Summary
Overview
Work History
Education
Skills
References
Timeline
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Eva Sheedy

Greenwood

Summary

Results driven Healthcare Management professional with 18 years’ experience specializing in AR, overpayments and refund operations. Proven track record of optimizing process improvement, ensuring compliance and leading a high performing, engaged team. Skilled in identifying root causes, improving operations and reducing financial risk while leading one of the highest engaged teams according to Gallup.

Overview

26
26
years of professional experience

Work History

Manager Cash MANAGEMENT

IU Health Inc.
Indianapolis
01.2015 - Current
  • Lead and manage daily operations of overpayments across multiple facilities
  • Oversee identification, validation and timely processing of overpayments with federal and state regulation
  • Reduce credit balances to 6% of overall net revenue
  • Collaborate with billing, coding and finance to resolve root cause of overpayments
  • Create and mitigate automated possibilities
  • Manage and mentor a highly engaged team of staff members and vendors, improving performance, productivity and quality measures
  • Conduct and oversee audits to ensure adherence to CMS guidelines
  • Prepare and present reports to senior leadership on trends, risks and financial impact.

Team lead

IU Health inc.
Indianapolis
04.2008 - 01.2015
  • Investigated and resolved high dollar, complex accounts
  • Analyzed billing data, appeals and denials management policies
  • Supervised team responsible for accounts Receivable
  • Improve overall collection effectiveness
  • Implementing workflows and process
  • Training new team members on policies, systems and regulatory requirements

In school suspension

Grenwood High School
Greenwood
09.2006 - 04.2008
  • Supervision in school suspension
  • Substitute teaching
  • Assisting in office recordkeeping, after school activities, etc.

Claims processor

Anthem inc.
Indianapolis
09.2000 - 01.2006
  • Investigation of insurance claims for proper payment while providing excellent customer service
  • Working with strict deadlines while maintaining production and quality standards
  • Provider relations and auditing

Education

High School -

Arsenal Technical High School
01-1989

Skills

  • AR and Overpayment Management
  • Refund Processing & Compliance
  • Revenue Cycle Management
  • Process Improvement & Workflow Optimization
  • Team Leadership & Staff Development
  • Audit & Risk Mitigation
  • Data Analysis & Reporting
  • Denials & Appeals Management
  • Payer Relations & Issue Resolution
  • Healthcare Billing Systems (Cerner, Siemens, Epic, etc)

References

Available upon request

Timeline

Manager Cash MANAGEMENT

IU Health Inc.
01.2015 - Current

Team lead

IU Health inc.
04.2008 - 01.2015

In school suspension

Grenwood High School
09.2006 - 04.2008

Claims processor

Anthem inc.
09.2000 - 01.2006

High School -

Arsenal Technical High School
Eva Sheedy