Dynisha Butler
Atascocita
Summary
Dynamic and results-oriented professional with extensive expertise in healthcare operations, utilization management, business office management, and patient access services. Proven success in optimizing workflows, enhancing compliance, and leading multidisciplinary teams to meet and exceed organizational objectives. Proficient in staff training, financial management, and fostering effective communication across departments to drive operational efficiency and improve patient outcomes. Skilled at adapting to evolving industry needs while leveraging data analysis and process optimization to deliver innovative solutions.
Overview
10
10
years of professional experience
Work History
Director of Utilization Management
River Place Behavioral Health
LaPlace, LA
06.2023 - 01.2025
- Monitor service utilization and optimize reimbursement while maximizing patient benefits.
- Conduct and oversee concurrent and retrospective reviews for all patients.
- Act as liaison between Medicaid reviewers and staff to streamline the utilization review process.
- Collaborate with physicians, therapists, and nursing staff to deliver optimal care.
- Coordinate with ancillary services to prevent service delays.
- Evaluate the Utilization Management (UM) program for compliance with regulations and policies.
- Review patient charts and provide recommendations to physicians regarding utilization and managed care issues.
- Manage staff, including hiring, development, training, and performance management, to ensure effective department operations.
Business Office Manager
River Place Behavioral Health
LaPlace, LA
08.2021 - 06.2023
- Monitored and reported key metrics including cash collections, days outstanding, unbilled claims, denials, and census data in collaboration with the CFO.
- Established and maintained controls for cash collection and posting in patient accounting systems.
- Communicated with third-party insurers to resolve cash flow issues and enhance patient satisfaction.
- Led business office operations related to claims management and receivables collection, achieving financial goals.
- Defined departmental goals and provided leadership to achieve objectives.
- Collaborated with Utilization Review and Admissions staff to secure proper insurance authorizations.
- Managed external collection vendors, balanced agency reports, and approved invoices.
Business Office Coordinator
River Place Behavioral Health
LaPlace, LA
03.2020 - 08.2021
- Audited admission packets and verified benefits and patient demographic information.
- Counseled patients on financial obligations and collected payments for deductibles, copays, and other expenses.
- Assisted patients in completing financial assistance paperwork and verifying income and expenses.
- Maintained logs for collections, charity cases, and adjustments, and presented updates to leadership weekly.
- Analyzed system data and initiated time-sensitive actions to secure payments.
Patient Access Representative Supervisor
University Medical Center
New Orleans, LA
01.2016 - 04.2020
- Supervised, trained, and developed the Patient Access team to meet departmental standards.
- Oversaw daily registration activities and resolved patient concerns.
- Partnered with nursing and other departments to ensure a cohesive approach to patient care.
- Prepared and presented monthly quality reports.
Epic Patient Liaison
Ochsner Health System
New Orleans, LA
04.2015 - 01.2016
- Registered patients and verified insurance during a contract assignment to prepare the Houma location for Epic 2014 implementation.
Education
Bachelor of Business Administration - Healthcare Management
Colorado Technical College
01.2027
Skills
- Staff supervision and development
- Utilization management and compliance
- Claims and revenue cycle management
- Insurance verification and financial counseling
- Process improvement and workflow optimization
- Proficient in Epic, Payroll applications, and patient accounting systems
- Healthcare systems
- Case management proficiency
- Utilization review expertise
- Critical thinking
- Documentation accuracy
- Insurance verification
Timeline
Director of Utilization Management
River Place Behavioral Health
06.2023 - 01.2025
Business Office Manager
River Place Behavioral Health
08.2021 - 06.2023
Business Office Coordinator
River Place Behavioral Health
03.2020 - 08.2021
Patient Access Representative Supervisor
University Medical Center
01.2016 - 04.2020
Epic Patient Liaison
Ochsner Health System
04.2015 - 01.2016
Bachelor of Business Administration - Healthcare Management
Colorado Technical College