Jennine Elardo
Indianapolis,IN
Summary
Results-driven Director experienced in financial statement review, auditing and reporting. Well-versed in producing reports, evaluating department operations and revenue forecasting. Meticulous, conscientious and methodical in approach.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Director of Revenue Data Advisory
The Craneware Group
03.2023 - 01.2024
- Provide leadership to a team of Lead Consultants, Consultants and Analysts in maintaining and developing regulatory and coding data assets
- Maintain an extensive working knowledge of revenue cycle processes and concepts, monitor industry trends, perform extensive research and analysis to grow and enhance regulatory data offerings
- Review outputs, correct problems to ensure products and services are up-to-date, accurate and in compliance with CMS/AMA guidelines
- Develop educational content and resources to ensure customers and internal stakeholders are kept up to date on policy changes, coding updates, compliance audits, and industry shifts in best practice
- Evaluate processes, implement procedures, foster intradepartmental collaboration, provide continuing education, and professional development
- Manage customer relationships and expectations related to data content, ensuring service level agreements and timeliness, and maintaining high levels of customer satisfaction.
System Director, Revenue Integrity
LCMC
06.2021 - 03.2023
- Provide leadership for the System Revenue Integrity team, leadership and strategic management over six hospitals, collaboration with hospital senior leadership, multi discipline leadership and collaboration across all Revenue Cycle departments, and guidance and mentorship of Revenue Cycle staff to promote professional growth
- Analyze processes for efficiency utilizing Lean Six Sigma principles, create trending document for charge edit/EPIC workqueues, increase use of EPIC automation for edit reduction, analyze workqueue/edit ownership for accurate team responsibility, use automation and education to reduce week ending workqueue dollars from $5M to $2M, create charging documents to increase first pass claim accuracy, complete Research and Trials workflow including research study clean-up and management, and integral member of the new hospital on-boarding go-live in February 2022
- Learn state Louisiana Medicaid guidelines, maintain current knowledge of governmental and industry trends in hospital and healthcare charging and reimbursement, functional knowledge of billing requirements for both UB-04 and 1500 claims forms, and assist in denial prevention and successful appeals
- Create standard audit document for reporting, change audit process from retro to real-time allowing for real revenue capture instead of missed revenue identification, and create go-live audits for new hospital on-boarding, department builds, and service lines
- Manage Charge Description Master (CDM)-facility charging, Fee Schedule-professional charging, and charge testing/validation processes
- Ensure appropriate Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) builds, and utilize FinThrive (formally nThrive), Service Now and EPIC for charge builds and modifications
- Create 12 Revenue Integrity Polices, develop requirement of WQ Edit Guide creation for consistency, create a Revenue Integrity On-Boarding Procedure to ensure new employee success, and attend all Governance Committee meetings to ensure adherence to hospital policies when system changes are requested
- Leverage EPIC functionality and increased automation for efficient charge capture, create education and charging tip sheets for clinical use, and create and implement the Revenue Integrity Charge Reconciliation Support process for the system.
Manager, Revenue Cycle Education/Optimization
Eskenazi Health
07.2016 - 06.2021
- Provide financial data to Senior Leadership for cost/benefit analysis related to new services, collaborate with clinical departments to identify and build charge codes for new services
- Assist with the implementation of new off-campus locations and services and identify ways to optimize revenue through report analysis and operational process improvement
- Manage the Charge Description Master (CDM)-facility charging, Fee Schedule-professional charging
- Also manage the Charge Reconciliation process to optimize technical and professional revenue
- Assist in routine strategic pricing reviews, maintain current knowledge of governmental and industry trends in hospital and healthcare reimbursement, ensure appropriate Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) are built in the CDM, and create/manage pricing transparency and price estimates
- Oversee audits conducted for Charge Reconciliation, revenue capture, and CDM/Fee Schedule quality and accuracy for optimal reimbursement
- Complete price estimate audits to ensure the financial health of the organization by managing estimate requests vs service volumes, manage gross and net revenue, and service volumes based on estimate requests
- Maintain, develop and implement policies and procedures to ensure departmental standards of quality, accuracy, and productivity are met and exceeded
- Develop goals, provide training, guidance, continued education, job evaluations, performance evaluations, hiring, terminating, promoting, transferring, feedback and delegation
- Provide project oversight of Charge Reconciliation process, CDM/Fee Schedule charge testing, productivity metrics, integration of professional and technical charges, end of year CPT and HCPCS code changes, reimbursement analysis, and strategic pricing and price estimate creation and analysis
- Provide training for system knowledge, efficiency and access to on-line resources, tip sheets and training guides for job specific tasks, and elbow-to-elbow support to address individual needs and customer service satisfaction.
