Summary
Overview
Work History
Education
Skills
Timeline
Areas Of Excellence
Professional Development
Areas Of Excellence
Generic

Elizabeth Papelino

Powhatan,VA

Summary

Collaborative leader with dedication to partnering with coworkers to promote an engaged empowering work culture. Documented strengths in building and maintaining relationships with a diverse range of stakeholders in dynamic, fast-paced settings. Proven ability to streamline operations, increase morale, and promote organizational proficiency.



Overview

11
11
years of professional experience

Work History

Payment Compliance Assistant Director

Parallon
05.2017 - Current
  • The Payment Compliance Assistant Director is responsible for assisting the Director in daily operations
  • The Assistant Director is responsible for guiding the staff in their day-to-day responsibilities, which includes mentoring and training regularly
  • Oversee daily department activities ensuring that insurance payments are correctly reflected to the GL and follow up with payers that did not pay according to contract
  • Follow up on overpayments to ensure takebacks are in process or a refund is issued within the expected time frame of internal audit
  • Follow up on underpayments and pursue collection efforts to ensure payment in full based on contractual guidelines
  • Work with staff to make sure all corporate measurements are met in conducting audit reviews
  • Processing all remote and onsite audits making sure all are in compliance with contract requirements
  • Consulted with corporate and payment analytics teams when appropriate
  • Upon audit completion coordinated appropriate audit findings results with Coding/Revenue Integrity/Clinical Appeals
  • Data mining
  • Identify opportunities and trends that lead to automating processes and reduced man hours
  • Identify opportunities where online claim/live chat follow up can be pursued versus having staff calling and waiting on hold
  • Created QA and Production Review process for staff
  • Created 90 day One the Job Training manual
  • Created a modular training program with eight sections to ensure all employees receive the same information in a timely manner
  • Workflow Optimization through pool corporate reporting.

Small Dollar Insurance Manager

Parallon
04.2021 - 12.2021
  • The Small Dollar Insurance Manager is responsible for assisting the Director in daily operations
  • The Manager is responsible for guiding the staff in their day-to-day responsibilities, which includes mentoring and training regularly
  • Lead and manage development of 16 staff members including one team lead
  • Work with internal and external collections vendors to ensure inventory is processed appropriately
  • Four staff members under my mentorship received promotions
  • Work with staff to make sure all corporate measurements are meet weekly and monthly
  • Top Dollar Pool completion
  • High Dollar Reviews
  • Aged inventory review
  • Data mining
  • Streamlined QA and Production Review process
  • Revised 90 day OJT
  • Created a modular training program with 12 sections to ensure all employees receive the same information in a timely manner
  • Workflow Optimization through pool schedules and Dashboard Reports
  • Proactively address downtime by having previous days reporting available for staff members while pools build
  • Achieved 89% on first employee engagement survey and 91% on the second
  • Automation and Bulk Processes
  • Expand Rev Code 510 automation
  • Bulk letter requests for PCN process
  • Coverage Denied Reporting
  • Identify accounts with denial codes worked by clinical appeals
  • Those below threshold move to write-off
  • Those above threshold place denial codes on in bulk.

Vendor Collections Management (VCM) - Manager

Parallon
05.2017 - 04.2021
  • The VCM Manager is responsible for assisting the Director in daily operations of Vendor Collections Management functions
  • The Manager is responsible for guiding the staff in their day-to-day responsibilities, which includes mentoring and training them as needed
  • Lead and manage development of 21 staff members including two team leads
  • Work with internal and external collections vendors to ensure inventory is processed appropriately
  • Three staff members under my mentorship received promotion
  • Work with staff to make sure all corporate measurements are met weekly and monthly
  • Pool Completion
  • Erequest Measurement
  • Aged inventory review
  • Data mining
  • NPAS Billing Project
  • Secondary Insurance Bulk Pline Process
  • Created OneNote Resource and Job Aid
  • Facilitate discussion with vendors on areas of opportunity and review monthly performance reports to include compliance with QA and production
  • This encompassed the following: Accumulate, monitor, and report on vendor performance metrics to client facilities
  • When metrics were not met followed up with vendor to ensure a corrective action plan was created
  • Work with offshore vendor collections teams to facilitate training addressing opportunities for improvement
  • Facilitate communication to/from vendors and internal partners
  • Work with offshore teams to identify.

Logistics and Production Manager

Richmond Ambulance Authority
10.2014 - 02.2017
  • The Logistics and Production Manager contributes to the quality unit hour utilization (UHU) by leading and managing the supply, equipment management, make ready and pharmaceutical supply areas
  • Specific Responsibilities include: Coordinate bids for supplies and contract language to include specific terms for inventory management, weekly check ins and free delivery twice weekly
  • Manage $1.3 million budget
  • Oversee 16 employees
  • Cardiac Monitor Replacement Project Manager
  • Seek out bids
  • Facilitate product review and testing
  • Present recommended proposal
  • Implemented electronic inventory management system
  • Reduced disposable supply budget
  • Work with distributors to ensure all supplies and equipment are serviceable
  • Oversee equipment preventive maintenance schedules
  • Serve as logistics section chief for the organization during emergency operations
  • Maintain all applicable documentation
  • Perform audits of all equipment
  • Oversee the Virginia Pharmacy License for all medication supplies.

Deputy Director

Southside Virginia Emergency Crew
01.2013 - 10.2014
  • Contributed to short- and long-term strategic planning and identified potential new markets, lines of business and funding opportunities.
  • Led team a staff of sixteen full-time and twenty part-time paramedics and EMT's professionals in daily operations.
  • Advanced professional development opportunities for staff members through targeted training programs designed to build skills essential for success in their roles.

Education

Master of Science - Emergency Management

George Washington University, The
Washington, DC

Bachelor of Science - Emergency Management

University of Richmond
Richmond, VA

Associate of Science - Paramedic

J Sergeant Reynolds Community College
Richmond, VA

Skills

  • Team engagement
  • Strategic Planning
  • Process Implementation
  • Client Relationship Management
  • Planning and coordination
  • Operations Management
  • Relationship Building
  • Willing to Learn
  • Operational Reporting
  • Effective Communication
  • Workflow Optimization

Timeline

Small Dollar Insurance Manager

Parallon
04.2021 - 12.2021

Payment Compliance Assistant Director

Parallon
05.2017 - Current

Vendor Collections Management (VCM) - Manager

Parallon
05.2017 - 04.2021

Logistics and Production Manager

Richmond Ambulance Authority
10.2014 - 02.2017

Deputy Director

Southside Virginia Emergency Crew
01.2013 - 10.2014

Master of Science - Emergency Management

George Washington University, The

Bachelor of Science - Emergency Management

University of Richmond

Associate of Science - Paramedic

J Sergeant Reynolds Community College

Areas Of Excellence

  • Leadership
  • Project Management
  • Budget Management
  • Auditing
  • Workflow Optimization
  • Inventory Management
  • Vendor Management
  • Variance Analysis
  • Account Reconciliation

Professional Development

  • Master of Science Health Science, George Washington University, 05/01/13
  • Bachelor of Applied Studies in Emergency Services Management, University of Richmond, Emergency Management, 2009
  • Associates of Applied Sciences in Emergency Medical Services (Paramedics), J. Sergeant Reynolds Community College, 2007
  • Paramedic Certification

Areas Of Excellence

  • Leadership
  • Project Management
  • Budget Management
  • Auditing
  • Workflow Optimization
  • Inventory Management
  • Vendor Management
  • Variance Analysis
  • Account Reconciliation

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Elizabeth Papelino