Jessica S Martin
Exeter,NH
Summary
Determined Healthcare Revenue Cycle Analyst with success boosting productivity and streamlining procedures for organizations. Focused on smoothly overseeing financial, personnel and operational facets. Expertly balanced targets with resources and optimized long-term success.
Overview
21
21
years of professional experience
Work History
Business Functional Liaison
Emerging Tech
12.2022 - Current
- Evaluated suppliers to maintain cost controls and improve operations.
- Established and maintained relationships with key stakeholders for growth opportunities and successful partnerships for implementation of Cerner
- Developed new proposals, contracts and procedures to draw in more clients and streamline work operations and proper use of Cerner
- Introduced new methods, practices, and systems to reduce turnaround time.
- Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
- Developed complete business plans and operational strategies for government hospitals.
Practice Manager
Harvey Family Dentistry
05.2021 - 12.2022
- Manage business of family-owned dental practice
- Contract negotiations for insurances
- Develops new programs and reviews ROI for practice
- Marketing business
- Increased yearly revenue to profitable company with increase of 25%
- Project Manage implementation of new products
- Effectively manage staff office for daily procedures
- Budget daily, monthly, and yearly operations
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
- Provided supervision and management to team of support personnel.
- Boosted staff morale by offering constructive feedback and specific direction.
- Developed and implemented strategies to improve patient access, satisfaction and care quality.
Director of Billing Operations
Access Sports Medicine and Orthopaedics
02.2018 - 04.2021
- Oversee all billing and front desk of orthopaedic, physical and occupational therapy services
- Manages front desk of multiple locations, ensuring all payments are collected while patient is in office
- Support staff that are implementing new policy and procedures, providing guidance and training
- Tracking of staff productivity, to improve organizational numbers monthly
- Review and provide guidance for providers coding and confirm are not missing charges
- Working on implementing remote check-in for patients to have current demographics and insurance
- Work closely with administrator to decrease all areas of revenue leakage
- Reviews all insurance contracts to ensure profitability and codes or high use are being reimbursed
- Provide input to keep staff safe during COVID-19 Pandemic
- Project Managed implementation of remote check in program
- Ensures credentialing is current throughout organization with insurance, state, hospitals
- Provide overall organizational management for all areas, as necessary
- Improved and track all Ambulatory Surgical Billing
- Aid with budgeting for operations of surgical center
- Participated in strategic planning through evaluation of needs and support of steps necessary for completion.
- Coordinated employee onboarding for operational and support staff.
Consultant
Colburn Hill Group
07.2014 - 01.2018
- Provide guidance, organizational development, and leadership with contracted hospitals
- Specialize in billing edits reorganization for multiple hospitals - including verification for claims passing through clearing house
- Along with tracking for first pass payment
- Co-authored paper on improving clean claim rates for billing edits
- Interim manager of patient accounts for client of 20 staff members
- Review of denials trends prior to claim submission for all payers
- Decrease of denials – after review of top denials
- Analyze staff quality improvement and productivity to improve revenue and decrease denials
- Analyzed problematic areas to provide recommendations and solutions.
- Delivered outstanding service to clients to maintain and extend relationship for future business opportunities within hospital systems, cerner being specific system used.
Senior Operations Lead
Accretive Health
01.2013 - 11.2014
- Provided coding knowledge and process improvement for denied claims and billing edits
- Co-managed revenue cycle staff
- Lead project of increasing Clean Claim Rate from 22% to 80%
- Offered leadership to simplify daily operations - to verify staff is reaching daily goal of claims, along with correctly working claims for payment
- Interacted well with customers to build connections and nurture relationships.
- Trained and guided team members to maintain high productivity and performance metrics.
