Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Gloria Pollock

Scottsdale

Summary

Forward-thinking Bilingual professional bringing more than 10 years of experience working for fast-paced physician practices. Exceptional success driving financial improvements and revenue increases for large specialty practices.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Practice Administrator

Scottsdale Plastic Surgeons
2015.07 - Current

Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.

Developed job roles and descriptions to streamline practice endeavors to support growth.

Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.

Successfully recruited, hired, coached, and trained employees for new roles that produced results in areas of practice where lack of support was identified; overseeing several departments within the practice.

Conducted performance reviews regularly. Providing opportunities for improvement for work performance to ensure fewer turnovers. Amicably terminated employees that did not respond to needs of the practice and/or failed to be an extension of the practice’s ethics.

Organized regularly scheduled staff meetings to maintain exceptional patient care and minimize employee discontent. Relayed information to the owner(s) with detailed explanation of meetings to monitor success and address concerns.

Created organized bookkeeping methods to provide accurate reports. Reports included profit and loss, accounts payable and receivable balances, payroll, and employee benefits.

Oversaw medical benefits, 401k, commissions/bonuses and paid time off leave for staff and physicians on staff. Consistently meeting the financial needs of the practice that provided these benefits and minimized overspending for the owner(s).

Consulted with healthcare professionals on business decisions.

Effectively credentialed all required physician personnel for all health plans and hospital privileges. Maintained these credentials regularly to avoid lapse in coverage or reimbursement.

Carefully tracked all medical supply and retail supply purchasing; resulting in a reduction of overspending, theft, and improving the ordering process.

Applied, organized, and oversaw all steps of facility certification with the Arizona Department of Health Services and AAAHC; maintaining knowledge of all current and applicable laws and regulations to ensure compliance with all Medicare and AAAHC policies.

Established financial growth goals and consistently met those goals.

Reviewed patient survey details to quickly identify inconsistency and improve overall experience. Methods used were always positive and creative thinking encouraged; this allowed staff to be a part of the solution and not negatively reprimanded to keep employee morale positive.

Regularly maintained all medical equipment maintenance and adhered within the laws of the state to stay in compliance. Participated in facility inspections and following through with repairs in a timely manner.

Maintained all up to date training and certifications for infection control, critical incidents, risk management and improving patient, physician, and staff confidence in these areas.

Oversaw daily practice operations to guarantee seamless service delivery for patients and providers alike.

Addressed and remedied all patient or team member issues.

Provided supervision and management to team of support personnel.

Credentialing Specialist

North Valley Plastic Surgery
2013.12 - 2015.07

Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing.

Assisted with writing job postings and job descriptions for boards.

Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.

Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.

Enrolled providers and Medicaid, Medicare, and private insurance plans.

Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.

Maintained a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed.

Enhanced credentialing processes by streamlining documentation and verification procedures.

Conducted primary source verifications such as background checks and board certifications.

Facilitated communication between departments, resulting in improved collaboration during the credentialing process.

Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.

Prepared records for site visits and file audits.

Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail.

Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.

Proved successful working within tight deadlines and a fast-paced environment.

Practice Manager

Sonoran Medical Imaging
2005.05 - 2013.11

Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.

Addressed and remedied all patient or team member issues.

Scheduled surgeries, managed pre-certifications and verified insurance coverage.

Coordinated with insurance providers to streamline the billing process and minimize any delays in reimbursement.

Successfully negotiated client contract renewals to create increased revenue.

Collaborated with marketing teams to develop promotional materials that effectively highlighted the practice''s unique offerings.

Assessed processes and procedures, complying with OSHA, and HIPAA regulations.

Managed office budget, reducing unnecessary expenses and allocating funds for necessary improvements.

Reduced employee turnover by implementing competitive compensation packages and creating a supportive work atmosphere.

Trained interns and newly hired team members on office procedures and computer system.

Ensured compliance with healthcare regulations, maintaining up-to-date knowledge on industry standards and best practices.

Developed close working relationships with front office and back office staff.

Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.

Ordered all office supplies and kept check on inventory levels.

Increased patient satisfaction by streamlining appointment scheduling and implementing efficient check-in processes.

Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.

Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.

Oversaw accounting, budgeting, and financial reporting.

Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.

Negotiated contracts with vendors, securing favorable terms for the practice while maintaining quality service levels.

Implemented new electronic health record system, leading to increased efficiency in patient data management.

Addressed patient concerns promptly and professionally, demonstrating empathy and excellent problem-solving skills.

Acted as a team leader in group projects, delegating tasks and providing feedback.

Education

Bachelor of Arts - Communications

University of South Florida
Tampa, FL
05.2000

Skills

  • Credentialing Management
  • Bookkeeping
  • Basic Life Support for Health Care Providers (BLS)
  • Policy and procedure development
  • Employee Recruitment and Hiring
  • Electronic Health Records
  • Human Resources
  • Practice Management
  • Healthcare Information Systems
  • Medical personnel recruitment
  • Financial Reporting Coordination
  • HIPAA Compliance
  • Medicare Compliance
  • Risk Management
  • Employee Training Program
  • Decision-Making
  • Administrative Staff Supervision
  • Budgeting expertise
  • Staff Development
  • Payroll Administration

Certification

Certified Credentialing Specialist

Timeline

Practice Administrator

Scottsdale Plastic Surgeons
2015.07 - Current

Credentialing Specialist

North Valley Plastic Surgery
2013.12 - 2015.07

Practice Manager

Sonoran Medical Imaging
2005.05 - 2013.11

Bachelor of Arts - Communications

University of South Florida

Certified Credentialing Specialist

Gloria Pollock