Overview
Work History
Education
Skills
Volunteer Experience
Timeline
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Kelly Golembiewski

Downingtown,PA

Overview

8
8
years of professional experience

Work History

Project Manager

R1RCM
08.2022 - Current
  • Effectively implemented a program management strategy within established timelines for R1's legacy charge capture platform
  • Coordinated with cross-functional teams (Technology, Data, Product, and Operations) to efficiently resolve project issues and mitigate risks
  • Developed client-facing deliverables showcasing the enhancements provided by the new platform
  • Solicited stakeholder feedback via SharePoint Form survey for Auditing/Rules teams to prioritize issues persisting post-conversion
  • Led Global Delivery Onboarding across DRG-Validation, Charge Capture, and HCC coordinating recruiting efforts, training, compliance, metrics, etc.

Manager

CLOUDMED, an R1 Company
04.2020 - 08.2022
  • Led a team of 20 across the DRG Validation and Charge Capture, Blue Card, and Underpayments service lines accounting for >$2M in monthly Cloudmed revenue
  • Established and expanded a claims resolution team operating within the DRG Validation and Charge Capture service lines
  • Managed the sunset of two legacy company systems and orchestrated the seamless migration of data volumes into new platforms
  • Aligned client and internal stakeholders to ensure consistency in delivery with creation of work queues, rebill submissions, EMR processes
  • Worked with the RPA team to create a process for users to submit virtual fax/mail submissions
  • Collaborated with the Product, Analytics, and RPA teams to enhance user interface (UI) functionality
  • Trained and develop Senior Analysts to take on recruiting and junior staff development

Senior Consultant

CLOUDMED, an R1 Company
02.2016 - 04.2020
  • Led a team of 10 Analysts and Consultants identifying an average of $1M per month in missed hospital revenue
  • Traveled to Cloudmed offices and lead department process trainings for remote and in-office employees
  • Hosted monthly calls with client leadership to review project progress, summarize account trends, and facilitate Q&A
  • Coordinated university recruiting visits resulting in the hiring of 10 FTEs in 2018 and 11 in 2019

Consultant

CLOUDMED, an R1 Company
12.2016 - 12.2017
  • Trained employees to efficiently scope for underpayment risk at the payer and government contract level
  • Worked with the client to correct and resubmit facility bills within contractual payer time limits

Analyst

CLOUDMED, an R1 Company
02.2016 - 12.2016
  • Researched patient encounters in conjunction with facility payer contracts and identified missed revenue opportunities
  • Composed formal Provider contractual appeals and worked with insurance companies to resolve account underpayments

Education

Bachelor of Science - Biobehavioral Health

PENN STATE UNIVERSITY
State College, PA

Skills

  • CPC-A (obtained March 2021)
  • Hospital EMR systems (Epic, Cerner, McKesson)
  • Power BI
  • Team & Project Management
  • Communication
  • Sharepoint
  • DevOps
  • Leadership

Volunteer Experience

Founder of the Charles C. Concannon Memorial Scholarship

  • Coordinate and plan local events to raise over $30K annually for the Embry-Riddle School of Aeronautical Science

Timeline

Project Manager

R1RCM
08.2022 - Current

Manager

CLOUDMED, an R1 Company
04.2020 - 08.2022

Consultant

CLOUDMED, an R1 Company
12.2016 - 12.2017

Senior Consultant

CLOUDMED, an R1 Company
02.2016 - 04.2020

Analyst

CLOUDMED, an R1 Company
02.2016 - 12.2016

Bachelor of Science - Biobehavioral Health

PENN STATE UNIVERSITY

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Kelly Golembiewski