A Detailed Guide On Medical Billing Outsourcing.pptx
Healthcare Leader Gloria Ajayi Resume
1. GLORIA AJAYI
*Cell: 801-347-0057 *Email:GLORIA_AJAYI@YAHOO.COM * http://www.linkedin/in/gloriaajayi
PROFESSIONAL SUMMARY:
ObtainedaMaster’sdegree inBusinessAdministrationwithaconcentrationinHealthcare Managementwith
Universityof Phoenix. Have over10 yearsof experience workinginthe Healthcare industry,whichincludestime
workingwithpatients,electronicmedical records,andhealthinsurance matters,withvariousleadership
opportunitiesincludingsupervisingothers. Iamcurrentlya Tax Examinerwiththe USDepartmentof Treasury.
Skills
As a managerof a recognizedelectronicmedical records(EMR) team, wasable toimplementanew systemto
converthard copyrecords to digital records,thusimprovingcompanyefficientover60%,$1.5MM, thisincreased
profitandimprove patientcare significantly.
Consistentlyexceedingjobperformance objectivesbyleading byexample,leadourdepartmenttosuccessfully
complete ademandingmedicalrecordsproject.Thisresultedinourfirmbeingcompletelyconvertedto
acceptedelectronicmedical recordsstandards.
By usingmodernmanagerial techniques,teammembers of fifteenwere trainedonthe ‘Best Practices’of daily
organizational priorities.Thisresultedinamajorincrease inprofitability.
ProficientinMicrosoftOffice/SharePoint;SQL;QNXT/ANG; Merit,STM,QTC & electronicmedical records.
AREAS OF EXPERTISE:
Budgeting/Reconciliation
Consulting
Medical Records
Marketing
Healthcare Software
Directing/Planning/Organizing
Financial Planning
Healthcare Regulations
Leadership/Decision Making
Personnel Management
Quality/Inventory Control
Research & Development
Contract Negotiation
Personnel Management
Compliance
PROFESSIONAL EXPERIENCE:
AccountManagerAssistant,Clinical HealthServices,
ProgramSupportCenter,Federal Occupational Health,
U.S. Department ofHealthand HumanServices Feb. 2016-Present
Coordinates service delivery withprogram services providers including timely review and activity of service
provider fulfillment to ensure accurate and timely billing to the organizational system. Managed journals,
reconciliation statement, and all financial accounts in order to keep a checkon the financial condition of the
organization.
Interact with customers regarding billing questions, and resolve uncollected charges.
Manage a work group to ensure quality assurance is performed according to agency standard.
Generates customer specific reports that capture utilization and activity under designated agreements
and scheduling services for agencies as requested.
Error ResolutionTax Examiner,U.S. Department of the Treasury Jan. 2014-Jan.2016
Examinedtax returnsfiledbyindividual andsmall business.Confirmedthattax payers are claimingthe appropriate
deductionsandcredits,andassesspenalties,interestandfeesasnecessary.
Reviewed 200 filed returns daily to determine if Credit/Deductions were correctly applied.
Investigated legal instruments and financial transactions in compliance with ELMS regulations.
2. Resolve discrepancy with the Taxpayers, by contacting and requesting verifications, customer service.
Analyze Tax Assets, and Liabilities, and returns to determine appropriate audits
Health Service Associate,ProviderInquiry Department,MolinaHealth Nov. 2012-Dec. 2013
Managed employees,oversee billingandinsurance filing,maintaineddetailedrecords,andserve asa liaison
betweenadministratorsandmedical staff.
CollaboratedwithanExecutiveDirectoranddepartmentleaderson improving7physician’sbillingreporting
accuracy through ANGSystem.
Workedand communicatedcloselywithvariousdepartments,toauditrecords,developasustainable budget,
improve dataprocessing,andanalyzedstatistical reports.
Communicated with Executive Director and Departmental heads on projects and prepared reports on
Medical Centre Finances, budget preparation and statistical analysis for presentation.
Ensured departmental compliance with company and government policies.
Personnel Management including Recruiting, On boarding, Evaluations, and Scheduling of ten
employees.
Claimprocessing and assisted in maintaining the departmental petty cash.
Audited provider records for quality and financial accuracy.
Medical Record and Imaging Manager, Health ManagementSystem Dec. 2010-Oct. 2012
Performeddutiesrelatedtoreceipt,intake,andscanning,indexing,qualitycontrol,informationarriving,andleaving
the medical record file unit.
Managed andsupervisedemployeeteamsfromrecruitingtonew hire orientationtoin-depthtrainingtocareer
promotion
Trained and supervised 5 employees on automated data-processing of medical records.
Worked for 7 physicians review work to accuracy, and evaluate patient statuses.
Worked on financial and operational management.
Healthcare Assistant, VeteranAffairsSalt Lake CityHealth Care System Jan. 2009-Nov. 2010
Monitored patient’scondition,takingpulse temperature,respiration,andweightreading.
Communicatedwiththe Admittingstaff toensure patient’srecordswere properlydocumented.
Documentedandupdatedmedical recordforpatientsandDoctorsreferences.
EDUCATION
Masterof BusinessAdministration (MBA), Healthcare Management,Universityof Phoenix;Feb.2014
Bachelorof Science, HealthcareAdministration,Stevens-HenagerCollege;Dec.2011
PROFESSIONAL MEMBERSHIP
Universityof Phoenix Alumni,
Member,HonorsSociety
National Associationof WomenMBA’s
WomenEntrepreneurs, Women
ProfessionalNetwork,
People HelpingPeople,andFuture
BusinessLeaderof America