My name is Steve Sanders and I am an Operational Administrative Manager, with strong experience in Healthcare Management, Healthcare Benefits Management and Healthcare Business Management. I also have a great deal of experience with, and very much enjoy, face to face customer / patient services, retail sales, compliance and software oversight and training including HIPAA, SOX, the EEOC, the FDA the SEC and OSHA. My expertise in healthcare insurance and a clear understanding of various state and federal compliance agencies made me a viable and useful adjunct within the Human Resource Department. Over the past 30 years of employment I’ve delivered improvements to my employer's financial stability and have provided day to day patient / customer service that have contributed to my employer’s stability and growth. I also have a great deal of experience in Food Product Development, Manufacturing, Marketing, Sales and Distribution. I have strong experience in Individual / Team Project Leadership, contract implementation, oversight and negotiation.
1. STEVE SANDERS
91 Cantal Ct. Wheeling, IL 60090 847-590-8438 847-903-3277 smscantal@gmail.com
Operations Management / Policy & Procedure Development / Project Management
Performance-driven and accomplished professional, offering proven success managing day-to-day
operations for a large medical group with 10 clinics and 2 surgical centers. Responsibility for developing,
writing, and executing policies and procedures across budgeting, operations, scheduling, billing, and other
areas. Forecasted and managed budgets; oversaw expense management and control processes. Proven
success supervising team members to ensure adherence to key performance metrics and HR guidelines.
Core competencies include:
Team Leadership / Mentoring
Performance Management / Evaluation
Program Development / Management
Interpersonal Communication Skills
Efficiency / Productivity Improvements
Analytical and detail oriented
Clear understanding of SEC, SOX,
HIPAA,EEOC,FDA and OSHA
compliance.
Strategy Development / Execution
Cross-functional Collaboration
Daily Workflow Optimization
Oversaw billers and collectors who dealt
with ICD9/10 & CPT Codes on a daily
basis
Forward-looking Problem Solving
Overall focus and understanding of the
relevance of customer / patient service
PROFESSIONAL EXPERIENCE
INTEGRAMED AMERICA / (FERTILITY CENTERS OF ILLINOIS) / Central Business Office
Glenview, IL
(15 YEARS TOTAL)
REVENUE CYCLE ANALYST / PRIMARY SOFTWARE TRAINING SPECIALIST and
COMPLIANCE OFFICER (06/2007 – 04/2015)
Responsible for monitoring financial stability for a leading reproductive endocrinology group.
Coordinated and reported on all clerical and financial operations for 10 clinics and 2 surgical facilities.
Reviewed and verified claims and statements daily to ensure expeditious distribution. Communicated
regularly with clinic managers regarding financial, scheduling, and clerical issues to facilitate prompt
resolution and remediation. Responsible for training of all new employees on Misys, Allscripts systems
and the Microsoft Office Suite to ensure their competence in usage of these software products. My
training processes included face to face, classroom and Go To Meeting webinars. Also responsible for
Sarbanes Oxley and HIPAA compliance training and their oversight.
2. Selected accomplishments:
Established a weekly Performance Report that helped to recognize $80,000-$110,000 in
unbillable patient and insurance claims due to human error. As a result of my uncovering these
errors, I also put into place a solution that reduced our weekly, unbillable claims to $1,000-
$2,500.
Served as a key point of contact with all management personnel including the executive director,
financial officers, human resources team, billers, collectors, posters, and other colleagues to
ensure open and effective communication to maintain efficiency and financial solvency.
Highly skilled at interacting and communicating with patients, front office and clinical staff to
help maintain day to day continuity of care between our patients and staff.
Conducted detailed review of claims and statements to make any necessary adjustments to ensure
clean claims submitted for payment to minimize errors and lags.
HEALTH INSURANCE COORDINATION MANAGER (12/2000 – 06/2007)
Tasked with recovery of $3.2M in insurance claims that were 90 + days past due. Established
relationships with key contacts at various insurance companies that led to recoupment of $2.8M within
four months.
Selected accomplishments:
Established the Insurance Benefit Verification Program that entailed direct communication with each
new patient’s insurance company to determine exactly which medical services would and would not
be covered.
Met face to face with each new patient to discuss benefit findings so that they would know, prior to
treatment beginning, what to expect in regards to their personal financial obligation. Also, I helped
physicians to establish treatment plans that would fit within the patient’s insurance benefit guidelines.
Ultimately, I trained a staff of 18 direct reports to accurately perform patient’s insurance benefit
verification and communicate the insurance benefit verification findings with each new patient.
Established an Insurance Precertification Program in which I would notify, exchange clinical
information, and gain precertification (permission), before beginning any treatment for any insured
patient.
These efforts significantly reduced past due balances owned by insurance and helped maintain
accounts receivable manageability.
3. EVANSTON NORTHWESTERN HEALTHCARE, (ENH)
Glenview, IL
PRACITCE MANAGER (6/1996 – 12/2000)
Oversaw day-to-day operations for large medical practice with 8 internal medicine physicians and two
cardiologists. My staff also included registered nurses, medical assistants, lab technicians, billers, and
clerical personnel. Responsibilities included budgeting, insurance credentialing and coordination of care
between our patients and all staff members.
Selected accomplishments:
Ensured streamlined daily processes and workflows by effectively supervising support / office
staff and monitoring performance metrics.
Developed and implemented policies and procedures encompassing all areas of operations to
enable clinical staff to focus on patient care.
Acted as the liaison between the physicians of our group and the management heads at ENH to
insure that the clinical needs of our physicians were met and sustained and that the business
guidelines of ENH were upheld by our physicians.
Instrumental in transitioning our physicians and practice to a more compliant atmosphere
regarding the reduction of payments, gifts, honoraria, travel and other means which is now
recognized under state and federal law.
Coordinated and organized the necessary steps to assure certification from The Joint
Commission.
CANDELIGHT JEWELERS
Niles, IL
(Fine Diamonds, Precious Gem Stones & Precious Metals)
FINE JEWELRY SALES, DESIGN, APPRAISALS, REPAIR (6/1996 – Present)
This is my family’s business that was established in 1976. I have been volunteering there, part time, since
1996. During the time I’ve spent at Candlelight I’ve become very proficient in retail sales, diamond
grading, jewelry and watch repair and jewelry design. I have attended and completed diamond grading
classes with The Gemological Institute of America, (GIA) and have become quite proficient with a loupe
and many other “tools of the trade.”
4. ROADHOUSE INC.
Des Plaines, IL
FOUNDER and SENIOR VICE PRESIDENT (1/1991 – Present)
Selected accomplishments:
Established successful, worldwide distribution of four different varieties of Roadhouse BBQ
Sauce from the ground up.
Responsible for initial budgeting, production, sales, marketing and distribution of Roadhouse
BBQ Sauce.
Established and maintained relationships with distributors and brokers and retailers worldwide.
Worked closely with the FDA and private food chemists in development of our products
Contract negotiations
Inside / Outside Sales
EDUCATION & CREDENTIALS
UNIVERSITY OF ILLINOIS at CHICAGO ( 9/1981 – 6/1986 )
MS, Sports Medicine (in conjunction with Rush Presbyterian St. Luke’s Hospital)
BS, Kinesiology and Physiology, with minors in Psychology and Philosophy
BS, Education, K-12 Special Education
Member ofMENSA (2002)
Active member ofthe Leukemia Research Foundation since 1969
Certified Misys Super User
Technical Skills
Microsoft Office Suite - (Excel, Outlook, Word, Power Point, etc), SQL, AD-HOC,Artworks, Allscripts,
PayerPath,Laserfiche,Citrix, Misys,