Resume

Child Guidance Resource Centers
2009-Present

Director of Revenue Cycle

Develops program & staff level productivity reporting; co-leads meetings with management to improve productivity & collections

Generates fee for service revenue forecasts as part of fiscal year budget process

Co-lead Netsmart myEvolv EHR implementation; Responsible for set up, maintenance and training related to all financial elements of new EHR

Summarizes trends and risk areas related to revenue collection in multiple report formats

Revenue Cycle Manager

Responsible for maintenance of contract management elements of Anasazi Cerner EHR

Collaborates with Division Director of Performance Improvement to create and implement compliance & quality assurance processes

Works with Director of Operations to develop administrative processes throughout the agency

Coordinates with Accounting Department to ensure proper allocation of insurance revenue

Manages billing staff and day to day operations of the Billing Department, including billing, payments, denials & appeals for Private Insurance, Medicaid, government contracts and MCOs

Revenue Cycle Coordinator

Responsible for monitoring denied claims for trends and patterns to work with program managers on resolution
Developed and implemented agency procedures for billing and collections related to client liabilities
In conjunction with CFO, responsible for providing staff education and communication related to billing and revenue reporting by program
Responsible for supervision and training of all billing staff and processes

Authorization Coordinator

Responsible for submitting and tracking authorization requests for all applicable CGRC sites and programs, as well as completing any necessary follow up with Managed Care Organizations
Responsible for entry of all authorization information into Electronic Health Record
Assisted with examining denied claims and provided information for resubmission of any claims denied due to authorization issues, served as authorization and transportation liaison during high volume summer camp program

Communication

Change Management

Collaboration

Decision Support

AR Analysis

EHR Management