Rene' Bowden, Mba Email & Phone Number

Suwanee, Ga, Us

Greater Atlanta Area

Oversees and directs daily operations for optimum efficiency of computer retail and repair business. Manages employees by providing feedback, positive reinforcement and/or suggestions to improve productivity. Follows and helps implement organization policies and regulations. Assists Co-Owner/CEO in developing and managing the overall mission of the business and ensure practices are in place to enforce this mission from the top down. Assists Co-Owner/CEO in analyzing financial data and works to maximize revenue and reduce costs. Works with HR to ensure employee satisfaction is high (incentive programs) and productivity continually increasing. Works with Co-Owner/CEO to discuss and execute strategic planning for the business. Manages inventory production and works with vendors to secure goods and distribute them; frequently evaluates and analyzes business productivity and performance accordingly.

Brockton, Ma

Coordinated all compliance, accreditation and regulatory issues pertaining to the operation of the health center, in conjunction with the Management Team and under the direction of the CEO. Researched and cross-referenced with Joint Commission, HRSA and other regulatory bodies to determine best ways to meet and implement compliance issues. Developed, implemented, oversaw and evaluated all aspects of the health center’s Corporate Compliance and Risk Management programs. Chaired monthly compliance meetings and reported Corporate Compliance and Risk Management plan to Board of Trustees quarterly. Conducted in- service audits regularly to educate staff on Joint Commission and HIPAA matters. Ensured credentialing expirables of all providers are current and maintained in a complete and timely manner. Prepared all aspects of credentialing packages for both new and renewing providers in accordance with the Credentialing and Privileges policy, to be approved by the Credentialing Committee Board. Ensured delineation of privileges were complete with required documentation and approval.

Greater Atlanta Area

Coordinated, lead, monitored and maintained the provider enrollment, credentialing and re-credentialing processes of hospitalists, locums and telemedicine providers in various states. Facilitated and monitored all aspects of Eagle Hospital Physicians’ and Locum Connections’ credentialing, including initial appointments, re-appointments, expirables, clinical privileging for Medical Staff and Allied Health Professionals, ensuring compliance with the Joint Commission, CMS, Federal and State, as well as, Medical Staff Bylaws, policies and procedures and delegated contracts, in addition to, enrolling new providers contracted with Eagle Hospital Physicians, Locums Connections and various practice locations with Medicare, Medicaid and Managed Care carriers nation-wide. Maintained accuracy and integrity of the SyMed credentialing database system and related applications to optimize efficiency when reporting and documenting providers’ data; submitting and retrieving National Practitioner Database reports in accordance with the Health Care Quality Improvement Act. Responded to inquiries from other healthcare organizations, interfaced with internal and external customers on day-to-day provider enrollment and credentialing privileges issues as they arise, including providers’ attestations and re-attestations through the CAQH Proview system.

Stone Mountain, Ga

Manage, analyze, interpret and transform data into accurate, consistent and timely information while balancing the strategic vision with day-to-day details of the Data Management Plan (DPM), ensuring it is followed according to the study design and requirements on a State and National level, utilizing Nextgen EHR and EPM. Observe and enforce all company policies, rules and safety practices. Assists in the defining and creating of data listings, summary tables, data specifications, and processes in preparation for statistical review and data management audits. Develops forms for receiving, processing and/or tracking of clinical data. Prepare and present all data projects, including the participation of conference calls and meetings related to the Medical Director, Director of Nursing, CFO and CEO of Oakhurst Medical Centers, Inc..

Atlanta, Ga

Enforce regulatory compliance and quality assurance by ensuring all provider information meets Georgia state guidelines when processing CAQH applications. Interact with providers and their staff in retrieving pertinent missing information for providers to be credentialed in Medicaid-based health insurance group. Maintain all records, documentation and accreditation of the CAQH application process and verify all is up to date in Facets and SAPI databases

A teaching hospital for Harvard Medical School. A Thomson Reuters 100 top hospitals award winner.Coordinated scheduling of surgeries for 54 surgeons sharing four surgical suites. Worked closely with individual practices to promote strong working relationships, and determine optimal surgical schedules. Trained surgeons’ staff in proper scheduling procedures, including required medical information. Interacted with Admitting and Pre-Admission Testing departments to facilitate timely scheduling of surgeries. Compiled monthly statistics on individual surgeons; updated/changed blocks to accommodate more active and new surgeons; and reported trends in surgical block usage to Administration. Served as liaison between surgical and anesthesiology offices to ensure required tests were completed and appropriate medical information was obtained. Assisted operating room, pre-operative and recovery room nurses with entering data, retrieving labs, answering phones, and transporting patients to and from OR. Billed all OR charges, including pricing of implants and all other charges related to surgical cases.

Greater Atlanta Area

Magazine publishing companyReported to CEO in managing the day-to-day operations of the Sales department, directing nine employees, and overseeing budgeting, payroll, accounts receivable, accounts payable and direct mailing for department. Hired Sales Consultants, and conducted cross-functional training. Coordinated shipping/receiving functions and responded to inquiries regarding status of purchase orders. Increased revenue for publishing business by 30% during course of employment. Developed and managed marketing segment of Internet website, and created new filing system that increased efficiency in file management and upheld intellectual property standards.

Greater Boston Area

Principal teaching hospital for Tufts University - Formerly New England Medical CenterCoordinated operations of Primary Care and Geriatric Clinics; assisted in the development and implementation of healthcare policies; and organized and planned staff meetings and events for General Medicine Department. Supported activities of two physicians providing health care to patients in nursing homes, rehabilitation centers, and private residences. Coordinated geriatric patient admittance into rehabilitation centers and nursing homes and dissemination of patients’ prescriptions to various pharmacies. Provided health facilities with physician’s updated CVs and credentials; and interacted with rehabilitation center and nursing home staff regarding patient care and additional medical needs. Prioritized coverage for clinics when short staffed; and worked with health insurance companies regarding authorized coverage, required referrals, and prior approvals.

Roslindale, Ma

Geriatric facility affiliated with Harvard Medical SchoolCoordinated Out-patient Clinic for nine Geriatricians, and assisted elderly patients and family members in obtaining medical treatment and other services. Contributed to the implementation of the Clinical Master/SMS clinical patient registration system, scheduled patient appointments, updated and verified CPT and ICD 9 diagnostic codes to ensure accurate billing. Coordinated physicians' meetings and bi-weekly clinic meetings to ensure efficiency and quality in clinic and home care services operations. Interfaced with affiliated housing sites pertaining to patient care, and managed physicians’ off-hour on-call schedule. Assisted new hires in cross-functional training to ensure excellence in service. Oversaw editing of dictated notes, retrieval of labs, x-rays, and other pertinent results for patients' charts to be reviewed by physicians. Maintained inventory of clinical supplies, and supervised verification of patients' insurance coverage. Created and organized new filing system to increase management efficiency and ensure top quality service in patient care.

Greater Boston Area

Primary teaching affiliate for Boston University School of MedicineCreated process to facilitate examination of walk-in patients during clinic hours. Supported and trained new personnel on IDX and SDK systems to schedule patient appointments, update patient information, and pull lab results. Answered multi-line phone system; verified approvals for HMO and Managed Care patients; and maintained patient clinic files and medical records.

Mba, Business Administration / Health Services Management

B.S., Business Administration / Health Services Management

Honors and Activities Dean’s List: Most trimesters, 2004 – 2007

Healthcare Executive Workshops

Attend various healthcare executive workshops including: Strategy Development ● Organizational Leadership Process Management ● Staff Focus.