Jamie Tripp

Work History

Data Quality

Patient Access, Vidant Beaufort Hospital

Washington, NC

09.2020 - Current

Design/Develop Quality Assurance materials including electronic scorecard, individual quality assessment, and building quality dashboards in the EHR
Audit accounts to ensure all quality assurance standards are met including demographic, insurance payor information and signatures are acquired for consents and documented correctly
Demonstrates an extensive and functional knowledge of all systems and software utilized within Patient Access
Consistently review the performance of completed work for direct reports
Adheres to Quality Assurance measures and metrics which report any trends or process improvement opportunities for each project, office, and Revenue Cycle division
Maintain a thorough understanding of all core registration processes, point of service collections, financial assistance, Medicare and Medicaid program benefits, insurance requirements and payer authorizations to ensure that all financial clearance requirements have been met
Conducts phone interview and completes pre-certification and insurance verification process prior to the patient scheduled arrival
Reviews registration account for accuracy to ensure the hospital is properly reimbursed
Serve in a lead capacity for departmental goals and initiatives
Provides quality registration services, obtaining all demographic, insurance and medical information to accurately and thoroughly complete fields in the registration pathway that impact patient care, billing and reporting
Serve as a PAS Electronic Health Record (EHR) Superuser and preceptor for new hires
Maintain knowledge of third party payer regulations, including, but not limited to CMS and HIPPA guidelines for billing
Work data quality (work queues) and statistical reports
Deliver exceptional patient and customer satisfaction
Consistently review the performance of completed work for all Patient Access Representatives

Provide constant communication with leadership regarding quality monitoring results, any identified and/or recommended training needs and deficiencies, as well as possible project improvement opportunities
Reports all Quality indicators for identification of trends to determine where training deficiencies exist
Work with Training & Education team to develop training modules and assist as needed with training initiative
Implements corrective action plans as necessary to assist with the deployment of training modules to both individual colleagues and project leadership
Maintain product knowledge expertise including new product roll-outs, upgrades and enhancements
Completes QA audits of specified number of patient accounts within 3 days post discharge
Resolves identified billing errors prior to bill drop as required
Audit accounts to ensure all quality assurance standards are met including demographic, insurance payor information and signatures are acquired for consents and documented correctly
Reviews QA statistical data with Patient Access Management, regional sites and Training & Education Department on a regular basis to identify problems and trends, and recommend solutions
Provide coaching/education training to Patient Access staff with the assistance of the Training & Education Department

Admissions Director

Prodigy Transitional Rehab

Tarboro, NC

01.2020 - 08.2020

Facilitates triage of new inquiries and referrals to expedite admissions and pre-admissions conversions
Coordinates pre-admission and admission process with interdisciplinary team in accordance with established policies and procedures
Always maintains awareness and management of bed status/availability
Responds quickly and effectively to referral requests
Acts as liaison between the referral's sources and the community
Communicates overview of upcoming admission to interdisciplinary team to ensure equipment needs, clinical snapshot, doctors, diagnosis, anticipated LOS, post-skilled disposition, and special needs are met
Ensures appropriate supplies and marketing materials are available, ordered as needed, and within the department budget
Conducts tours for prospective patients and/or family members
Sells community benefits, answers questions, and obtains information about patient through discovery to offer solutions
Maintains budgeted occupancy and quality mix for skilled nursing communities
Maintains sales records, such as referral/admission logs, electronica sales system, trends, and conversion ratios
Provides reporting and forecasting to Administrator, Executive Director, and Regional Sales as requested
Represents the Rehab/SNF in appropriate community, market, or strategic sales
Managed quality assurance program, including on-site evaluations, internal audits, and customer surveys
Resolved conflicts and negotiated mutually beneficial agreements between parties
Devised strategies to reduce expenses, modernize operations and revamp procedures to improve institution operations
Monitored social media and online sources for industry trends
Managed agendas and calendars, boosting productivity and improving organizational initiatives
Adapted to workflow changes and implemented continuous process improvements to overcome obstacles
Managed CRM database, including troubleshooting, maintenance, updates, and report generation
Interacted with customers professionally by phone, email, or in-person to provide information and directed to desired staff members.

Admissions Officer/Patient Administrative Associate

North Carolina Department Of Health And Human Services

Greenville, NC

04.2019 - 11.2019

Serves as a community contact for admissions /referrals, data entry, collection of patient information, and completion of paperwork for arriving admissions
Auditing chart according to CMS and JACHO guidelines
Data entry into HEARTS/PIC
Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff and greeting visitors
Managed quality assurance program including on site evaluations, internal audits, and patient surveys
Completed patient admission process based on federal and state laws
Completed psychosocial evaluations and needs assessments
Initiates and completes all pre-admission interviews, collects Medicaid/Medicare or other insurance information, and ensures all appropriate forms are completed
Performs chart preparation for newly admitted patients, assembles discharge records and prepares records for storage
Responsible for entering daily billing for outpatient services and performing coding quality audits of medical records to assure appropriateness and accurate code assignments in accordance with Center of
Medicare and Medicaid (CMS), LME/MCOs, Commercial Insurance payors and other regulatory authorities.

Director of Admissions & Quality Improvement Officer

Banyan Treatment Center

Pompano Beach, FL

06.2016 - 11.2018

Participate in the Quality Control procedures including the areas of Safety, Infection Control, Patient
Education, Patient Satisfaction, Documentation, Reporting, Compliance with OSHA, JACHO, DCF, and other Regulatory Standards
Attend monthly Performance Improvement meetings for each nine facilities, presenting effective solutions
Prepared QA evaluation reports managed major quality problems and developed effective improvement plans
Tracked and reported on admissions, conversions rates, revenue, sales, census, budget, insurance/ insurance revenue monthly
Generate daily and biweekly census reports while maintaining and enhancing occupancy percentage at or above goals
Create and conduct all trainings with any new staff including salesforce, kipu, policies and procedures, reviewing job descriptions and administrative processes
Managed all Salesforce administrative functions including user account maintenance, reports and dashboards, workflows, and other routine tasks
Establish suitable processes through salesforce to support administrative, development, and change management activities
Strategically manage bed boards for all nine facilities, 500 beds to ensure bed availability and maintain occupancy
Attend daily Utilization Review meetings
Supervised admissions department employees of 70 people
Reviewed patient survey information to prioritize areas of improvement
Review all potential admissions to ensure files are complete and insurance benefits meet standards of admissions as dictated by policy
Establish and maintain relationships with outside referral sources, such as in-patient substance abuse facilities or detox facilities
Actively pursues and develops referrals from hospitals or other community agencies
Regularly attend professional conferences and workshops, to stay informed of new and developing information in the mental health field.

Summary

Overview

Work History

Data Quality

Admissions Director

Admissions Officer/Patient Administrative Associate

Director of Admissions & Quality Improvement Officer

Education

Bachelor of Science - Human Services

High School Diploma -

Skills

Timeline

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