- Assisted in decrease of claims worked by staff and flow cleanly through billing editor
- Provided assistance to redesigning revenue cycle and workflow
- Attended bi-weekly meetings with CFO and Finance for status of monthly finances
- On target with Cash
- Write off amounts
- Staff and department issues
Operations Lead
Accretive Health
05.2010 - 01.2013
- Provided coding knowledge and process improvement for denied claims
- Guided staff in process to track write offs, then to use for improving revenue for clients
- Create matrix for how efficient staff member worked, then provided additional training
- Analyzed departmental charging to see if additional coding for additional revenue
- Recommended operational and staff development with additional training
- Increase staff quality and improvement for day-to-day work
- Managed and allocated staff and material resources to meet production goals.
- Performed quality control and monitored production efforts.
- Oversaw problem resolution to address barriers to operational efficiency.
Administrative Assistant
SJH SurgiCenter, LLC
09.2006 - 05.2010
- Provided reviews of operative notes, to be sure all codes and modifiers are billed
- Identified when modifiers were missed
- Analyzed all charges done for correct coding
- Involved in billing and coding daily operations for all procedures
- Managed all patient accounts for payments and denial management
- Ensured surgical schedule was booked with correct amount of time
- Was liaison with Nurse Manager, Director and all scheduling departments to ensure all OR schedules were covered
Doctor Pamela Baldassarre
05.2006 - 09.2006
- Managed patient payments, with outstanding balances, collecting balances and researching problems
- Helped with updating the computer software, kept track of problems and received additional training
- Assisted the physician with documentation of patient consults
- Verified patients dental insurance for upcoming surgeries
Accounts Receivable Representative
Physicians Practices Solutions
02.2005 - 03.2006
- Helped patients understand their balances, with approximately 1000 calls month
- Worked to reconcile billing problems in timely manner focusing on coding specifically
- Created monthly reports for insurance to pay their claims
- Managed insurance payments to for all patients
Medical Office Coordinator
Comprehensive Otolaryngology
01.2003 - 01.2005
- Managed in-office patient relationships, including appointment scheduling, check-in, insurance/address verification, and billing explanation for patient volume of around 225 patients per week
- Helped to train new employees on use of existing systems along with day to day operations
- Managed accounts receivable ranging from insurance carriers and patients
- Utilized ICD-9 and CPT codes for charge entry
Education
HCPro Medicare Bootcamp, complete billing -
HCPro
Boston, MA08.2011
Master of Science - Healthcare Administration
New England College
Henniker, NH05.2006
Bachelor of Science - Health Service Management
University of New England
Biddeford, ME05.2002
Skills
- SKILLS & ATTRIBUTES
- Computer Applications: Microsoft Office, CERNER, IDX, Dental Vision, NextGen, Meditech, EPIC, STAR, HSM, PHS, PMM, HPF, Patient Compass and Claims Administrator, Accretive Tools, ePremis, nThrive (MedAssets), Allscripts
- Project Management
- Staff Training
- Account Retention
- Stakeholder Relations
- Business Planning
- Medical Skills: Medical terminology, medical records, ICD-9, ICD-10 and CPT books, HIPAA training, OSHA trained
Timeline
Business Functional Liaison
Emerging Tech
12.2022 - Current
Practice Manager
Harvey Family Dentistry
05.2021 - 12.2022
Director of Billing Operations
Access Sports Medicine and Orthopaedics
02.2018 - 04.2021
Consultant
Colburn Hill Group
07.2014 - 01.2018
Senior Operations Lead
Accretive Health
01.2013 - 11.2014
Operations Lead
Accretive Health
05.2010 - 01.2013
Administrative Assistant
SJH SurgiCenter, LLC
09.2006 - 05.2010
Doctor Pamela Baldassarre
05.2006 - 09.2006
Accounts Receivable Representative
Physicians Practices Solutions
02.2005 - 03.2006
Medical Office Coordinator
Comprehensive Otolaryngology
01.2003 - 01.2005
HCPro Medicare Bootcamp, complete billing -
HCPro
Master of Science - Healthcare Administration
New England College
Bachelor of Science - Health Service Management
University of New England
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