Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kristy Ellis

Philadelphia,Mississippi

Summary

Dynamic Patient Access/Pre-Service Manager at Neshoba County General Hospital with proven leadership in optimizing operational efficiencies and enhancing revenue collections. Skilled in problem-solving and team management, successfully led the implementation of eCare Next, improving insurance eligibility processes. Recognized for fostering a positive work environment and streamlining billing accuracy.

Overview

16
16
years of professional experience

Work History

Patient Access/Pre-Service Manager

Neshoba County General Hospital
Philadelphia, MS
08.2023 - Current

-Managed 39 registration employees between Emergency Department, Out Patient, Neurology Clinic, 2 RHC clinics, Surgery Clinic, School Clinic, Call Center, and Pre-Service

-Managed Payer Master files

-Team project lead in implementation of eCare Next for insurance eligibility and payment estimates

-Managed call center queues

-Sit on Clinic PI Committee helping to improve appointment scheduling

-Performed audits of patient registration documents to ensure accuracy

-Work close with Revenue Cycle Director and CFO to identify opportunities to increase operational efficiencies.

-Created staff schedules and assignments, taking workload, space, and equipment into consideration

-Worked close with Out Patient department to insure Prior Authorizations were obtained prior to test/procedures

-Worked with staff in creating patient payment estimates to improve upfront collections

Clinic Billing/Payment Posting Supervisor

Neshoba County General Hospital
Philadelphia, MS
09.2017 - 08.2023
  • Increased revenue collections by identifying opportunities for improvement in billing accuracy and claim submissions. Worked with EHR system (Cerner/Oracle) to install billing rules to increase clean claim rate.
  • Worked with claims clearinghouse (SSI) to make sure claims uploaded daily.
  • Worked with Claims Clearinghouse in keeping payer master files updated to match EHR so claim transmitted faster
  • Worked with training biller in new medicaid system MESA
  • Optimized workflow processes to reduce manual tasks, freeing up time for more strategic initiatives.
  • Improved payment posting efficiency by streamlining processes and implementing new software tools.
  • resolved variance in accounts and reconciled with bank statement
  • Implemented best practices in payment posting procedures, ensuring accuracy and timeliness of transactions.
  • Helped maintain providers' records to verify continued eligibility for participation in network with payers
  • Maintain log of Providers CAQH and making sure documents were updated and attested
  • Assisted accounting department with month-end closing activities.

Clinic Coordinator

Neshoba County General Hospital
Philadelphia, MS
08.2009 - 09.2017
  • Provided administrative support to clinic staff, such as filing paperwork, maintaining databases, and preparing reports
  • Assisted in the coordination of patient care service, including scheduling appointments and managing medical records
  • Updated patient accounts with insurance verification information to ensure accurate billing
  • Scheduled front office and nursing staff
  • Coded charges for Pediatric Clinic and transmitted claims
  • Posted commercial mail payments

Education

Accounting

East Central Community College
Decatur, MS
05-2004

High School Diploma -

Neshoba Central High School
Philadelphia, MS
05-2001

Skills

  • Positive attitude
  • Team leadership
  • Multitasking and organization
  • Problem-solving
  • Reliable and responsible

Timeline

Patient Access/Pre-Service Manager

Neshoba County General Hospital
08.2023 - Current

Clinic Billing/Payment Posting Supervisor

Neshoba County General Hospital
09.2017 - 08.2023

Clinic Coordinator

Neshoba County General Hospital
08.2009 - 09.2017

Accounting

East Central Community College

High School Diploma -

Neshoba Central High School