Kelli Mitchell
Indian Lake,NY
Summary
Seasoned Operations Manager and talented leader with 25 years of experience. Dynamic leader with a proven track record, enhancing revenue cycle management and achieving a 40% increase in net collections. Expert in strategic thinking and problem-solving, excels in team leadership and cross-functional collaboration. Skilled in data analysis and process improvement, driving results and fostering strong client relationships. Results-driven and resilient in developing teams while improving processes and increasing productivity. Bringing solid understanding of industry trends, excellent communication skills, talent for spotting areas in need of improvement and implementing changes with strategic approach.
Overview
24
24
years of professional experience
Work History
RCM Operations Manager
Optum
03.2010 - 09.2024
- Management of the complete Revenue Cycle including data entry, accounts receivable, and customer service for more than 30 different clients totaling more than 700 million in annual charges
- Responsible for a team of up to 130 staff, including hiring, mentoring, monitoring, disciplining as needed. Champion of mentoring for internal growth.
- Analysis of revenue cycle with immediate responsiveness to areas of concern. Focus on root cause and process improvement.
- Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
- Integral member of team for new client implementations, guiding system configuration, building a skilled team, reporting and communicating effectively throughout the process.
- Analyzed and monitored revenue cycle performance to identify and resolve areas of process improvement.
- Coordination with offshore partners to insure projects were completed on time and met or exceeded high quality standards
Sole Proprietor
Indian Lake Happy Trails
05.2017 - 03.2020
- Business owner, successful seasonal ice cream shop, regularly serving over 100 items per hour
- Managed all financial aspects of the business, including invoicing, budgeting, and tax preparation.
- Responsible for all procurement, supply management, pricing, marketing, and contract negotiation.
- Promoted business via social media to generate leads and maximize brand identity.
- Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
Reimbursement Director
Hudson Headwaters Health Network
06.2008 - 03.2010
- Management of contracts with insurance carriers, ancillary services, and contracted employees for a Federally Qualified Health Center with 12 health centers and 10 ancillary locations
- Renegotiation of contracts with insurance carriers; Realized a twenty percent increase in revenue during first twelve months in position through renegotiation, with annual contracted increases
- Worked directly with high level leaders at CMS, Department of Health, and various insurance payors to resolve disputes
- Participated in various national and state level committees for review of payment system methodology and assist in development of innovative solutions such as the NY Medicaid APG reimbursement system.
- Work closely with CFO, assisting with financial and regulatory cost reporting.
- Update, monitored, and managed chargemaster with regular audit of payment rates to ensure contracted rates were being received
- Trained and audited staff across organization to ensure compliance with contract and regulatory requirements
Patient Business Services Director
Hudson Headwaters Health Network
10.2000 - 06.2008
- Oversight of all billing functions for 12 Federally Qualified Health Center locations with over 300 providers
- Daily analysis of accounts receivable and implementation of processes to ensure industry DAR, 120+, NCR and other metrics were met or exceeded
- Forty percent increase in net collections during first year in role. Maintained the improved metrics during entire tenure
- Implementation of polices across organization to ensure revenue optimization while meeting compliance requirements
- Responsible for billing compliance within organization. Stayed abreast of regulatory requirements, implemented processes to meet requirements at all levels including Corporate Officers, Physician Leaders, and Office team members.
Education
Nursing
Fulton Montgomery Community College
JohnstownBusiness Management
SUNY Adirondack
Skills
- Problem-Solving
- Strategic Thinking
- Project Management
- MS Office
- Process Improvement
- Cross-Functional Collaboration
Additional Information
Previous AAPC CPC Certification
Six Sigma Green Belt
Design Thinking
Quote
Too many people are thinking of security instead of opportunity. They seem more afraid of life than death.
James F. Byrnes
Timeline
Sole Proprietor
Indian Lake Happy Trails
05.2017 - 03.2020
RCM Operations Manager
Optum
03.2010 - 09.2024
Reimbursement Director
Hudson Headwaters Health Network
06.2008 - 03.2010
Patient Business Services Director
Hudson Headwaters Health Network
10.2000 - 06.2008
Nursing
Fulton Montgomery Community College
Business Management
SUNY Adirondack
Similar Profiles
Kaitlynn GalloKaitlynn Gallo
Medical Assistant at OptumMedical Assistant at Optum
Samantha RunnerSamantha Runner
Network Program Consultant at OptumNetwork Program Consultant at Optum
Jocina RosarioJocina Rosario
Coding Quality Analyst at OptumCoding Quality Analyst at Optum
Heather N. BarndtHeather N. Barndt
Supervisor at OptumSupervisor at Optum
Melissa HallMelissa Hall
Office Manager at Ballston Lake Gutters, Inc.Office Manager at Ballston Lake Gutters, Inc.