Eboni Pelzer
Folcroft,Pa
Summary
Knowledgeable Practice Manager offering years of experience working for several well-known Oral and Maxillofacial Surgery providers. Well-versed in referral management and handling electronic health records. Established manager offering wealth of experience in patient relations and personnel management. Forward-thinking professional bringing years of experience working for fast-paced physician practices. Exceptional success driving financial improvements and revenue increases for a large specialty practice.
Overview
17
17
years of professional experience
1
1
Certificate
Work History
Associate Practice Manager
UPHS/Penn Medicine
Philadelphia, Pa
11.2020 - Current
- Provides strategic operational leadership, supervision and direction in regards to all administrative, financial, regulatory, quality, human resources, patient/employee satisfaction, and clinical aspects for following scope:
- Complexity Factors: multiple practice locations, high practice/facility square footage, service line oversight, coordination of inpatient services, coordination of care across several departments/entities, academic involvement (research initiatives, resident program), special clinical programs, multiple clinical specialties, complex regulatory requirements, management of external partnerships/collaborations
- Ensures management of daily practice operations run efficiently and effectively – including: patient scheduling, billing, and coordination of services/facilities) providing quality care to patients; championing quality initiatives with providers and staff maintaining patient/customer focus as evidenced by patient, 2 satisfaction scores and other indicators achieving financial goals related to budget offering collaborative work environment that values professional ownership/accountability for physicians and staff as demonstrated through retention and engagement/satisfaction scores regularly reviewing work processes to ensure efficiency of work flow, including implementation of technology and best practices complying with regulatory requirements serving as liaison to embedded specialists, external stakeholders, other UPHS providers and acts as point person for general facility management managing (directly and indirectly) practice staff
Training and Development Specialist
UPHS/Penn Medicine
Philadelphia, Pa
03.2017 - 11.2020
- Responsible for Development, maintenance and delivery of Professional and
- Hospital billing curriculum training classes for EPIC APM, SMS and Microsoft applications
- Quality Assurance review of transactions from EPIC APM to determine accuracy of data entry across Penn Medicine and incorporated findings into lesson plans for classroom/e-learning end user training
- Facilitated AAHAM coaching in preparation for certification exams as well as conducted AAHAM examination proctoring
- Resolution of Athena queue tickets initiated by practice staff
- Served as point person for various EPIC updates, Go Live and onboarding projects such as Penn Hematology Oncology of Langhorne, Hall Mercer and Visit Filing Order in 2019 alone
- Conducted multiple Revenue Cycle Assessments and provided feedback to Revenue Integrity in effort to increase productivity and efficiency and ensure compliance in daily activities
Accounts Receivable Representative
UPHS/Penn Medicine
Philadelphia, Pa
06.2014 - 03.2017
- Daily management of minimum of 50 accounts daily to ensure prompt payment
- Responsible for all activities related to back-end cash collection
- Implemented processes to improve and enhance patient experience
- Exceeded monthly and yearly cash goal targets for health system
- Served as support for all workgroups within practice including management and providers to ensure efficient and accurate health care delivery
- Communicated with customers to identify and resolve outstanding payments
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
Senior Plan Sponsor Services Consultant
Aetna Health Insurance
Blue Bell, Pa
09.2005 - 06.2014
- Reconciled and audited minimum of 50 member accounts daily to maintain accuracy and customer retention
- Researched and responded to Department of Insurance complaints to investigate member concerns and ensure compliance
- Collaborated with management to determine more effective processes for servicing health care needs of members while maximizing profit
- Served as department liaison for AARP members to assist in escalated issues and to communicate policy and procedure changes and updates to staff
- Ensured accurate member contracts were received timely by members and internal constituents for review of claims allocation and procedure pre- certifications
- Improved operations through consistent hard work and dedication
Education
Master’s - Public Health
Drexel University
Philadelphia, PA06.2022
Bachelor’s - Health Administration
Drexel University
Philadelphia, PA06.2020
Skills
- Workflow Management
- Policy and Program Development
- In-Service Programs
- Operating Plans Development
- Employee Performance Evaluations
- HIPAA Guidelines
- Operational Efficiency
- Regulatory and Statutory Compliance
- Biweekly Payroll Processing
- Employee Work Scheduling
- Managing Practice Operations
- Customer Satisfaction
- Electronic Health Records
Certification
EPIC Instructor Certification in Curriculum Development
AAHAM-Certified Revenue Integrity Professional (CRIP)
AAHAM-Certified Revenue Cycle Specialist-Professional (CRCS-P/I)
AAHAM-Certified Revenue Cycle Professional (CRCP-P/I)
Affiliations
AAHAM-American Association of Healthcare Administrative Management
Timeline
Associate Practice Manager
UPHS/Penn Medicine
11.2020 - Current
Training and Development Specialist
UPHS/Penn Medicine
03.2017 - 11.2020
Accounts Receivable Representative
UPHS/Penn Medicine
06.2014 - 03.2017
Senior Plan Sponsor Services Consultant
Aetna Health Insurance
09.2005 - 06.2014
Master’s - Public Health
Drexel University
Bachelor’s - Health Administration
Drexel University
EPIC Instructor Certification in Curriculum Development
AAHAM-Certified Revenue Integrity Professional (CRIP)
AAHAM-Certified Revenue Cycle Specialist-Professional (CRCS-P/I)
AAHAM-Certified Revenue Cycle Professional (CRCP-P/I)
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