Resume - I have a progressive, diversified career in administration of compliance. Safety...

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PROFILE
I have a progressive, diversified career in administration of compliance. Safety, health insurance, physician practice management, new business start up and human resources. I possess a fervent ability to manage and train personnel, delegate responsibilities and develop programs for efficiency and compliance. I am very comfortable attending mediation, court as the company representative with or without the company attorneys. I can easily communicate (verbally or written) with high level professionals or those at entry level.

* New Business Start Up* Compliance* Physician Practice Management* Consulting* DOT* Management * Insurance - WC, Group Health, Life, Disability, Dental, Auto and General Liability
* Medical Billing* Human Resources * DOL* EEOC* OSHA* HIPAA* Safety

PROFESSIONAL EXPERIENCE

2006 – Current ABC Professional Tree Services, Inc
COMPLIANCE ADMINISTRATOR
* Implementing compliance programs for Safety Compliance, DOT, DOL, EEOC, OSHA,FMLA, Drug and Alcohol program and all related HR resolutions for a rapid growth start up (2003) tree trimming company that contracts with utilities in 23 states
* Completely developed DOT department by attending government sponsored training, work closely with clinics to implement protocol and DOT for drug/alcohol testing and physicals, keep current of all regulations
* Set up national occupational medicine account for cost effectiveness and efficiency
* Work closely with our corporate attorney and/or determine if we need the services of an attorney in another state and in which field of expertise
* Prepare, coordinate and attend court/mediation, etc for all legal cases

2004 – 2006 Rapid Return Electronic Billing
OWNER/MANAGER - see 1992 – 1995 (added HIPAA compliance)

1999- 2004 Fairmont Pediatrics & Associates
PHYSICIAN PRACTICE ADMINISTRATOR
* Start up administrator in 1996 and brought to a million dollar practice by 1998
* Transitioned office from being employed by Memorial Hermann to an independent practice
* Devised all clinic forms for completion of daily activities and set up appropriate billing codes and fees (ICD-9, CPT4, and HCPCS - all including proper modifiers)
* Supervised and managed all operations of a busy three physician office, including employees (clerical, medical support and physicians), insurance billing, referrals, vendor cost control, accounts receivable and payable, bank reconciliation, payroll and budgeting for maximum reimbursement
* Ensured physicians were currently credentialed and licensed for hospitals, insurance carriers, and all government entities, as well as updating the employed physician's contracts
* Maintained clinic for outstanding DOL, EEOC, OSHA and HIPAA compliance. HIPAA was mandated during my tenure
* Built strong working relationships with managed care risk management auditors to keep clinic in compliance with their regulations and requirements, including government entities of Medicaid and CHIP

1996 – 1999 Memorial Hermann Healthcare Systems
PHYSICIAN PRACTICE ADMINISTRATOR
Senior practice administrator for a medical management service that expanded, merged, and changed ownership and affiliates as follows:
April 1996 - June 1996 Texas Medical Management Services
June 1996 - July 1998 MSCH Health Network, Management Solutions
July 1998 - June 1999 Physician Practice Management Services (Memorial Hermann Healthcare Systems)

PROFESSIONAL EXPERIENCE CONTINUED – Sharon Fair

Responsibilities grew with each reconstruction, as the number and physicians employed and serviced increased, and were comprised of:
* Start up for physician practices in the specialties of Pediatrics, OB/GYN, Otolaryngology, Family Practice and Occupational Medicine
* Responsible for complete operational management for five different locations and practices
* Committee member involved in devising policy and procedure manuals for physician practices and compliance
* Transitioned smoothly for several practices to individual ownership from being employed by or managed by Memorial Hermann

1992 - 1995 Rapid Return Electronic Billing
OWNER/MANAGER
* Sole proprietor of physician practice management and medical electronic billing company
* Maintained compliance for OSHA, DOL, EEOC, managed care companies (including government affiliates) and physician credentialing
* Revision/update of office Superbill (CPT-4, HCPCS, and ICD-9 codes) to maximize reimbursement for analysis of revenue
* Fee analysis and organization of physician's office for minimal staff without sacrificing efficiency or medical care
* Vendor cost control for physicians

1986 – 1992 State Mutual Life Insurance
CUSTOMER SERVICE/CLAIMS SUPERVISOR
* Total responsibility for customer service unit and claims processing staff (operational duties and maintenance of personnel records)
* Field office reports, audits, referrals, adjustment of incorrect claims
* Built strong working relationships with sales representatives and potential/current policyholders
* Team member representing Houston field office for development of company wide procedure manuals for all divisions
* Monitored processing of group health claims for priority groups or groups with special customer service needs

1982 - 1984 CNA Insurance Company
AUDITOR/TRAINER
* Maintenance and reporting of field personnel records to the home office
* Audit of group health examining staff
* Assisted on development of company wide procedure/policy manuals
* Trained new examiners in processing procedures of medical, dental and disability claims in the transition from manual to computer payments

1979 - 1982 The DIA- LOG Company
HUMAN RESOURCES/BENEFITS ADMINISTRATOR
* Maintained personnel records and responsible for handling workers compensation claims, group claims for 450 employees (Texas and other states)
* Ensured current OSHA and DOT compliance reports and records
* Licensed a national fleet of vehicles in a number of states
* Processed expense reports and accounts payable invoices

1974 - 1979 Trust Fund Management Group
CLAIMS MANAGER
* Complete supervision of claims personnel
* Group medical, dental, life and disability payments for a third party administrator servicing various unions, which required record keeping of member's eligibility hours
* Monthly bank statement reconciliation

EDUCATION: Sam Rayburn High School - Graduated, Pasadena, Texas
San Jacinto Junior College- Attended 2 years, Pasadena, Texas
Numerous educational and training seminars throughout the years

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