Jena Seymore
Charlotte,NC
Summary
Strong leader and strategic-thinking individual experienced in turning low-performing organizations into top revenue producers. Dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
11
11
years of professional experience
Work History
Sr. Director, Revenue Enhancement
PMMC (SaaS)
05.2019 - Current
- Leads various management tiers to ensure efficient and effective operations.
- Collaborate on formulation, planning, and execution of new and improved strategies aimed at optimizing revenue performance.
- Optimized operational processes using analytics tools, machine learning, and AI to address internal needs and client-specific needs.
- Assist internal team and external clients on understanding complex and changing reimbursement methodologies to successfully pursue payment variances with third party payers.
- Daily workflow management of department, including monitoring progression of underpaid or denied hospital claims through review analysis, submission, and collections stages.
- Create regular channels of communication and streamlined processes with internal departments and external hospital clients
- Fostered work culture of collaboration and inclusion to increase morale, reduce turnover, and strengthen critical thinking.
- Implemented structured operating procedures and ensured compliance with policies and regulations that had an impact on bottom line.
- Set strategic plans, road maps, and departmental goals to strengthen operations and drive growth.
Revenue Cycle Manager
Metrolina Nephrology
05.2018 - 04.2019
- Monitored and guided full revenue cycle operations.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
- Monitor timeliness and effectiveness of department activities ensuring that AR balances are acceptable and bad debt is measured.
- Identified discrepancies between budgetary targets and actual revenue and expenses.
- Created financial dashboards to provide insights into key performance indicators.
- Collaborated with C-level executives and stakeholders to develop long-term financial plans.
Operations Manager (AR)
Rotech Healthcare
08.2013 - 05.2018
- Managed 9 operational departments to ensure success of the company.
- Recruited, hired and trained all new staff.
- Collaborate across all levels of management to improve performance.
- Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
- Managed all operational functions within departments of revenue cycle.
- Monitored effectiveness of collection efforts and maintained insurance billings are current within established timeframe.
- Diligently monitored QA (Quality Assurance) program to improve performance and maintain high standards of care.
- Developed and maintains working knowledge of current Medicare, Medicaid, insurance regulations, and FDA/ DOT and JCAHO guidelines.
- Analyzed and reported on key performance metrics to senior management.
Education
B.A. in Psychology - Psychology
University of Tennessee
Knoxville, TN01.2011
Skills
- Team Building and Motivation
- Collaborative Leadership
- Business Planning & Development
- Stakeholder Relations
- Data Analytics (Machine Learning/AI)
- Microsoft Suite
- Medical Terminology
- Contract Management
- Hospital Systems (Epic, Meditech, Cerner, Allscripts)
Accomplishments
- Vistage Advancing Leaders Member Program
- Vistage Emerging Leaders Member Program
- Leadership of the Year Award in 2021
Timeline
Sr. Director, Revenue Enhancement
PMMC (SaaS)
05.2019 - Current
Revenue Cycle Manager
Metrolina Nephrology
05.2018 - 04.2019
Operations Manager (AR)
Rotech Healthcare
08.2013 - 05.2018
B.A. in Psychology - Psychology
University of Tennessee
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