Crystal T. Email and Phone Number

Manages multiple units of ambulatory services. Ensures staff provides high quality, accessible, cost-effective care, and patient-focused services to members across the continuum, which comply with local, state, and federal requirements. Develops and maintains budgets and ongoing staff development.

Regional Business Office Manager directly supervises the Program Business Office Managers and Office Coordinators. Support and training of program business office personnel and is responsible for training, oversight, and monitoring the financial policy and procedure compliance in all assigned • Working knowledge of Social Security, Medicaid, and other government assistance programs, billing and reimbursement procedures, timekeeping and payroll procedures, and a broad knowledge of standard… Show more Regional Business Office Manager directly supervises the Program Business Office Managers and Office Coordinators. Support and training of program business office personnel and is responsible for training, oversight, and monitoring the financial policy and procedure compliance in all assigned • Working knowledge of Social Security, Medicaid, and other government assistance programs, billing and reimbursement procedures, timekeeping and payroll procedures, and a broad knowledge of standard office procedures.• Provides training to all new Business Office staff on fiscal policies and procedures to Program Administrators within the assigned region.• Assists in the formulation of Corporate fiscal policies and procedures and regularly monitors compliance by the programs.• Makes use of management practices that include empowerment of staff, the provision of clear and concise expectations regarding duties assigned to employees, frequent feedback focusing on both positive and problematic aspects of work performance, and other management practices that are consistent with Continuous Quality improvement• Provides coaching and development planning to assist assigned staff to achieve their professional goals• Reviews and analyzes corporate and program fiscal policies and procedures and makes recommendations for revisions and methods to increase efficiency and effectiveness• Establishes and maintains the job specifications and descriptions for assigned staff• Provides direction and policy interpretation to program staff on financial and administrative matters.• Manages assigned staff within allocated budgetary parameters and provides input into the development of the fiscal budget of the Regional Finance Department• Oversees business office operations, including sufficient auditing and review, to ensure compliance with Telecare policies and procedures uties and responsibilities may be added, deleted and/or changed at the discretion of management. Show less

• Responsible for the management activities of Primary Care and Pediatric clinics including hiring, disciplinary actions, patient flow and budgeting• Oversight for employees in front and back offices• Evaluate and implement Policies and Procedures as appropriate• Facilitate the implementation of care pathways in conjunction with clinical team • Perform quality assurance audits • Investigate Incident Reports• Conducts staff meetings, huddles and rounding• Attends and… Show more • Responsible for the management activities of Primary Care and Pediatric clinics including hiring, disciplinary actions, patient flow and budgeting• Oversight for employees in front and back offices• Evaluate and implement Policies and Procedures as appropriate• Facilitate the implementation of care pathways in conjunction with clinical team • Perform quality assurance audits • Investigate Incident Reports• Conducts staff meetings, huddles and rounding• Attends and participates in provider meetings• Ensures compliance with HRSA Requirements for FQHCs, HIPAA, OSHA & other regulatory agencies• Completes employee evaluations in accordance with NVHC policy and procedure• Managed two medical clinics for underserved communities in Las Vegas FQHC • Assist with organizing annual “Project Homeless Connect” fair for the homeless community Show less

• Responsible for the Las Vegas Metro Police Department account for United Health Care• Reviews high dollar claims for trends • Assist assigned Strategic Account Executive in updating internal databases, report requests and maintaining records• Organize and participate in Metro employee’s Health fairs• Track and update employee files for annual flu shots• Serves as information resource to customers, sales support, marketing and account management leadership • Prepare… Show more • Responsible for the Las Vegas Metro Police Department account for United Health Care• Reviews high dollar claims for trends • Assist assigned Strategic Account Executive in updating internal databases, report requests and maintaining records• Organize and participate in Metro employee’s Health fairs• Track and update employee files for annual flu shots• Serves as information resource to customers, sales support, marketing and account management leadership • Prepare Board meeting documents and agenda• Participate in appeal process Show less

 Created and maintained computerized record management systems, recording and processing data as well as generating related reports. Conduct intake interviews with potential clients regarding medical and substance abuse history. Liaised between patients and physicians, ensuring patient comprehension of treatment plans. Follow up with community resources regarding individual patients’ compliance on their mandated plans. Assist with financial… Show more  Created and maintained computerized record management systems, recording and processing data as well as generating related reports. Conduct intake interviews with potential clients regarding medical and substance abuse history. Liaised between patients and physicians, ensuring patient comprehension of treatment plans. Follow up with community resources regarding individual patients’ compliance on their mandated plans. Assist with financial agreements. Marketing Coordinate all aspects of the appeal process including gathering medical information from the acute hospital, assigning cases to providers, communication with hospital case managers and delivering outcome decisions to appropriate parties. Manage flow of the appeal to ensure timely results. Knowledge of the Medicare appeals process. Basic Insurance knowledge Verify Medicare benefits on the government database. Input and manage data in company databases. Provide resources to patients and families. Contributed to facility surveys and inspections by government agencies. Show less

•• Responsible for registering patients in various locations of the hospital including; Emergency Department, Labor and Deliver, Radiology and Front Desk• Verify insurance eligibility for both private and county programs• Activate medical records • Obtain signed treatment consent documents• Issue end of stay letters to patients • Provide customer services and wayfinding to patients and families • Participate in departmental initiatives to improve workflow.

•• Assist nurses by reviewing and preparing reports• Implement electronic record retrieval system which saved mailing fees and shortened time to receive documents into the building• Participate in Departmental Quality Assurance Program • Coordinate daily workloads by making and altering assignments as needed• Gather the necessary documentation and information to support the Root Cause Analysis process for issues involving work flow and claims management• Led a time study in… Show more •• Assist nurses by reviewing and preparing reports• Implement electronic record retrieval system which saved mailing fees and shortened time to receive documents into the building• Participate in Departmental Quality Assurance Program • Coordinate daily workloads by making and altering assignments as needed• Gather the necessary documentation and information to support the Root Cause Analysis process for issues involving work flow and claims management• Led a time study in an effort to improve work flow• Coordinate department training program to ensure compliance with company policies Show less