Summary
Overview
Work History
Education
Skills
Summary
Certification
Career Overview
Timeline
Generic

Jonathan Lamech

Nashville,TN

Summary

Strong leader and problem-solver 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

20
20
years of professional experience
1
1
Certification

Work History

Director - Client Relations (Revenue Cycle Management)

IKS Healthcare
11.2022 - 10.2024
  • Drove business expansion by identifying new markets, conducting research, and developing targeted marketing campaigns.
  • Developed scalable strategies to support a growing book of business which increases retention and client satisfaction
  • Enhanced client satisfaction by addressing concerns and providing timely solutions to issues.
  • Translated and drove prioritization of client requirements into service and project requests.
  • Increased company revenue by streamlining processes and implementing cost-saving measures.
  • Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
  • Built strong relationships with clients through effective communication and consistent follow-up.
  • Collaborated with cross-functional teams to deliver exceptional client experiences and drive business growth.
  • Maximized revenue potential by identifying areas for improvement within existing client contracts and service agreements.
  • Developed highly empathetic client relationships and earned a reputation for exceeding service standard goals

Director- Projects

Currance Healthcare
10.2023 - Current
  • Increased company revenue by streamlining processes and implementing cost-saving measures.
  • Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
  • Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
  • Improved project efficiency with strategic planning, resource allocation, and time management practices.
  • Implemented innovative solutions to solve complex problems, resulting in increased productivity and streamlined operations.
  • Facilitated cross-functional collaboration for improved decision-making processes within the organization.

Director - Revenue Cycle Management

AKASA
01.2021 - 01.2022
  • Lead technical discussions covering deployment and integration with customer IT/EHR teams
  • Owned the response to customer questionnaires and pre-engagement security audits
  • Utilized machine learning algorithms to analyze historical data, leading to more informed strategy development.
  • Oversee multiple operational teams responsible for RCM projects for one or multiple enterprise clients
  • Responsible for leading, managing, and mentoring employees, including managers
  • Created staffing models to determine service level opportunities or deficiencies.
  • Improved project efficiency with strategic planning, resource allocation, and time management practices using RPA
  • Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.

Healthcare Project Manager - Patient Access (Implementations)

Experian
01.2016 - 01.2021
  • Drove revenue cycle and patient access implementations for healthcare clients
  • Experience on assignments/programs from smaller hospitals to large healthcare systems
  • Led numerous process improvement efforts that have impacted the overall project to cut costs and timelines
  • Knowledge of EDI data flow and HL7, X12, and XML protocol standards
  • Established effective communication among team members for enhanced collaboration and successful project completion.
  • Implemented continuous improvement initiatives to optimize project outcomes.

Project Manager - Install Base (Sales)

Kareo
01.2015 - 01.2017
  • Executed project scope, schedule, resources, and change management initiatives
  • Communicated and documented project plan, status updates, business goals, and governance plan to team and stakeholders
  • Ensured project deliverables are on time, high quality, and on budget
  • Identified, developed, and led key initiatives related to patient access and health systems
  • Helped to re-organize struggling practices by finding the problems and asking the right questions.
  • Established effective communication among team members for enhanced collaboration and successful project completion.
  • Implemented continuous improvement initiatives to optimize project outcomes

Manager RCM - Medical Billing

Kareo
01.2013 - 01.2016
  • Created workflows to improve revenue for doctors' offices, including renewing insurance contracts and insurance fee schedules to comply with CMS regulations
  • Organized monthly consultation meetings with stakeholder and doctors for process and management initiatives
  • Visited Offshore locations in Chennai India
  • Created a logic to help improve projections of AR which resulted in a 70% growth in practice revenue which was later adopted by Kareo's engineering team.
  • Achieved departmental goals by developing and executing strategic plans and performance metrics.
  • Increased team productivity by implementing streamlined processes and effective communication strategies.
  • Optimized resource allocation by conducting regular performance evaluations and providing personalized coaching for staff development.
  • Implemented innovative marketing campaigns that boosted brand awareness and generated significant sales leads.

Claims Reimbursement Manager

NCC Recovery
01.2009 - 01.2013
  • Resolved claim processing issues in a timely manner, evaluating problem claims to the appropriate managerial personnel with the insurance carrier's organization
  • Assess each account for balance accuracy, payer plan and financial class accuracy, billing accuracy, documenting appropriately and submitting corrections or request for processing in a timely manner
  • Reduced errors in reimbursement claims through rigorous attention to detail and thorough documentation.
  • Resolve claim processing issues on a timely basis by reviewing claim inventories, payments and adjustments and taking appropriate actions to ensure proper discounts and allowances.
  • Increased efficiency in the reimbursement process by implementing streamlined procedures and guidelines.

Lead Quality Analyst

Ajuba Solutions
01.2005 - 01.2009
  • Monitored gross collection rate for healthcare clients
  • Responsible accounts receivable greater than 90 days; Improving the clean claim rate
  • Insurance claims follow up.
  • Identified trends and patterns in large datasets, leading to actionable insights for business growth.
  • Validated results and performed quality assurance to assess accuracy of data.

Education

Bachelors in Business Administration (BBA) -

University of Madras
Chennai, India

Skills

  • Epic & Cerner
  • Experian Suite
  • Kareo PM & EHR
  • JIRA
  • ANSI
  • 270/ADT
  • EDI/835
  • HTML & CSS
  • Asana
  • Athena
  • Care Cloud
  • Confluence
  • SaaS
  • SalesForce

Summary

14+, Healthcare, Process Improvement, Client Relationship Management, Customer Success, Contracts & Negotiations, Project Planning, Project Management, Improving Efficiency, Revenue Cycle Management, Healthcare Modernization, AI & Machine Learning, EHR & Medical Billing, On & Offshore Leadership, Adaptability, Conflict Resolution, SaaS, SalesForce, Trello

Certification

  • CRCR (Certified Revenue Cycle Representative), In Progress, 2023
  • CSPR ( Certified Specialist Payments & Reimbursements), In Progress, 2023
  • PMP, In Progress, 2024

Career Overview

Healthcare project management and RCM; work experience in key elements of a product including Implementations, healthcare analysis, and claims reimbursement., Ability to find problems and help solve it, work with difficult personality types, and drive team goals to the finish line., Building relationships and helping find genuine answers to problems that healthcare organizations, analyzing processes to develop the most effective workforce.

Timeline

Director- Projects

Currance Healthcare
10.2023 - Current

Director - Client Relations (Revenue Cycle Management)

IKS Healthcare
11.2022 - 10.2024

Director - Revenue Cycle Management

AKASA
01.2021 - 01.2022

Healthcare Project Manager - Patient Access (Implementations)

Experian
01.2016 - 01.2021

Project Manager - Install Base (Sales)

Kareo
01.2015 - 01.2017

Manager RCM - Medical Billing

Kareo
01.2013 - 01.2016

Claims Reimbursement Manager

NCC Recovery
01.2009 - 01.2013

Lead Quality Analyst

Ajuba Solutions
01.2005 - 01.2009

Bachelors in Business Administration (BBA) -

University of Madras
Jonathan Lamech