, Web Design, ChartMaker, Microsoft Office, Delaware Health Information Network (DHIN), Statistical Package for the Social Sciences (SPSS), Bamboo, DASH, Phreesia, Veradigm

Certifications

  • Certified Medical Practice Executive (current)
  • Certified Medical Compliance Officer (current)
  • Certified Medical Coder (current)
  • Lean Six Sigma Certificate (current)

Associations

  • Medical Group Management Association
  • Practice Management Institute
  • Society for Human Resource Management

Volunteer

Co-Chair Board of Directors DE/DC/MD (current)
Medical Group Management Association

Board Members aim to enrich experience within DE/DC/MD chapter by sharing industry updates, facilitating advice exchange and brainstorming sessions, and announcing forthcoming events and opportunities.