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.
Financial Clearance Center Manager at New York Presbyterian Hospital- Weill CornellFinancial Clearance Center Manager at New York Presbyterian Hospital- Weill Cornell
<ul><li>Profile: Record to Reporting (R2R)</li><li>Performing financial reporting and controlling for across all the entities (in Hyperion and Oracle = JD Edward).</li><li>Performing End to End P&L finalization (Review of accruals, Negative Cash Accrual, prepaid amortization schedule, FX Adjustments, creation, deletion and capitalization of fixed assets, posting of depreciation etc.) & taking calls with Controllers during Months end for further review of P&L.</li><li>Banking process includes positive pay exceptions, stop payment, voiding checks with AP team. Checks movement to unclaimed property. Payment proof, remittance details.</li><li>IFRS lease computation complying with IFRS 16 in CoStar – Real Estate Manager system (this is only for lease).</li><li>Preparation of webforms and variance analysis report and sharing with stakeholders with detailed information.</li><li>Performing Balance sheet reconciliation with adherence of policy and clearance of open items along with relevant details of lines which is overaged however will be staying for long time (i.e.- Bonus and dividends, Common Stocks, Security Deposits).</li><li>Facilitating team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem-solving recommendations, and recommendations of standardizing team operations.</li><li>Cross train resources in order to have backup of each other to help team synergy helping team members to take leaves when required without bothering of work/process deliverables.</li><li>Conduct weekly, biweekly and monthly meetings with stake holders as per their agreement.</li><li>Create opportunities for team members to provide input on procedures/processes and share their expertise with other team members.</li><li>Working knowledge of ERP systems People Soft, ART (Reconciliation software of Oracle), JD Edward, Teradata, Cetova, Hyperion (HFM), Cadency, Blackline, SAP, NetSuite, Workday Adaptive, Coupa, Tableau, CoStar, Alteryx.</li><li>PROCESS IMPROVEMENTS</li><li>Given 12 lean ideas in area of Month End Close journals, Balance Sheet Reconciliations, and Bank Reconciliations.</li><li>Part of a green belt project on quality of reconciliations and BOT implementation (work in progress) – controllership impact</li><li>Bring automation & Marco enabling dash board MIS reporting for monthly SLA, KPI, IC balances, Cash forecasting etc.</li></ul> at Genpact India Pvt. Ltd<ul><li>Profile: Record to Reporting (R2R)</li><li>Performing financial reporting and controlling for across all the entities (in Hyperion and Oracle = JD Edward).</li><li>Performing End to End P&L finalization (Review of accruals, Negative Cash Accrual, prepaid amortization schedule, FX Adjustments, creation, deletion and capitalization of fixed assets, posting of depreciation etc.) & taking calls with Controllers during Months end for further review of P&L.</li><li>Banking process includes positive pay exceptions, stop payment, voiding checks with AP team. Checks movement to unclaimed property. Payment proof, remittance details.</li><li>IFRS lease computation complying with IFRS 16 in CoStar – Real Estate Manager system (this is only for lease).</li><li>Preparation of webforms and variance analysis report and sharing with stakeholders with detailed information.</li><li>Performing Balance sheet reconciliation with adherence of policy and clearance of open items along with relevant details of lines which is overaged however will be staying for long time (i.e.- Bonus and dividends, Common Stocks, Security Deposits).</li><li>Facilitating team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem-solving recommendations, and recommendations of standardizing team operations.</li><li>Cross train resources in order to have backup of each other to help team synergy helping team members to take leaves when required without bothering of work/process deliverables.</li><li>Conduct weekly, biweekly and monthly meetings with stake holders as per their agreement.</li><li>Create opportunities for team members to provide input on procedures/processes and share their expertise with other team members.</li><li>Working knowledge of ERP systems People Soft, ART (Reconciliation software of Oracle), JD Edward, Teradata, Cetova, Hyperion (HFM), Cadency, Blackline, SAP, NetSuite, Workday Adaptive, Coupa, Tableau, CoStar, Alteryx.</li><li>PROCESS IMPROVEMENTS</li><li>Given 12 lean ideas in area of Month End Close journals, Balance Sheet Reconciliations, and Bank Reconciliations.</li><li>Part of a green belt project on quality of reconciliations and BOT implementation (work in progress) – controllership impact</li><li>Bring automation & Marco enabling dash board MIS reporting for monthly SLA, KPI, IC balances, Cash forecasting etc.</li></ul> at Genpact India Pvt. Ltd