Sheila Hemby

Healthcare System Director Physician Practice Relations at UNC REX Healthcare
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(386) 825-5501

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Leigh Coats

I had the pleasure of working with Sheila at Raleigh Orthopaedic Clinic for several years. Sheila brings countless skillets to the table that allowed her to work seamlessly with our providers. The fact that she has an inherent knowledge of accounting and finance allowed her to understand and drill into our accounts receivable without hesitation . Her years of Revenue Cycle Management knowledge and working to solve issues with accounts all tie into resolving issues. Her ability with analytics with reporting is key to identify areas of opportunity for improvement. Sheila is an asset to any company that is lucky enough to employ her.

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Experience

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Healthcare System Director Physician Practice Relations
      • Jul 2018 - Present

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Regional Director of Revenue Cycle Management
      • Mar 2016 - Apr 2018

      Manage and oversee all RCM functions for the Raleigh CBO. The Raleigh CBO includes 12 anesthesia practiced with multiple locations and states. Manage and oversee all RCM functions for the Raleigh CBO. The Raleigh CBO includes 12 anesthesia practiced with multiple locations and states.

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Director of Revenue Cycle
      • Apr 2013 - Mar 2016

       Manage and oversee the BCBC, Commercial, and Manage Care physician billing for UNC Healthcare, which currently comprises UNC Hospitals and its provider network, the clinical programs of UNC School of Medicine, and seven affiliates and hospital systems across the state.  Serve as the primary billing/financial liaison for UNC Healthcare – Department of Family Medicine, UNC Physician Network, Johnston Healthcare, and Rex Healthcare. -Comprised of 39 clinics, and 212… Show more  Manage and oversee the BCBC, Commercial, and Manage Care physician billing for UNC Healthcare, which currently comprises UNC Hospitals and its provider network, the clinical programs of UNC School of Medicine, and seven affiliates and hospital systems across the state.  Serve as the primary billing/financial liaison for UNC Healthcare – Department of Family Medicine, UNC Physician Network, Johnston Healthcare, and Rex Healthcare. -Comprised of 39 clinics, and 212 providers -Specialties including primary care, geriatric, pediatric, thoracic, ENT, Heart & Vascular, Vascular, internal medicine, bariatrics, neonatology, hematology, oncology, neonatology, pulmonary, urgent care, and multi-specialty practices – with annual charges in excess of 321+ million and 151 million net revenue  Oversee 50+ employees, including analysts, supervisors, claim reps., and patient financial service reps  Perform HR functions, including: interviewing, hiring, disciplinary actions, terminations, and performance evaluations  Responsible for creating and managing the annual budgets for the division  Manage, investigate, and report the monthly variances (expenses, revenue, adjustment details)  Work with the practices, specialties and/or departments regarding insurance, collections, and/or payment issues  Approve and monitor all costs within the division  Track physician productivity, including visits, and wrvus  Track ancillary, testing and procedure productivity  Work with outside vendors to set up contracts and/or to maintain the function and flow of the offices  Meet monthly with medical directors, Associate Chair of the departments of each practice/division to discuss productivity, collections, adjustments, and trends  Meet monthly with Senior Leadership to discuss collections, adjustments, trends, and issues Show less  Manage and oversee the BCBC, Commercial, and Manage Care physician billing for UNC Healthcare, which currently comprises UNC Hospitals and its provider network, the clinical programs of UNC School of Medicine, and seven affiliates and hospital systems across the state.  Serve as the primary billing/financial liaison for UNC Healthcare – Department of Family Medicine, UNC Physician Network, Johnston Healthcare, and Rex Healthcare. -Comprised of 39 clinics, and 212… Show more  Manage and oversee the BCBC, Commercial, and Manage Care physician billing for UNC Healthcare, which currently comprises UNC Hospitals and its provider network, the clinical programs of UNC School of Medicine, and seven affiliates and hospital systems across the state.  Serve as the primary billing/financial liaison for UNC Healthcare – Department of Family Medicine, UNC Physician Network, Johnston Healthcare, and Rex Healthcare. -Comprised of 39 clinics, and 212 providers -Specialties including primary care, geriatric, pediatric, thoracic, ENT, Heart & Vascular, Vascular, internal medicine, bariatrics, neonatology, hematology, oncology, neonatology, pulmonary, urgent care, and multi-specialty practices – with annual charges in excess of 321+ million and 151 million net revenue  Oversee 50+ employees, including analysts, supervisors, claim reps., and patient financial service reps  Perform HR functions, including: interviewing, hiring, disciplinary actions, terminations, and performance evaluations  Responsible for creating and managing the annual budgets for the division  Manage, investigate, and report the monthly variances (expenses, revenue, adjustment details)  Work with the practices, specialties and/or departments regarding insurance, collections, and/or payment issues  Approve and monitor all costs within the division  Track physician productivity, including visits, and wrvus  Track ancillary, testing and procedure productivity  Work with outside vendors to set up contracts and/or to maintain the function and flow of the offices  Meet monthly with medical directors, Associate Chair of the departments of each practice/division to discuss productivity, collections, adjustments, and trends  Meet monthly with Senior Leadership to discuss collections, adjustments, trends, and issues Show less

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Practice Admnistrator III
      • Jan 2012 - Dec 2012

       Manage and oversee the operations and administration for 4 cardiology practices, which included 10 physicians, Coumadin pt./inr. clinic, nuclear imaging, stress echo and vascular lab  Supervised 25+ employees  Managed the staff schedule to ensure effective coverage of duties, and monitor all PTO  Perform all HR functions, including: interviewing, hiring, terminations, and performance evaluations  Oversee the ordering of all supplies, including clinical and administrative… Show more  Manage and oversee the operations and administration for 4 cardiology practices, which included 10 physicians, Coumadin pt./inr. clinic, nuclear imaging, stress echo and vascular lab  Supervised 25+ employees  Managed the staff schedule to ensure effective coverage of duties, and monitor all PTO  Perform all HR functions, including: interviewing, hiring, terminations, and performance evaluations  Oversee the ordering of all supplies, including clinical and administrative supplies  Track physician productivity  Work with outside vendors to maintain the function and flow of the offices  Work with the marketing department to grow and develop the practice in the communities

    • Operations Manager
      • Jan 2008 - Nov 2012

       Assisted the VP and Directors with budgeting and strategic planning  Overseen the month close and financial reporting process  Developed and maintained systems and processes that effectively monitored staff activity and performance related to the billing, follow-up, collection and customer service aspects of the accounts receivable  Monitored the implementation of policies and procedures that guide and support the provision of service  Developed and maintained systems and… Show more  Assisted the VP and Directors with budgeting and strategic planning  Overseen the month close and financial reporting process  Developed and maintained systems and processes that effectively monitored staff activity and performance related to the billing, follow-up, collection and customer service aspects of the accounts receivable  Monitored the implementation of policies and procedures that guide and support the provision of service  Developed and maintained systems and processes that facilitate timely and accurate billing of third party payers  Assured that all billing conformed to all applicable regulation and contractual term as stipulated by the third party payer  Worked with the Managed Care department (UNC) to develop new contracts; contract renewals and contract concerns  Coordinated education with third party payers to billing staff as needed  Developed short and long-term goals for the staff

    • United States
    • Medical Practices
    • 200 - 300 Employee
    • Director of Patient Accounts and Reimbursements
      • Jun 2000 - Nov 2008

Education

  • Pfeiffer University
    Masters, Health Administration
    2009 - 2011
  • Barton College
    BS, Accounting
    2000 - 2005

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