Monique Thomas, Mha, Chpc Email & Phone Number

United States

Dallas-Fort Worth Metroplex

Frisco, Texas

Perform periodic reviews for departments throughout hospitals to certify compliance with regulatory laws, client guidelines, and internal policies and procedures by identifying risks and ensuring corrective actions plans are put in place.• Streamlined team efficiency and effectiveness by creating processes, templates, and procedures to ensure each review was conducted the same and timely.• Partnered and collaborated with leadership and business partners to enhance business processes based on monitoring results which effectively integrated compliance into daily business operations.• Prepared and presented comprehensive reports to upper management and operations covering issues and recommendations which mitigated risk within the organization.• Conducted investigation of privacy incidents and ensured timely reporting to government regulatory agencies and patients, developing appropriate disciplinary action and corrective action plans.

Texas

Supervised 15 remote Care Continuity Coordinators to ensure patients received any additional tests, images, and/or consults with specialists removing barriers to care to improve overall health outcomes. Delivered monthly reports to hospital program sponsors (COO, CFO) at over 9 hospitals in Texas (DFW/East TX/El Paso) to assess program performance and improvements.• Identified key performance barriers and trained staff, maximizing operational goals and allowing timely follow-up with patients.• Provided direction to staff on issues/questions relating to Care Continuity program and marketed program to physicians and self-pay clinics, ensuring more patients were able to be assisted and decreasing patients return to the hospitals by over 60%.• Developed team communications and information for monthly meetings, certifying all coordinators received most up to date information, including new physicians in the area, payer related concerns/updates, new clinics and open positions.2018 – Present • Handled administrative responsibilities, including hiring and training staff, attendance, schedules, performance, payroll responsibilities and ongoing staff development, enabling efficient program operations.

Frisco, Texas

Supervised 10 Financial Advocates to ensure financial assistance applications were reviewed according to 501(r) regulations and financial assistance policy. Communicated the monthly financial assistance write-offs and assessed appeals for approval with multiple market leaders, CFOs, and other key individuals. Implemented improvements to CHI Financial Assistance department processing by establishing more efficient workflow improvements, process changes, and increased focus on customer and client satisfaction.

Frisco, Texas

Monitored nursing and operations of support departments to ensure residents' needs were met, facility was properly maintained according to Department of Health and Human Services standards, and admission process was completed correctly which resulted in Deficiency-Free surveys. Organized monthly marketing blitzes to establish positive relationships with families, health care providers, physicians, community members, and hospital personnel.• Identified census challenges and barriers and worked with external marketer to develop and implement strategies to meet census and payer mix goals, ensuring daily census was always at or above 90 residents at the 118-bed facility.• Coordinated and maintained up-to-date information on market and competitors to include pricing, census information, product information and sales strategies, certifying facility was always a contender with other facilities for families looking for a skilled nursing facility.• Maintained working knowledge of Medicare, Medicaid, managed care and private pay criteria for admission, verified insurance benefits, obtaining preadmission approval from 3rd-party payers, and using MVP Live to check Medicare eligibility to ensure payment for the persons’ stay.• Obtained medical records via All scripts, conducted interviews to obtain information about patients, and reviewed preadmission paperwork for accuracy and completeness prior to resident's admission, enabling facility to care for the patient when patient arrived.

Master Of Arts (M.A.), Health/Health Care Administration/Management

Bachelor Of Science (B.S.), Criminal Justice