Learning & Education Team Lead

• Jul 2022 - Present

Revenue Cycle Manager

• Mar 2021 - Jul 2022

Access Services Auditor/Trainer

• Feb 2020 - Mar 2021

1. Design, plan, organize and facilitate computer and procedural training programs and continuing education for all registration and financial counseling employees. 2. Design tests to assess employee knowledge and skills; maintain documentation of test results; report test results to Management. 3. Identify problems and report trends to Director; recommend training and education programs, process improvement programs and/or other program developments. 4. Design and implement new processes/programs to improve image, accuracy and productivity of the staff. 5. Monitor industry changes and system updates; revise training programs to incorporate changes. 6. Collaborate with appropriate internal and external staff members to conceptualize new procedure or programs. 7. Monitor accuracy of demographic and financial information captured at registration. Provide feedback to staff, identify trends and training needs, report results to Management. 8. May conduct monthly audits on different aspects within Patient Access (ex. MSP and ABN).

EPIC Trainer Resolute HB SBO Proficiency ; Resolute HIM Hospital Coding Proficiency

• Apr 2017 - Feb 2020

• Prepared and conducted classroom training • Updated and maintained several Epic curricula, coordinating lesson plans and training environment • Successfully trained a diverse audience of end users for their role in the use of Epic’s resolute program • Assist ID’s and Supervisors in workflow adjustments • Utilized adult training principles for successful delivery of software training • Maintained training records in the learning management system and administered class evaluations and competency assessments. • Trained classes upwards of 20 users in all aspects of the PB module/curriculum • Communicated effectively with end users in a classroom, webinar, eLearning’s and elbow support at Go-Live • Administrated proficiency assessments and class evaluations at the end of each training session • Provided direct EPIC training to current and new personnel, students, and physicians for implementation and to meet on-going training needs

Revenue Cycle Manager

• Jan 2015 - Apr 2017

- Athena Trainer for EMR and Collector • Management oversight of all business related functions of the patient visit from point of entry to accurate adjudication of the patients’ accounts • Specific areas of responsibility include Revenue Cycle Training, Credentialing Registration, Claims Management, Billing, Collections, Patient Insurance, Data Processing, Integrity of Patient Accounts, Accounts Receivable Management, practice management system file maintenance, and third party revenue cycle vendors • Responsible for provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed corporate objectives for medical cost containment • Analyzes claims, utilization, and medical cost data • Develops strategic, cost effective programs, and makes system or network changes to enhance competitive position • Monitors aged accounts and verifies appropriate collections procedures are being followed • Manages revenue cycle projects at the Practice level, such as audits and budgets • Regularly provides upper management with revenue cycle status including reports, metrics, and presentations • Develops, monitors, and assesses business metrics in order to refine processes and improve efficiencies • Establishes internal goals and identifies external benchmarks • Resolves escalated reimbursement issues with Payors, Practice, US Oncology, and systems for optimal management of accounts receivable

Patient Financial Counselor

• Apr 2014 - Jan 2015

Provides financial planning and counseling to patients and families in order to obtain payment for services rendered in accordance with policies and guidelines. Screens and qualifies patients for various special entitlement programs or charity by assisting patient in completing necessary forms and providing needed information. Works closely with various agencies and departments throughout hospital to ensure correct billing as well as effective patient account resolution. Ensures accuracy and compliance with system policies related to data collection, patient and family education, patient rights and responsibilities, legal consents, and release of information. Maintains compliance with JCAHO, patient responsibilities and rights, HIPAA, and system contracts with third-party payors. Documents account activity in manner consistent with department standards. Assists in resolution of patient, employee, and other customer concerns or occurrences, referring to supervisor or other authority as appropriate. Maintains positive communication with all departments responsible for managing and/or providing financial assistance for services rendered in order to resolve patient account issues. Performs other duties as assigned.

Revenue Cycle Managemet

• Sep 2011 - Oct 2013

Reviews and processes insurance claims through the billing system, including Medicaid, Medicare, third party payers. Responsible for contacting patients, and/or third party payers to resolve outstanding insurance balances or inappropriately paid claims. Identifies problems and inconsistencies by using management reports; summarizes findings and makes recommendations to resolve billing issues. Appeal denials Reviews and resolves correspondence from all organizations. Functions as resource person for departmental personnel to answer questions and assists with problem resolution. Functions as liaison between clinical departments and third party payers.