Lacie Penny
Columbia,SC
Summary
Goal-driven Healthcare Administration professional well-versed in recruiting, training and managing employees to provide exceptional resident services. Highly organized and hardworking with excellent planning and program management skills. Hardworking and passionate job seeker with strong organizational skills eager to secure an entry-level position. Ready to help team achieve company goals.
Overview
5
5
years of professional experience
1
1
Certification
Work History
General Manager
Blue Ridge Clay Shop
03.2020 - Current
- Managed budget implementations, employee reviews, training, schedules, and contract negotiations.
- Cultivated strong relationships with clients, vendors, and partners to ensure long-term success and loyalty.
- Developed and implemented strategies to increase sales and profitability.
- Formulated policies and procedures to streamline operations.
- Evaluated quality problems and performed assessments to identify and resolve issues.
- Resolved customer complaints while prioritizing customer satisfaction and loyalty.
Clinic Manager
MainStreet Family Care
10.2021 - 03.2022
- Developed policies and procedures for the clinic to ensure quality service delivery
- Monitored clinic activities, such as billing, coding, and medical records maintenance
- Collaborated with physicians and other staff members to improve clinical processes and patient outcomes
- Ensured compliance with regulatory requirements related to health insurance plans, HIPAA regulations
- Performed regular audits of patient charts to ensure accuracy of information recorded in medical records system
- Oversaw recruitment of new personnel for the clinic, conducting interviews and making hiring decisions.
Medical Claims Project Manager
Northport Pharmacy
07.2020 - 02.2021
- Negotiated contracts with vendors and suppliers based on company objectives and budget constraints
- Collaborated closely with senior management on long-term strategic planning initiatives related to projects in development or execution stages
- Drafted reports summarizing progress made on projects for review by executive leadership team
- Ensured compliance with applicable laws, regulations, policies and procedures throughout the life cycle of each project
- Implemented effective communication protocols between internal teams working on different aspects of a given project
- Designed and developed training materials for new employees in the organization
- Assisted with the development of new billing procedures and policies.
- Maintained a thorough understanding of the intricacies involved in processing medical claims for diverse healthcare specialties, enabling accurate and efficient claim adjudication.
Medical Claims Specialist
Babytalk Store
04.2019 - 06.2020
- Verified patient eligibility for medical claims and determined benefit coverage
- Submitted and tracked medical claims to insurance companies via electronic or paper methods
- Reviewed denials, rejections, and underpayments from insurance carriers and resolved issues in a timely manner
- Maintained accurate records of all claim activities for audit purposes
- Provided feedback on coding errors and discrepancies found in submitted claims
- Responded promptly to customer inquiries regarding claim status and appeals updates.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
Education
Master of Health Administration -
College of Health Professions, The Medical University of South Carolina
Charleston, SC12.2023
Bachelor of Science in Commerce and Business Administration - Management (Healthcare Analytics, Human Resources)
Culverhouse College of Business, The University of Alabama
Tuscaloosa, AL05.2021
Skills
- Customer Relations
- HIPAA Compliance Knowledge
- Employee Training
- Attention to Detail
- Problem Resolution
- Microsoft Office Suite
- SQL/Tableau
- Data Entry
- Medical claims submission
- ICD-10 Knowledge
- Medicare and Medicaid Expertise
- Public Health Initiatives
Skillscertifications
Microsoft Office Suite, DocuTap, SQL, Tableau, Shopify, POS Systems, Patient Support, Leadership, Organization, Communication, Problem Solving, Critical Thinking, Analysis, CPR, Telehealth Certification Certificate, Yellow Belt Six Sigma
Relevantclassesprojects
- HAP 730, Analyzed organizational/departmental challenges and provided corrective action plans to company leadership.
- HAP 632, Performed root cause analysis and six sigma to identify opportunities for improvement.
- HAP 729, Provided recommendations for staffing and FTE needs, budget reconciliation, and long-term financial strategy.
Certification
- Six Sigma Yellow Belt Certification - 2024
- Telehealth Administration Certification - 2023
Community Involvement
Sigma Kappa Sorority
- Raised over $500 for the Walk to End Alzheimers 2018-2023
- Communications and Operations Team Member- 2019-2020
- Academic Success Coordinator 2018-2021
- Recruitment Leader during the largest sorority recruitment in the country (over 2,200 potential new members)
- Computer and Logistics Team 2020-2021
- DEIA Advisor 2021-2023
Harvest Hope Food Bank
- Collected and donated canned goods for local food bank
Unhoused Outreach
- Packed over 200 bags to unhoused people in downtown Birmingham
- Prepared and distributed to hot chocolate to unhoused population in Columbia
Tuscaloosa Metro Animal Shelter
- Participated in painting project to revamp the shelter
- Participated in drives to receive donations of food, toys, and other items
ourHOME Alabama
- Served as social media volunteer, raising funds for capital purchases and community services
Timeline
Clinic Manager
MainStreet Family Care
10.2021 - 03.2022
Medical Claims Project Manager
Northport Pharmacy
07.2020 - 02.2021
General Manager
Blue Ridge Clay Shop
03.2020 - Current
Medical Claims Specialist
Babytalk Store
04.2019 - 06.2020
Master of Health Administration -
College of Health Professions, The Medical University of South Carolina
Bachelor of Science in Commerce and Business Administration - Management (Healthcare Analytics, Human Resources)
Culverhouse College of Business, The University of Alabama