I have been working in the healthcare industry for over 6 years. I have a Masters in Healthcare Administration from University of Phoenix, where I graduated with honors and a 3.98 GPA. More recently this past year I was interested in learning more and to help me become a better manager and find gaps in key performance metrics so I decided to get a Lean Six Sigma Black Belt Certification. This I received from Lawrence Tech University in November 2015. I am currently working at WSUPG as a Healthcare Operation Manager where I manage 6 clinics for the WSUPG with the front desk staff of 16 total employees. Some of the departments include Family medicine, OB-GYN, Infectious Disease, STD, TB, and the Neurosurgery department.

1. KAUSHAL PARIKH email: kaushalparikh.mha@gmail.com
43540 Hoptree Dr, Sterling Heights, MI 48314 (586)646-0328
EDUCATION:
University of Phoenix Masters in Health Care Administration / Informatics (Mar 2015) GPA: 3.9
Lawrence Tech University Lean Six Sigma Black Belt Certification (Nov 2015) Achieved
University of Michigan and Blue Cross Blue Shield Blue Care Network of Michigan
Lean for Clinical Redesign (Mar 2015) 30 Hours
Utica Community Schools Certification in Medical Billing & Coding (Dec 2010) GPA: 4.0
SUMMARY:
Health Care Operation Manager specializing in transformational leadership with capacity to grow with the
organizations mission, vision, and values. With several years of experience increasing operational effectiveness
by conducting and managing coordinated team effort to accomplish set goals, while improving patient experience.
Extensive knowledge in reading and interpreting medical terminology utilizing ICD 9, ICD 10, CPT 4 coding.
Strong understanding of Medicaid, Medicare, commercial/ managed care, Blue Cross Blue Shield, payer billing
and reimbursement processes.
TECHNICAL SKILLS:
Advanced Microsoft Excel, Word, Powerpoint, Outlook, ICD-9, CPT Coding, IDX billing system, EMR, LINKS,
CIS, Outlook, Other Certification: Certified Application Counselor
PROFESSIONAL EXPERIENCE:
Healthcare Operation Manager, October 2014 – Present Wayne State University Physician Group
 Analyze and identify improvement opportunities for management of day to day operations of multiple
clinics within the organization to help improve patient experience.
o Manage provider education regarding billing and meeting the meaningful use criteria
o Facilitate new processes and implementation of new technology by creating process workflow
and standardization within WSUPG
 Fundamental knowledge of lean process improvement techniques which include value streaming, 5S,
cause and effect diagram, 5 why diagram, SWOT analysis, and PDCA cycle
 Direct and support the front desk operations to improve billing and revenue cycle
o Manage front desk staff who's responsibilities include insurance verification, charge entry,
arriving, and checking out patients, and many of other functions that help improve revenue cycle
Financial Healthcare Counselor, April 2013 – October 2014 Wayne State University Physician Group
 Brought resolution to and maintained an average of over 500 patients accounts per month
o Managed, maintained, and resolved large balance accounts (balances range from $25,000+)
 Analyzed, evaluated and presented financial findings on patient regarding charity care
 Assist patients in establishing budgets to make monthly payments on their account
 Coordinate Insurance verification and billing by verifying ICD-9 and CPT coding
 Knowledge of billing cycle and electronic claims generation for different payers
 Conduct PowerPoint presentation and communicate with the public regarding the Affordable Care Act
and assist in applying for insurance through the marketplace or through the State website
Medical Office Associate, April 2012 – April 2013 Wayne State University Physicians Group
 Billing and Charge entry of patients visits according to physicians level of service and diagnosis
 Responsible for transfer of patients personally identifiable information and health care data for
coordination of care
 Generate invoices for a Multi Physician Office
 Electronically communicate with the physicians regarding patients request
 Assist patients in signing up for patient portals
Coding and Billing Specialist April 2011 - July 2011 S.A Patel MD, Internal Medicine
 Provide and apply coding principles using ICD 9 CM and CPT
 Knowledge of HIPPA compliance regarding patient privacy
 Past and current Accounts Receivables, includes rebilling denials, and dealing directly with insurance
companies for payments and posting electronic checks and patient payments
 Acquiring prior authorization for procedures with insurance companies