Registered Professional Nurse ( RN ), Licensed in Georgia (current, unrestricted).
Professional, Academy for Healthcare Management ( PAHM ), Academy for Healthcare Management.
Paragon Meditech MS Word MS PowerPoint
McKesson Siemens MS Excel MS Visio
EPIC XClaim MS Project MS Outlook
ePremis MS Access
Ensemble Health PartnersDirector Of Revenue Cycle | Huntersville, North Carolina, United States | April 2016 - June 2017
Skillfully developed departmental goals, objectives, standards of performance, policies and procedures.
MEDASSETS Revenue Cycle Advisory SolutionsSr. Consultant | Alpharetta, Georgia | June 2009 - January 2016
Revenue Cycle, Denials Management, Financial Analytics, Project Management, Interdisciplinary Teams, Quality Mgt., ICD-10 / CPT / HCPCS, Executive Level Reporting, Budget analysis, Government and Commercial Billing, Collections, and Appeals, Payer Contracts, Case Management, Process improvement and redesign Primary Senior Consultant for onsite Front to Back Revenue Cycle and Denials Management transformation and process redesign on all major client engagements.
Directed consultant teams in assessment, development, and execution of Revenue Cycle Management transformation and redesign initiatives for numerous single and multi-facility, multi-state hospital and healthcare networks.
Recipient of High Performance Team of the Year Award.
Developed Denials Management Methodology for use by entire Revenue Cycle Advisory Solutions Division.
Mapped Denial reason code sets that were used by Technical Services in company software development.
Developed executive revenue cycle analytics dashboard for Billion $ multi-hospital Healthcare Network.
Dramatically increased cash acceleration and reset cash posting baseline by 15% for major Medical Center.
Developed and executed customized collaborative revenue cycle process improvement program for National multi-state, multi-hospital HC Network.
Trained in ICD-10.
Led consultant preparation reviews for ICD-10 impact on revenue cycle departments.
CHILDRENS HEALTHCARE OF ATLANTAManager | Atlanta, Georgia | December 2007 - April 2009
Executed revenue cycle process improvements for pre and post claim Denials Management through development of a dedicated Denials Staff and multi-disciplinary, interdepartmental committee
Developed and implemented process improvements resulting in 24% increase in overturn-on-Appeal rate
Dramatically improved outlier recovery rate on appeal by additional $11 million above previous year
Improved outlier submissions payment rate to 98% from 90% previous year rate.
Additional employment history available upon request.
Ph.D.Doctoral work towards Healthcare Administration University of Alabama-Birmingham
Master of ScienceClinical Nurse Specialist University of Alabama in BirminghamBirmingham, AlabamaNursing
Bachelor of ScienceNursing/Chemistry University of South Alabama Mobile, Al.
Bachelor of ScienceNursing ChemistryUniversity of South AlabamaAlabamaNursing Chemistry