Implementation Manager

• May 2022 - Present

Senior Consultant & Manager, Practice Development

• Mar 2021 - May 2022

Manager, Practice Development

• Aug 2019 - May 2022

•Serve as the organization's lead consultant to guide organizations of varying sizes and practice models to promote efficiency, optimize their workflows, refine revenue cycles, and transform clinical practice.•Lead projects and initiatives aimed at improving various aspects of practice within a home-based care program.•Provide subject matter expertise to develop curriculum, activities, resources, and tools that meet the needs of providers and practices.•Serve as HCCI faculty teaching at national conferences and educational workshops.•Directly collaborate with practitioners and practices across the country to provide technical assistance related to starting, growing, or improving home-based care models.•Conduct practice assessments, chart audits with education, customized consulting, and coaching tailored to the needs of individuals and organizations.•Assist new and established programs with implementing and optimizing care at home models, including providing action plans, assisting with timelines, evaluating operations, identifying best practices, and maintaining constant communication to maintain progress and provide additional guidance in each step of implementation.•Develop and maintain meaningful relationships with individuals and practices who engage with HCCI, serve as a trusted advisor who understands their needs, and promptly provide support and guidance.

Research & Practice Improvement Specialist

• May 2018 - Aug 2019

•Serve as a key contributor on projects and initiatives to improve various aspects of practice within a home-based care program.•Provide subject matter expertise to develop curriculum, activities, resources, and tools within the scope of practice management, operations, coding, revenue cycle, and documentation compliance.•Effectively reconnect with learning attendees and assess what further solutions and services HCCI can provide.•Directly collaborate to provide guidance and support to others working in the field or interested in starting, growing, or adding home-based care to their service delivery models.•Collect and analyze feedback from past learners and prospects to identify needs and recommend evidence-based best practice solutions and services.•Investigate and coordinate opportunities for HCCI to align with national research projects, data registry efforts, and/or measure development initiatives that will advance the field of home-based care.

Practice Operations Manager

• Dec 2015 - May 2018

•Oversee daily operations while creating problem-oriented solutions.•Directly oversee patient service representatives, clinicians, and support staff.•Create and manage provider and staff schedules, ensure that productivity standards are met, and maintain sufficient coverage.•Lead the department implementation of Chronic Care Management, Transitional Care Management, and Prolonged Services to ensure billing requirements were met and appropriate workflows were optimized.•Redefined administrative workflows and performance standards along with creating a new hire onboarding and training guide.•Responsible for handling daily charge review and claim edit workques.•Responsible for managing insurance denials, addressing outstanding balances, and overseeing and processing payments for the Patient Assistant Fund.•Train new hires & identify workflows that require process improvement while creating training and reference guides.•Collaborate with outside vendors, referral sources, and senior leadership.•Apply problem-solving thinking to listen and address patient concerns while ensuring the prevention of future occurrences.•Organize and lead monthly department meetings.•Attend quarterly leadership development retreats and participate in readiness conference calls to identify areas of concern that require action planning.•Subject matter expert in insurance to ensure accurate registration and resolve errors.•Lead the department EMR upgrade and merger implementation from Cadence Health to Northwestern Medicine

Patient Financical Specialist

• Nov 2014 - Dec 2015

•Supported inpatient hospitalist and critical care team.•Manage and submit claims from various workques while reviewing charges for accuracy and educating physicians on proper documentation and medical coding and diagnosis assignment. •Leverage customer service expertise while handling incoming phone calls regarding patient care.•Efficiently and effectively deliver page messages to physicians rounding on inpatients while promptly and clearly communicating the details and ensuring they were delivered to the correct on-call provider.•Identify and correct charge review errors while assisting with education to physicians in areas for improvement.

Administrative Specialist

• May 2013 - Nov 2014

•Triage patient care between office appointments, emergency room, hospital admission, and specialist appointments•Assist physicians and office manager with claim submission, coding and billing questions•Collect payments and inform patients of outstanding balances or insurance denials•Complete pre-certifications, create diagnostic orders and schedule high priority procedures•Enter patient demographics and insurance information while responding to calls to provide guidance regarding insurance, billing and healthcare changes•Supported the practice during the transition from paper to Electronic Health Record System (EHR) which included working closely with information technology representatives to troubleshoot problems and ensure appropriate workflows were determined

Billing Associate

• Sep 2012 - May 2013

•Provide premier customer service to patients and caregivers and support the administrative functions of the practice.•Check benefits and eligibility while collecting co-payments.•Assist in claims submission and claims verification.•File and maintain clinical information in the EMR.•Set up and implement new EMR and billing software. •Provide premier customer service to patients and caregivers and support the administrative functions of the practice.•Check benefits and eligibility while collecting co-payments.•Assist in claims submission and claims verification.•File and maintain clinical information in the EMR.•Set up and implement new EMR and billing software.