Kelly S. Pulice
Hubbard
Summary
Healthcare project and program manager with deep expertise in revenue cycle management and patient access coordination. Specializes in enhancing operational efficiency and compliance while fostering strong teams to improve patient care and financial results. Demonstrated success in implementing innovative solutions that mitigate risks and elevate organizational performance.
Overview
46
46
years of professional experience
Work History
Manager Revenue Cycle Management
Tenor Health Foundation Sharon LLC
03.2023 - Current
- Managed utilization review process to ensure compliance and optimize patient care
- Managed physician payer credentialing to facilitate timely reimbursements
- Oversaw implementation of Meditech EMR/patient accounting system to enhance operational efficiency
- CDM and dictionary maintenance of Meditech
- Coding/Billing/Collection/Cashier vendor oversight
- Supported CFO by managing revenue cycle report documentation
Director | Patient Access/Revenue Cycle Specialist
Sharon Regional Medical Center
Sharon
04.2019 - 03.2023
- Instrumental in reopening the first hospital in Pennsylvania
- Facilitated establishment of new billing company for reopened facility, enhancing revenue cycle operations.
- Managed cash posting, client invoicing, accounts receivable, and collection management to optimize financial processes.
- Manage daily point of service collections.
- Manage 30 employees in Emergency Registration, outpatient registration, admitting, financial counseling and switchboard daily.
- Conducted hiring activities to build a skilled workforce aligned with organizational goals. and administer performance appraisals.
- Collaborate with all hospital departments.
- Streamlined registration functions to improve patient intake efficiency and ensure data accuracy..
- Ensure to follow EMTALA and understand the requirements.
- Run and analyze Account Receivable reports for CFO as a direct report.
- Oversaw policy management to ensure compliance with healthcare regulations and standards..
- Coordinate with Financial department on special projects.
Asst. / Director Corporate Business Office
Trumbull/Northside
Warren
06.2017 - 03.2019
- Reported to CBO Director then to CFO when promoted to Director in May 2018.
- Managed 30 employees in all account receivable functions, billing, cash processing and posting, customer service, workers compensation billing, Medicare, Medicaid, and insurance follow up.
- Reviewed insurance follow-up activity to ensure payments were collected.
- Monitored denials, payment adjustments, refunds, and account receivable payments to ensure timely collections.
- Instrumental in building and implementing new account receivable system. Meditech.
- Restructured business office processes to align with new account receivable system.
- Developed roles and responsibilities for follow-up staff to enhance collaboration with offsite business office.
Patient Access Manager
Trumbull Memorial Hospital | Northside Medical Center
09.2006 - 06.2017
- Managed Trumbull Memorial Hospital | 292 bed hospital and Northside Medical Center | 389 bed hospital.
- Increased point of service cash by 68% in 2011, point of service collections were $2.5 million a year at that time.
- Led team of 30 in registration, scheduling, pre-registration, and insurance verification to streamline patient access operations.
- Identified and managed collections for co-pays, deductibles, and coinsurance balances to ensure accurate billing.
- Decreased lobby registration wait time from 25 minutes to 15.
- Executed bedside emergency registration and collections to enhance patient experience and expedite service.
- Coordinated financial counseling services to assist patients in understanding their financial responsibilities.
- Monitored all day-to-day registrations for accuracy.
- Reported to Corporate Business Office Director.
Supervisor Customer Service & Collections
Valley Healthcare Systems
Youngstown
01.2006 - 12.2006
Admissions Counselor | Emergency Room Patient Advocate
Forum Health
Youngstown
01.1981 - 01.2006
Education
Choffin Career Center -
Choffin Career Center
Youngstown, OhioSkills
- Revenue cycle management
- Coding and billing
- Payer credentialing
- Patient access
- Meditech implementation
- System implementation
- Operational efficiency
- Process & Performance Improvement
- Budget management
- Data reporting
- Project management
- Policy implementation
- Compliance oversight
- Customer service excellence
- Team leadership
- Leadership Development
- Staff training
- Team Building
- Workforce management
- Service Building
- Communication
- Collaboration
- Conflict resolution
- Problem Solving
- Relationship building
- Customer Relations & Engagement
- Task Management
- Time Management
- Financial management
- Schedule preparation
- Performance management
- Performance evaluation
- Vendor management
- MS Office
- HMS
- Bolt Systems
- Coaching
- Performance evaluation
- Revenue management
- Coaching
Accomplishments
- Customer Service | Advocate
- Project Management
- Revenue Cycle Experience
- Service Recovery
- Employee Management | Staff Development
- Communication Written | Oral
- Operational Planning | Organizational Development
- Supervision
- Multi-tasking
Volunteer Experience
- 2011, CHS Nonclinical Manager of the year.
- 2011, Forum Nonclinical Manager of the year | nominated by the CFO.
- 2011, CHS Nonclinical Manager of the year | CHS Nonclinical nomination among all the other hospitals within CHS.
- 2008, Forum manager of the Month.
Awards
- 2011, Increased Point of service by 68%.
- Created a concierge process with CFO using the six-sigma lean concept, in our scheduling, pre-registration department at Northside Medical Center.
- Implemented and restructured a business office to accommodate new systems and remotely working with the MA Corporate Business Office for Steward Health.
Technical Capabilities
Choffin Career Center, Youngstown, Ohio, MS Office: Word, Excel, Outlook, PowerPoint, SharePoint, Social Media: Facebook, Instagram, Twitter, LinkedIn, TikTok, Communication: Microsoft Teams, Other: Meditech, HMS, Bolt Systems: RQA, NThrive contract management, NThrive Billing And payment estimator program, Care Pricer, Implementation of new systems | proficient and fast learner.
Timeline
Manager Revenue Cycle Management
Tenor Health Foundation Sharon LLC
03.2023 - Current
Director | Patient Access/Revenue Cycle Specialist
Sharon Regional Medical Center
04.2019 - 03.2023
Asst. / Director Corporate Business Office
Trumbull/Northside
06.2017 - 03.2019
Patient Access Manager
Trumbull Memorial Hospital | Northside Medical Center
09.2006 - 06.2017
Supervisor Customer Service & Collections
Valley Healthcare Systems
01.2006 - 12.2006
Admissions Counselor | Emergency Room Patient Advocate
Forum Health
01.1981 - 01.2006
Choffin Career Center -
Choffin Career Center