Summary
Overview
Work History
Education
Skills
Timeline
Generic

Donna A. Wallace

Marietta,GA

Summary

Over 36 years of experience in Medical Revenue Cycle. Strong analytical and organizational skills Excellent written and verbal communication skills Exceptional interpersonal skills, phone manner, and office etiquette Extremely productive self-starter with a can do attitude in high volume, high stress, environments with the ability to think quickly and successfully handle various situations. Talented professional considered knowledgeable leader and dedicated problem solver. Brings 36 years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and improvements.

Overview

24
24
years of professional experience

Work History

Project Manager

Childrens Healthcare Of Atlanta
06.2022 - 11.2022
  • Developed and initiated projects, managed costs, and monitored performance.
  • Achieved project deadlines by coordinating with contractors to manage performance.
  • Drafted project reports to identify successful outcomes, insights and future recommendations.
  • Developed and implemented strategic project plans to meet business objectives.

Patient Financial Services Manager

01.2009 - 01.2022
  • Meet cash collection goals each month of an average of $ 45 million
  • Reduced 90-day AR from 12.4% to 8.6% over the last year
  • Partnered with the Managed Care Contracting Department to streamline the appeals process to speak succinctly to payors to ensure denials would be overturned to prevent loss revenue
  • Provided leadership in the operations, staffing and decision making of the CMO Team
  • Expedited cash collections cycle, assuring billing occurs timely and accurately measuring and improving operational effectiveness
  • Maintained payer on- site meetings in order to keep communications open with the CMOs to help in getting high dollar claims processed and paid correctly and to resolve trending issues
  • Recruited a diverse team and cultivated collaboration through team building projects
  • Developed performance improve plan for staff members for learning and development
  • Successful in getting staff acclimated to implementation of new Epic System
  • Matriculated through the Managerial Certification Program at CHOA
  • Successfully completed a Focus Group Project that resulted in new processes and workflows being implemented in the verification department of the Revenue Cycle
  • Completed and passed the Exam for Epic Proficiency

Children’s Healthcare of Atlanta
Atlanta, GA
01.1999 - 01.2022

Patient Financial Services Supervisor

01.2014 - 01.2009
  • Supervises all CMO Collectors and Team Leads
  • Assisted and supported the manager in meeting cash collection goals for 10 consecutive months
  • Assisted in developing Billing Handbook Policy and Procedures for Training in
  • Eligibility and CMO/Variance processing and billing
  • Established and organized structure to the team by assigning responsibilities, delegating authority, orientating, and training
  • Assists in determining and setting of staff performance goals
  • Monitors and identifies potential problem areas with the accounts receivables utilizing existing reports
  • Identifies billing and processing problems and communicates with upper management on resolution
  • Administers disciplinary action when warranted, after collaborating with
  • Management and Human Resources to develop a corrective action plan
  • Assists in developing, implementing, and revising departmental policies and procedures
  • Conduct interviews of new employees and annual performance reviews on team members.

Patient Financial Services Collector and Team Lead

01.2006 - 01.2008
  • Following up on all CMO Medicaid claims billed for WellCare Health Plans
  • Ensuring eligibility and working to reduce denials from payers
  • Following up for additional CMO payers (e.g
  • Peach State and Amerigroup)
  • Editing and billing claims through E-Premis
  • Met monthly goals and performance criteria
  • Promoted to Team Lead in September 2007
  • Trained team members on Wellcare follow-up
  • Met with the payers for the onsite payers meetings
  • Assisted in developing billing and training manuals for all CMO payers
  • Worked reports to keep accounts from going untimely.

Traditional Medicaid Collector

01.2001 - 01.2006
  • Traditional Medicaid billing/collections
  • Checking for current eligibility
  • Worked reports to keep accounts from going untimely
  • Solicitation of reimbursement for account resolution via ACS Website
  • Met and maintained monthly goals and performance criteria.

Customer Service Representative

01.1999 - 01.2001
  • Receive inbound calls into call center
  • Provide information in response to inquiries about the patients’ bills
  • Consulted with the supervisor to determine the best course of action
  • Exceeded and frequently exceeded performance expectations
  • Provided excellent customer service to the customer.

Education

Masters of Science Degree - Human Resources Management

Strayer University

Bachelors of Science Degree - Human Services

Shorter College

Skills

Computer Experienceundefined

Timeline

Project Manager

Childrens Healthcare Of Atlanta
06.2022 - 11.2022

Patient Financial Services Supervisor

01.2014 - 01.2009

Patient Financial Services Manager

01.2009 - 01.2022

Patient Financial Services Collector and Team Lead

01.2006 - 01.2008

Traditional Medicaid Collector

01.2001 - 01.2006

Children’s Healthcare of Atlanta
01.1999 - 01.2022

Customer Service Representative

01.1999 - 01.2001

Masters of Science Degree - Human Resources Management

Strayer University

Bachelors of Science Degree - Human Services

Shorter College
Donna A. Wallace