Shannon Saunders, MBA, Paramedic, LSSGB
Director Of Business Operations at Florida Center For Allergy & Asthma Care- Claim this Profile
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Bio
Credentials
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Lean Six Sigma Green Belt
-Apr, 2018- Nov, 2024 -
Paramedic
Florida Department of HealthNov, 2016- Nov, 2024
Experience
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Florida Center For Allergy & Asthma Care
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United States
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Medical Practices
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1 - 100 Employee
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Director Of Business Operations
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Apr 1999 - Present
Multiple Positions Held:Director of Business Office Operations (2016 – Present) • Managed integrations through direct oversight of onboarding process improvement.• Created direct workflow for charge entry, payment posting (ERA / paper), billing and collections (insurance/patient) in order to increase productivity.• Established effective and strong business relationships with Office Managers, Director Team, COO, Board of Directors and outside vendors/reps to ensure current and future needs are met on a consistent basis.• Developed numerous successful protocols and procedures to improve employee and patient retention, growth strategy campaigns, reduced A/R and continue to promote company image in a positive light. • MIPS government reporting.• Gathered and analyzed financial data and reports.• Collaborated with Human Resources on hiring, training, counseling, evaluating, promoting, and terminating employees.• Collaborated with COO and controller for monthly and yearly budgeting and forecasting.• Oversaw the purchase of biological drugs, authorization, benefits, billing and collection.• Oversaw orders placed for specialty drugs and ensured patient compliance with FDA indications.• Enhanced incentive-based payment models to improve employee retention.• Established track record of in-house promotions due to peak job performance, flexibility, and creative ability.
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Director of Provider Relations
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Jan 2015 - Jan 2016
• Monitored healthcare insurance industry trends and their impact on private practice.• Evaluated patient health insurance usage and strategized ideas to increase patient flow.• Provided effective feedback to Board of Directors in regards to new potential growth.• Negotiated with health insurance payors.• Analyzed and provided evaluations on existing contracts.• Maintained knowledge of state and federal laws regarding managed care.• Assisted with managed care audits.
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Director Of Front Office Operations
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Jan 2007 - Jan 2015
• Direct Office operations for a 17-office practice located throughout Dade, Broward and Palm Beach counties. • Established effective and strong business relationships as well as patient relationships.• Led the implementation of HIPAA practice guidelines and protocols, was the HIPAA Privacy Officer, and maintained compliance with OSHA, EAP as well as practice parameters. • Prepared clear and concise analytical reports, workflows, training materials, policies and procedures, and analyzed data for management and staff.• Implementation of practice purchase/buyout; locating and securing new locations; including total build out and/or renovation of existing locations when needed. • Collaborated with Human Resources on hiring, training, counseling, evaluating, promoting, and terminating employees.• Established incentive-based payment models to improve employee retention.
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Executive Administrative Assistant
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Jan 2005 - Jan 2007
• Prepared clear and concise analytical reports and analysis of data for management.• Provided and maintained Director meeting minutes.• Assisted the COO and Directors with reporting, data collection, and development of process improvement activates.• Assisted executives with scheduling appointments and events.• Supervised the Credentialing Coordinator.
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Credentialing Coordinator
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Jan 2003 - Jan 2005
• Processed and managed all credentialing requirements for each physician, nurse practitioner, physician assistant, and the practice.• Tracked the statuses of all provider’s state licensures.• Established and maintained hospital privileges for all physicians throughout Dade, Broward, and Palm Beach• Established and maintained all health insurance contracts for all providers, including Medicare, Medicaid, Commercial, Private, Third Parties, Discount Plans, and Workers Comp.• Established a working relationship with numerous provider relations departments.• Maintained contract compliance.
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Collections Representative
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Jan 2001 - Jan 2003
• Contacted insurance companies regarding payment.• Worked with multiple insurance AR Reports daily to decrease the aging percentage.• Submitted medical records, letters of medical necessity, and documentation necessary for payment.• Worked with office managers regarding insurance issues.• Audited explanation of benefits for payor trends and denials.
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Patient Collections Representative
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Jan 2000 - Jan 2001
• Maintained a patient aging/AR of no more than 8% for 17 locations.• Worked patient collection AR reports for 17 locations.• Communicated with office managers regarding patient responsibility.• Generated monthly statements and collection letters for patients.• Setup patient payment plans and contacted patients regarding their balance.
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Front Desk Staff
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Apr 1999 - Jan 2000
• Greeted patients.• Prepared the office for opening operations and closing of the day.• Maintained and prepared charts.• Scheduled appointments, verified insurance benefits, filed and collected copayments.
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Dadeland Allergy Ear, Nose and Throat
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Miami/Fort Lauderdale Area
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Health Service Administrative Assistant
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Jan 1997 - Apr 1999
• Assisted the Administrator in managing a 2 physician practice with 7 full-time staff members. • Implemented, updated and maintained policies and procedures. • Upheld all physician credentialing, licensure, and staff privileges. • Maintained supplies/purchasing, maintenance and repair of all office equipment and furnishings. • Led managed care, posting, billing and collections. • Assisted the Administrator in managing a 2 physician practice with 7 full-time staff members. • Implemented, updated and maintained policies and procedures. • Upheld all physician credentialing, licensure, and staff privileges. • Maintained supplies/purchasing, maintenance and repair of all office equipment and furnishings. • Led managed care, posting, billing and collections.
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Education
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2018 -
Florida International University - College of Business
Masters, Masters in Healthcare Business Administration -
Miami Dade College
Bachelors in Supervison and Management
Community
