Kylie DiGiacomandrea
Regional Manager
Ormond Beach,FL
Summary
Revenue Cycle Business Development professional with proven experience in complex claims team management, leadership, managing hospital host systems, and a deep understanding of a client service line. A forward thinking leader with an innate ability to find common ground with all, have a passion for team success, and understand goals and how to achieve them. Prepared to leverage 15 years of progressive management experience to positively impact business operations.
Overview
18
18
years of professional experience
Work History
Regional Manager
Accelerated Claims Inc.
Kennesaw, GA
12.2016 - Current
- Developed and maintained relationships with hospital stakeholders, serving as liaison between the client and internal partners while maintaining customer success and satisfaction
- Strategically monitored and analyzed monthly reports and raw data to track alignment with both internal and external KPIs and revenue forecasts specific to each client
- Cosponsored implementations as operational manager specializing in reviewing EDI files, workflow process and onboarding of new employees
- Managed up to eight individual hospital contracts concurrently, ensuring maximum third party liability and workers compensation reimbursement for clients, and exceeding all contractual obligations
- Created weekly and monthly workflows for multiple hospital teams and fostered an environment for a team mentality and growth.
- Managed corporate compliance, bonus eligibility, and employee throughput for all active staff
- Worked with respective Patient Financial Service Departments and Health Information Management Departments for each client, ensuring HIPAA compliant Release of Information
Team Leader II
Accelerated Claims Inc.
Kennesaw, GA
10.2014 - 12.2016
- Promoted from Patient Counselor to the Team Leader role within 7 months of hire.
- Promoted to Team Lead II within a year of becoming Team Lead.
- Staffed and supported 8 Advent Health facilities for 3 years including: developing workflows, operational management documents, and optimized vendor/client processes for complex claims.
- Documented change management of job aides, tip sheets, workflows, and telephony transitions to create best practice model.
- Oversaw a reconciliation project of over 10k complex claims accounts resulting in over 1.3 million in collections for our client.
- Served as the main point of contact to our client for issue review while also advising on additional strategies and services offered.
Practice Manager
Newton Family Foot Care
Newton, MA
08.2007 - 06.2013
- Oversaw day to day operations of multi physician practice.
- Scheduled and confirmed patient diagnostic appointments, surgeries, and medical consultations.
- Created and implemented organizational policies and procedures complying with OSHA and HIPPA regulations.
- Maintained and worked with medical records in multiple EMR programs.
- Consulted with healthcare professionals on business decisions.
- Performed bookkeeping duties, such as credits or collections, preparing and sending financial statements or bills, keeping financial records, and payroll.
- Oversaw hiring and training new clerical staff, setting up employee schedules, conducting employee performance evaluations and resolving employee conflicts.
Patient Access Supervisor
MetroWest Medical Center
Framingham, MA
01.2006 - 08.2007
- Oversaw a team of 20+ registrars.
- Performed patient registration functions to serve as initial contact point for emergency department visits.
- Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
- Managed scheduling to ensure adequate staffing.
- Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Took copayments and compiled daily financial records.
Skills
Operations
Strategic Planning
Goals and performance
Staff Management
Systems and software programs
Leadership skills
Education
OCCS Certification - Early Childhood Education
North Shore Community College
Danvers, MA 09.1992 - 06.1996
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Regional Manager
Accelerated Claims Inc.
12.2016 - Current
Team Leader II
Accelerated Claims Inc.
10.2014 - 12.2016
Practice Manager
Newton Family Foot Care
08.2007 - 06.2013
Patient Access Supervisor
MetroWest Medical Center
01.2006 - 08.2007
OCCS Certification - Early Childhood Education
North Shore Community College
09.1992 - 06.1996