Revenue Optimization/Reconciliation Analyst and Project Manager
Eskenazi Health
03.2016 - 07.2016
- Manage daily reports, ensure appropriate charging practices, create monthly reports for tracking and trending of errors for department managers/directors, simplify and streamline current processes, and assist in the development of the Charge Reconciliation processes for the new Electronic Health Record
- Provide project oversight within the Revenue Support/Integrity department, assist with departmental project completion necessary to implement a new site or new service; projects include Charge Master Description transition from Craneware to MedAssets to nThrive, implementation of Charge Capture Audit through MedAssets, implementation for the transfer of departments to different locations
- Assist in creating trainings for Charge Reconciliation, Charge Master Description transition, Charge Capture Audit implementation, and other projects from the project management role
- Create policies and procedures for identified areas within the Revenue Cycle Support/Integrity department and transition current departmental procedures into hospital-based policies for hospital-based policy system
- Complete quarterly audits for PICC Line procedures.
Revenue Cycle Auditor
Midtown Community Mental Health Center (Eskenazi Health)
03.2012 - 03.2016
- Conduct clinical chart audits, financial audits, and compliance audits with Joint Commission and Medicaid/Medicare standards
- Provide training on ANSA Super User, BPHC clinical staff, MRO Revenue Cycle, Performance Improvement, documentation quality, and policies and procedures
- Serve as a representative on Hospital Compliance Committee, Hospital Policy and Procedure Committee, InteCare Work Group, EHR Medicaid Incentive, BPHC and AMHH liaison, and the state ANSA/CANs Workgroup
- Participate as a committee member in EHR Oversight and Person-Centered Treatment Planning.
Senior Residential Services Supervisor
Midtown Community Mental Health Center (Wishard Hospital)
01.2008 - 01.2012
- Manage centralized staff training, medical integration, and documentation review/auditing
- Handle budget, caseload, productivity, payroll, HAP/ANSA service packages, and Residential Performance Improvement Areas
- Develop goals, provide training, guidance, continued education, job evaluations, performance evaluations, hiring, terminating, promoting, transferring, feedback and delegation
- Supervise treatment planning, package/service management, crisis management, training, rehabilitation, housing, fiscal payeeship, guardianship, and medical and mental health
- Serve as a committee member in Senior Leadership, Data Analysis, Person Centered Planning, Joint Commission Review, Tobacco Education/Recovery, Clinical Work Group-Electronic Medical Records Updates/Changes, EMR Super User, and Employee Recognition
- Implement the Celebrating Families program.
Education
Executive Master of Business Administration -
Quantic School of Business and Technology
01.2025
Lean Six Sigma Black Belt -
Acuity Institute
06.2020
Masters of Public and Environmental Affairs -
Indiana University
08.2006
Bachelors of Arts Degree - Sociology
Butler University
05.2000
Skills
- Key Account Management
- Profitability Analysis
- Pricing Strategy
- Financial Forecasting
- Operational Efficiency
- Team leadership
- Project management
- Business development
- Revenue optimization
- Microsoft Excel Proficiency
- Process Improvement
- Regulatory Compliance
- Product Positioning
- Revenue Cycle Management
- Continuous Improvement Process
- Medical Terminology
- Revenue Metrics Analysis
- Revenue Performance
- Budget Monitoring
- Compliance Requirements
- Procedure Optimization
- Quality Improvement Plans
- Strategic and Financial Planning
- Employee Performance Reviews
- Creating Treatment Plans
- Motivational Leadership
- Human Resources Knowledge
- Basic Accounting Principles
- HIPAA Regulations
- Employee Evaluation
- User Acceptance Testing (UAT)
- Strategic Goals
- Word Processing
- Excellent Team Leadership
Special Experience
Women4Change, Indiana Hospital Claim Auditors Association, 1996, 2000, Member and student – Servant Leadership (Hampton House), Co-Founder and President – Best Buddies
Certification
Lean Six Sigma Black Belt - improved leadership skills, focus on risk reduction, process improvement, reduction and elimination of errors and defects in organizational processes.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Director of Revenue Data Advisory
The Craneware Group
03.2023 - 01.2024
System Director, Revenue Integrity
LCMC
06.2021 - 03.2023
Manager, Revenue Cycle Education/Optimization
Eskenazi Health
07.2016 - 06.2021
Revenue Optimization/Reconciliation Analyst and Project Manager
Eskenazi Health
03.2016 - 07.2016
Revenue Cycle Auditor
Midtown Community Mental Health Center (Eskenazi Health)
03.2012 - 03.2016
Senior Residential Services Supervisor
Midtown Community Mental Health Center (Wishard Hospital)
01.2008 - 01.2012
Executive Master of Business Administration -
Quantic School of Business and Technology
Lean Six Sigma Black Belt -
Acuity Institute
Masters of Public and Environmental Affairs -
Indiana University
Bachelors of Arts Degree - Sociology
Butler University