Barbara A. Shelley

Director of Reimbursement at North Ottawa Community Health System
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US

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Experience

    • Hospitals and Health Care
    • 100 - 200 Employee
    • Director of Reimbursement
      • Jan 2015 - Present

      At North Ottawa I'm responsible for submitting and gathering all the information for the governmental cost reports which includes all audits for the hospital. I'm also very involved with patient financial services which includes the revenue cycle focusing on helping increase the net revenue by assuring compliance with payor contracts and help educate patient financial services on how this could be accomplished. I also have duties for the monthly contractuals, charge description master and oversee finance employees.

    • United States
    • Hospitals and Health Care
    • 100 - 200 Employee
    • Finance/Client Relations Specialist
      • Sep 2008 - Dec 2014

      In this position I completed a monthly contractual model, helped prepare annual budgets, tracked revenue, reporting, payments, denials and forecasting. In addition, I was responsible for maintaining client relations with six hospitals through monthly visits, generating reports, education for hospitals systems that were company purchased to use. All of this data was presented to hospital senior management. In this position I completed a monthly contractual model, helped prepare annual budgets, tracked revenue, reporting, payments, denials and forecasting. In addition, I was responsible for maintaining client relations with six hospitals through monthly visits, generating reports, education for hospitals systems that were company purchased to use. All of this data was presented to hospital senior management.

    • United States
    • Hospitals and Health Care
    • 500 - 600 Employee
    • Senior Reimbursement Specialist
      • Jan 2005 - Aug 2008

      I was responsible for monthly balance sheet and profit and loss reconciliation based on the monthly contractual for the hospital that was assigned to me. Also, I was responsible for preparing governmental cost reports for a health system that had annual net revenue of over a $1 billion dollars. This process consisted of the gathering and reviewing all of the documentation for all the cost report worksheets, input, and submission for Medicare, Medicaid and Blue Cross. This includes the weekly managing of healthcare contracts and insurance paid claims to make sure payments were correct.

    • United States
    • Hospitals and Health Care
    • 100 - 200 Employee
    • Reimbursement Specialist
      • Oct 1996 - Nov 2004

      At this hospital I was responsible for submitting and gathering all the information for the governmental cost reports I was also very involved with patient financial services which includes the revenue cycle focusing on helping increase the net revenue by assuring compliance with payor contracts and help educate patient financial services on how this could be accomplished. Worked hand and hand with hospitals audits. At this hospital I was responsible for submitting and gathering all the information for the governmental cost reports I was also very involved with patient financial services which includes the revenue cycle focusing on helping increase the net revenue by assuring compliance with payor contracts and help educate patient financial services on how this could be accomplished. Worked hand and hand with hospitals audits.

    • United States
    • Hospitals and Health Care
    • 500 - 600 Employee
    • Reimbursement Accountant
      • Oct 1988 - Sep 1996

      At this hospital I was responsible for submitting and gathering all the information for the governmental cost reports. Also, at this time two hospitals were going through a merger to become one and with that came many governmental audits that I was very involved with auditors and senior management. At this hospital I was responsible for submitting and gathering all the information for the governmental cost reports. Also, at this time two hospitals were going through a merger to become one and with that came many governmental audits that I was very involved with auditors and senior management.

Education

  • Western Pacific University
    Bachelor's degree in Finance, Finance
  • Western Pacific University
    Masters in Business Adminstration

Community

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