Erika Rule
Brandenburg,KY
Overview
14
14
years of professional experience
1
1
Certification
Work History
Financial Clearance Manager
UofL Health/ University Of Louisville Physicians
04.2023 - Current
- Managed and directly supported three centralized Revenue Cycle teams. (Insurance verification, Precertification and Financial Assistance Program)
- Provided leadership and support to all front end users within the organization.
- Developed policies and procedures for daily operations of patient insurance/eligibility, prior authorization, referral, point of service collections, pre-payments and financial counseling processes for the University of Louisville Physicians Group.
- Collaborated with clinic leaders and providers throughout the organization to optimize seamless and efficient financial clearance processes.
- Developed processes for charity care and a system for maintaining reoccurring review and approval to keep patient financial expectations in alignment with policy.
Financial Clearance/ Pre-Service Manager
Norton Healthcare
06.2020 - 04.2023
- Manage and directly support 59 FTEs
- Manage daily operations of all Financial Clearance functions for 5+ Hospital locations.
- Designed and implemented processes and training for obtaining authorizations for a multitude of service lines throughout the system.
- Support 50+ employees both in person and remotely.
- Work with operations VPs to ensure the best course of action for patients with high risk/complex financial situations.
- Assume accountability for quality of patient financial experience.
- Optimize operational effectiveness and efficiency by reallocating FTEs and standardizing organizational processes.
- Provide direct support and feedback to 10+ additional FTEs that handle all Insurance Verification functions for 5 hospitals.
- Build and maintain relationships with leaders and providers across multi service lines, to ensure effective communication and documentation to provide timely/appropriate patient outcomes.
Patient Access Supervisor
Norton Brownsboro Hospital
01.2019 - 06.2020
- Leadership of a department containing 36+ FTE's
- Conduct behavioral index interviews.
- Develop team communications and information for monthly staff meetings and weekly information updates.
- Scheduling for staff in 2 hospitals across 5 buildings
- Payroll.
- Identify improvement opportunities and create action plans to meet goals.
- First point of contact for 36+ FTEs
- Prepare insurance denial reports for the system.
- Resolve hospital coding/billing errors to help maximize efficiency in patient billing.
- Ensure that staff have the tools to follow the Mission, Vision and Values of Norton Healthcare.
- Meeting with patients to resolve billing/payment issues.
- Schedule live interpreters for all hospital locations on this campus.
Patient Flow Coordinator/Team Lead
Norton Brownsboro Hospital
10.2017 - 01.2019
- Direct flow of all patients and families entering the hospital. (500+ people daily.)
- Assist patients and families with utilization of Norton MyChart.
- Assist patients with billing/payment issues.
- Collection of patient payments.
- Manage daily staffing/breaks for 35+ FTE's
- Department lead.
- Communicate with all hospital departments to maximize patient satisfaction and experience.
- Screen patients for Financial Assistance.
- Quickly resolve patient complaints.
- Reduce patient wait times by maximizing the utilization of the hospital Kiosks.
Patient Access Specialist/Registrar
Norton Healthcare, Float
04.2010 - 11.2017
- Floated amoung 7 different facilities
- Collected demographic and insurance information from patients.
- Obtained all legal consents for each visit.
- Maintained a safe waiting room enviroment in a busy Emergency Room.
- Collected payments.
- Worked with clinical staff in ensure patient satisfcation and safety.
- Scheduled patients for diagnostic testing.
- Obtained precertifications from insurance companies and physician offices.
- Ran patient payment estimations.
- Explained insurance benefits and patient responsibility with patients and families.
Education
University of Louisville
Certification
- First Aid/CPR Certified
- Act Fast Stroke Education
- Early Heart Attack Training
Timeline
Financial Clearance Manager
UofL Health/ University Of Louisville Physicians
04.2023 - Current
Financial Clearance/ Pre-Service Manager
Norton Healthcare
06.2020 - 04.2023
Patient Access Supervisor
Norton Brownsboro Hospital
01.2019 - 06.2020
Patient Flow Coordinator/Team Lead
Norton Brownsboro Hospital
10.2017 - 01.2019
Patient Access Specialist/Registrar
Norton Healthcare, Float
04.2010 - 11.2017
University of Louisville
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