April Lewis CRCR
Coleman Health Services
Louisville,OH
Work Preference
Job Search Status:
Open to work
Desired Job Title
Director of Revenue Cycle
Work Type
Full Time
Location Preference
On-SiteRemoteHybrid
Location:
Louisville, OHAkron, OHCleveland, OH
Open to relocation:
No
Minimum Desired Compensation
$100000/yr
Important To Me
Career advancementCompany CultureHealthcare benefits
1
Certification
18
years of professional experience
Managed revenue cycle operations across hospital and physician office settings over 15 years, improving cash collections and reducing claim denials through process improvements while leading under a servant leadership model.
Work History
Director of Revenue Cycle Management
4 Years 9 Months- Manages the RCM team with staff across the state of Ohio
- Implemented and leads a team across multiple departments to tackle company-wide fiscal and clinical operational challenges and opportunities
- Utilizes graphs and spreadsheets to identify target areas for training, education and problem resolution
- Trains multi-team staff on system workflows to increase front end efficiency, reduce missing paperwork and increase revenue
- Work with Vendor capturing Medicaid revenue
- Identified gaps in workflows and worked to close those gaps resulting in additional revenue capture and reduction in AR aging by 15%
- Monthly meetings to provide fiscal education and training to clinical staff on billing opportunities to reduce denials and increase revenue
- Created team workflows utilizing existing systems while improving work time efficiency
Director of Operations
10 Months- Manages day to day operations of center
- Leads the team via servant leadership model
- Management of patient schedules
- Responsible for interviewing and hiring new staff
- Collaborates with Medical and Clinical staff for best patient outcomes
- Collaborates with local agencies and community leaders for patients to have access to services within the community
- Responsible for meeting KPI metrics
- Analyze reports to improve office performance
- Network with other departments and offices within the company to optimize resources available
- Implementing processes to meet required KPI metrics
- Work with leadership to meet budget targets
Manager of Revenue Cycle
3 Years 6 Months- Established a revenue cycle team in a centralized setting: BWC Specialist, professional coding team, billing team, authorization team and registration specialist
- Established and implemented an authorization team within the Revenue Cycle team responsible for all authorizations for both procedures and medications
- Established and implemented a robust compliance plan educating providers on new policies and procedures
- Collaborated with Director on yearly budget for department
- Developed proformas for new services and providers
- Developed relationships with different departments to solve process flow problems in front end registration
- Collaborated with practice managers and front end training teams to develop and implement front end patient estimates to comply with the no surprise billing legislation
- Provided training to front end registration teams on the different insurance plans and the requirements of the different insurance plans, the difference between commercial payers and governmental payers
- Yearly update of fee schedules with the new cpt codes as well as updating provider charge preference lists
- Weekly huddles to discuss any team issues that need to be addressed or corrected
- Work with Market and Network Services team on payer contracts and how they affect the services and patient financial outcome
- Work with customer service team leadership to develop a charity program within
- Collaborated with Director and VP in the development of an onsite employer based clinic
- Provide monthly feedback to providers via a spreadsheet report of all charges and WRVU they have earned that month
- Work with the practice managers to ensure correct registration of patients in the offices and provide feedback for errors and solutions to those errors
- Collaborates with the practice managers on the collection of patient copays and any upfront payments through our Core payment system
Supervisor of Patient Financial Services
7 Years 1 Month- Manages department staff of over 20
- Maintains department payroll
- Managed the hiring process of new employees
- Complete month-end reporting including spreadsheets, graphs, dashboard of claim stats
- Responsible to work with staff to maintain and update billing system
- Monthly billing staff meetings
- Create department policies
- Research and troubleshoot with various departments to solve billing issues
- Provider enrollment with government and commercial insurance companies for hospital providers
- Meet with outside auditors, insurance representatives, vendors for department needs such as Medicaid eligibility programs and third party payers such as auto insurance companies
- Review denials for additional charge capture and insurance payment issues
- Worked with director of PFS to establish HCAP guidelines and update processes to ensure compliant processing of applications
Commercial Representative, Medicaid Specialist
1 Year 11 Months- Responsible for follow-up process of commercial insurance hospital claims
- Billing and collection of Ohio Medicaid and Medicaid HMO claims
- Monitored and reported any changes in Medicaid policies or billing practices
Education
Master’s Degree - Business
Bachelor’s Degree - Accounting
Associate’s Degree - Business Management
Skills
Led management and organizational efforts across daily operations.
Trained and mentored teams to strengthen performance.
Practiced servant leadership in team support.
Communicated effectively through verbal and written channels.
Contributed to business development for team goals and independent assignments.
Applied knowledge of HCAP program and requirements to support operations.
Coordinated with other departments to develop new programs.
Collaborated with vendors to improve revenue cycle outcomes.
Built collaborative teams focused on continuous improvement.
Worked with Epic and CareLogic EHR systems.
Managed patient scheduling workflows.
Supported medical office operations.
Handled medical billing processes.
Completed insurance verification accurately.
Managed medical collection activities.
Worked within EMR systems.
Drove process improvement initiatives.
Maintained HIPAA compliance.
Directed management responsibilities.
Supported financial services functions.
Oversaw accounts receivable activities.
Used Microsoft Excel to organize and analyze data.
Supported revenue cycle management operations.
Personal Information
Work Permit: Authorized to work in the US for any employer
Certification
Office manager — Proficient, September 2021, Scheduling and budgeting, Full results: Proficient, Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Section name
Authorized to work in the US for any employer
Certfication
Certified Revenue Cycle Representative
Timeline
Director of Revenue Cycle Management
Coleman Health Services
12.2021 - CurrentRead More
Director of Operations
Brightview Health
02.2021 - 12.2021Read More
Manager of Revenue Cycle
Cleveland Clinic Union Hospital-Union Physician Services Group
08.2017 - 02.2021Read More
Supervisor of Patient Financial Services
The Union Hospital
07.2010 - 08.2017Read More
Commercial Representative, Medicaid Specialist
Mercy Medical Center
08.2008 - 07.2010Read More
Brown Mackie College
Associate’s Degree from Business Management
Read More
Capella University
Bachelor’s Degree from Accounting
Read More
Western Governors University
Master’s Degree from Business
Read More