Jessica Crapple
Tarpon Springs,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
Work History
Policy Advisor
Envision Physician Services
Clearwater, FL
05.2022 - Current
- Support in the development of company policies that reinforce the culture and values and are consistent with compliance and legal requirements while also assisting in tactical maintenance of the enterprise-wide Human Resources compliance plan which includes comprehensive audit requirements
- Compiled the employee handbook into one master handbook versus four different versions
- Worked with subject matter experts to revise and update policies in a timely manner
- Led a training on the new platform, PolicyStat, that would house all company policies on a go forward basis.
- Additionally, I oversee and manage an Employee Relief Fund, a charitable organization that assists teammates in catastrophic times of need
- Established more efficient process in tracking open applications that minimizes the frequency of committee meetings.
- Ensure all applications have required documentation for audit purposes and present to committee for final decision.
- In 2023 a total of $241,490.89 was awarded across 82 team members in need.
Provider Enrollment Supervisor
Envision Physician Services
Clearwater, FL
04.2021 - 05.2022
- Oversaw a team responsible for enrolling providers and groups with payors in the HCA Alliance and Envision Physician Services pre-enrollment and initial enrollment activities, ensuring adequate and timely reimbursement for all contracted facilities/providers.
- Supervised a team of 6 Enrollment Specialists and 1 Enrollment Coordinator to ensure they have proper resources to perform their job responsibilities to highest potential.
- Developed, evaluated, implemented, and maintained processes, policies, and procedures to ensure standard operating procedures are adhered to with regards quality and timely submission of applications.
- Processed payroll for assigned team members, including tracking time off requests and scheduling matters.
- Utilized continuous quality improvement processes to improve and maintain quality results.
- Implemented the utilization of a prioritization workflow report for team to better organize their daily, weekly, and monthly workflows to safeguard those applications are submitted in a proactive manner to avoid delay in reimbursement.
Patient Access Central Unit Manager
Parallon
Largo, FL
05.2019 - 04.2021
- Responsible for managing all activities related to day-to-day operations of the Central Notification of Admissions and Reports teams.
- Performed associated processes to ensure target goals were met: Quality Assurance audits and track and trend performance and productivity by employee.
- Provided ongoing training and education to ensure team can fulfill all responsibilities of their daily work.
- Prepared payroll and completed monthly work schedules to ensure adequate staffing.
- Interviewed, hired, evaluated, and counseled 8 Central Unit NOA team members and 12 Reports team members.
- Monitored employee performance and provided feedback for improvement.
- Worked closely with Director of Patient Access Central Unit to ensure all procedures regarding patient accounts were completed thoroughly and timely.
Manager in Training (MIT)
Parallon
Largo, FL
09.2018 - 05.2019
- Worked closely with executive leadership, tasked with special projects while rotating through many departments that make up the revenue cycle.
- Assigned an executive mentor, COO, who tasked me with special projects to analyze employee engagement results and determine ways to improve engagement.
- Organized and co-hosted a companywide annual picnic, created company branded t-shirts with mission statement for purchase, and engaged in volunteer activities with the leadership team at Metropolitan Ministries were a few ways to improve employee morale and engagement.
- Graduated from Public Speaking course, Model-Netics, and was a member of the Employee Activities and Advisory Committee (EAAC).
- Scheduling and Central Insurance Verification – Assisted in the implementation of a new process to monitor employee scheduling.
- Established new method to track productivity metrics of employees.
- Patient Access – Created an Ambulatory Surgery Unit (ASU) Registrar training manual by observing and exploring all details within the role and responsibilities.
- Participated in employee rounding with different individuals on the team to better engage and collect ideas for improvement, as well as build connections with staff.
- Pre-bill Denials – Helped team with obtaining authorizations prior to an account final billing to avoid denials in the future.
- Support Services – Observed many customer service phone calls and resolution process therefore was able to contribute in taking calls to resolve as well.
- Maintained the settlement special project process that must be approved by director and COO biweekly to ensure suitability of the offer.
- Accounting & Finance – Assisted SOX Auditor by managing the semi-annual employee verification audit and internal controls checklist audit by connecting with leadership in different departments to obtain approvals on processes and authentication of staff.
- Provided additional support to department by handling the abundant amount of returned and refund checks by notating a report to show that actions were taken.
- Medicaid Eligibility – Observed screening process to assist uninsured patients for possible benefits through State programs.
- Billing – Managed escalation process for billing leadership by notifying the appropriate department about accounts that are near or have exceeded queue age goals to confirm timely resolution.
- Worked alongside the systems analyst in establishing an organized process for specific claims to be worked and submitted on a weekly basis and creating a smoother way for management to verify these actions.
Patient Financial Counselor
Parallon - HCA Florida Largo Hospital
Largo, FL
07.2017 - 09.2018
- Counseled patients on financial obligations associated with their medical care.
- Analyzed patient account data and determined payment plans based on individual needs.
- Developed rapport with patients to discuss sensitive financial matters in a professional manner.
- Assisted patients in understanding the details of their bills, including deductibles and co-pays.
- Collaborated with hospital staff members to resolve complex billing issues.
- Processed credit card payments accurately and securely.
- Created monthly reports summarizing collections activity and billing trends.
- Performed follow up calls to collect outstanding balances from patients who were unable to make payments at time of service.
- Analyzed different reports each day including but not limited to, discharge reports, non-courtesy reports, IMM and MOON requirements, etc.
- Ensured that patient’s sign proper documents within appropriate time spans, determine patient financial responsibility and deliver this information to them when authorizations are received.
- Aimed to achieve monthly upfront collection goals by providing remarkable patient experience when discussing financial obligations.
- Since November 2017, exceeded an individual monthly upfront collections goal of $50,000 which provided stability to reach the monthly department collection goals.
Education
MBA - Healthcare Administration
Western Governors University
Salt Lake City, UT10.2021
Bachelor of Science - Health Administration
Florida Gulf Coast University
Fort Myers, FL05.2017
Skills
- Interpersonal Communication
- Attention to Detail
- Policy analysis
- Operations Management
- Process Improvement
- Processes and procedures
- Employee Motivation
- Goal-Oriented
- MEDITECH EHR Software
- Advanced Microsoft Office
Languages
English
Native/ Bilingual
German
Native/ Bilingual
Timeline
Policy Advisor
Envision Physician Services
05.2022 - Current
Provider Enrollment Supervisor
Envision Physician Services
04.2021 - 05.2022
Patient Access Central Unit Manager
Parallon
05.2019 - 04.2021
Manager in Training (MIT)
Parallon
09.2018 - 05.2019
Patient Financial Counselor
Parallon - HCA Florida Largo Hospital
07.2017 - 09.2018
MBA - Healthcare Administration
Western Governors University
Bachelor of Science - Health Administration
Florida Gulf Coast University
Similar Profiles
Kara LivasKara Livas
Nurse Practitioner, Emergency Medicine at Envision Physician ServicesNurse Practitioner, Emergency Medicine at Envision Physician Services
Jaime HerreraJaime Herrera
Pediatric Emergency Physician at Envision Physician ServicesPediatric Emergency Physician at Envision Physician Services
JENNIFER DAIJENNIFER DAI
Regional Director - Healthy Hearing at Envision Physician ServicesRegional Director - Healthy Hearing at Envision Physician Services
Mirtha BaezMirtha Baez
Credentialing Coordinator I (Remote) at Envision Physician ServicesCredentialing Coordinator I (Remote) at Envision Physician Services
Chelsea FarrisChelsea Farris
Accounts Payable Specialist at Gulf Coast JFCSAccounts Payable Specialist at Gulf Coast JFCS