Adam Basua Email & Phone Number

Camarillo, Ca, Us

Ventura, Ca, Us

Created the referral department from a non-existing one and built team from ten referral coordinators to thirty over a five year span; Manage all functions of referrals management and surgery scheduling for Ambulatory Medicine; Direct oversight of Referrals and Surgical Scheduling Teams including: prior authorization submission to health plans, claims, insurance and billing; Scheduling surgery appointments with patients and coordination with Community Memorial Hospital; Communication to providers and patient of health plan decisions, patient care coordination and escalation management. Maintain department budgets and staffing ratios; Maintain standard production volume and develop plans to maintain service level agreements.; Employee Onboarding, training, directing and implementing procedure guidelines and workflow for efficient day-to-day operations in the department; Perform regular, random audits of real customer/scheduler calls to asses for performance and behavior benchmarks; Provide follow-up to staff, providers and health center managers as necessary; Provide daily reports to monitor productivity and key performance indicators ; Maintain expertise on EMR documentation/workflow and health plan requirements including benefits and coverage, network and authorized facilities, and authorization process. Regularly evaluates process to ensure workflow meets industry standards; Meets with staff regularly to emphasis and report on goals and accomplishments to date; Built a knowledgebase of guidelines for referral coordinators containing training aids, workflows, processes and video instruction of job duties.

Ventura, Ca, Us

Manage the team responsible for developing training materials and training of clinical managers, staff, physicians, and advanced practicing providers (APPs) on Altera TouchWorks EHR & PM Software; Coordinate the onboarding of new employees, physicians and APPs; Continual development, updating and streamlining of onboarding process to reflect changes in the organization; Maintain workflows for operations pertaining to EMR end users in compliance with policy and processes in the Ambulatory Medicine setting; Creation and maintenance of knowledgebase of education materials, workflows and diagrams of processes; Perform as a help desk by answering phone calls and responding to ticket submissions from outpatient end users for items such as: EMR/PM configurations and troubleshooting (including provider schedule buildout), Duplicate accounts, AAP Enrollment, FollowMyHealth, Hardware support, PatientLink, Radnet, Imaging services, Manager reporting analytics, RightFax, TouchChart, New site builds, etc.

Ventura, Ca, Us

Manage all scheduling functions for the Ambulatory Medicine Outpatient Health Centers, including direct oversight of Schedulers; Coordinate the efficient scheduling of patient appointments and ensure accurate provider schedules are maintained; Maintain department budgets and staffing ratios, new employee onboarding efficiency, and training, directing and implementation of office procedures, guidelines, and workflows for efficient day-to-day operations; Meet with staff regularly to emphasize and report on goals and accomplishments to date; Perform regular, random audits of real customer/scheduler calls to asses for performance and behavior benchmarks; Provide follow-up to staff, providers and health center managers as necessary; Provide daily reports to monitor abandoned call rate, call volume, wait times, etc; Built a knowledgebase of guidelines for scheduling with over 100 specialty providers in the CMH ecosystem.

Ventura, Ca, Us

Management to the operations of the Community Memorial Health Center in support of medical care; Coordinates patient care planning with other departments and centers as appropriate; Analyze, develop, implement and evaluate administrative and service delivery systems; Research and prepare a variety of reports and recommendations; Oversee Patient flow and create staff assignments accordingly; Monitor budgetary items; Prepare and coordinate activities that help to improve operations and change service delivery; Review patient assessments for completeness; Participate in Performance Improvement activities; Monitor charges, billing, daily patient schedules and statistics; Ensure organization is maintained throughout the clinic with prioritization of patient needs; Complete staff evaluations and competencies on an annual basis; Onboarding and training of new staff members and assisting with orientation and checklists; Responsible for ensuring productivity reports, statistics, notification forms and patient charges are completed.

Ventura, Ca, Us

Develop training materials and train clinical managers, staff, physicians, and advanced practicing providers (APPs) on Allscripts TouchWorks EHR & PM Software; Coordinate the onboarding of new employees, physicians and APPs; Continual development, updating and streamlining of onboarding process to reflect changes in the organization; Maintain workflows for operations pertaining to EMR end users in compliance with policy and processes in the outpatient setting; Creation and maintenance of knowledgebase of education materials, workflows and diagrams of processes; Perform as a help desk by answering phone calls and responding to ticket submissions from outpatient end users for items such as: EMR/PM configurations and troubleshooting (including provider schedule buildout), Patient Portal, Hardware support, PatientLink, Imaging services, Manager reporting analytics, TouchChart, New site builds, etc. Assist in managing and attesting for CMS Meaningful Use Stages 1 and 2 measures for 50+ providers in 12 clinics. Assist in training and coordinating P4P and HCC accountability for these same providers. Led a project team in the achievement of a Level 3 status for NCQA’s PCMH Recognition for 11 clinics. Assisted in coordinating development of PQRS Dashboard in Allscripts EHR.

Armonk, New York, Ny, Us

Joined the global services department of the 20th largest U.S. firm to continue as an infrastructure project manager. Additionally, was called upon to lead project management team’s intake of all new infrastructure projects in order to alleviate struggles between customer and IBM with communicating scope management, requirement gathering, and funneling a satisfactory amount of projects through work queue.

Indianapolis, Indiana, Us

(PM) Accepted opportunity within the nation’s largest health benefits company serving 34 million members throughout the country to lead cross functional teams in the execution of projects by leveraging sharp project management expertise. Key activities involve developing system architectures after defining customers’ needs and business requirements, establishing and maintaining relationships with internal and external business partners to provide technical and process solutions, serving as customers’ single point of contact for system issues, leading operational resolution efforts, and improving processes utilizing process engineering methodologies. Additionally, define scope of work, manage all project execution efforts, and develop project budgets, work plans, and staffing models.(Live Chat) Live chat technical support to Wellpoint employees.

New Braunfels, Texas, Us

Classroom instruction to adults on the following subjects: Windows 2000 & XP; Microsoft Project, Access, Word,Excel, FrontPage, and Internet Explorer.

Office & Sales administration; Phones; Calendar planning/coordination; Conduct sales meetings with clients;Complete finance, sales, and daily task reports; Web Design; Setup new web hosting accounts; Record meeting notes;Perform minor technical maintenance on company and client PCs; Phone tech support to clients.

Balneário Camboriú, Santa Catarina, Br

Telesales of computer hardware; Office administration; Customer service; Tech support; Equipment testing;onsite installation; Shipping and receiving.

B.S., Information Technology

A.A, Liberal Arts