Laura Grier
Augusta,GA
Summary
Dynamic professional with extensive experience at Augusta University Medical Center, excelling in revenue cycle management and client communication. Proven ability to enhance team performance through effective staff training and data analysis, achieving significant improvements in operational efficiency. Strong problem-solving skills and a commitment to delivering exceptional patient service.
Overview
20
20
years of professional experience
Work History
Associate Implementation Specialist
ADP
09.2024 - Current
- Reviews FLT Orders for completeness.
- Gather historical tax and payroll-related information while collaborating with Client Implementation.
- Contact clients via phone and email to explain the FLT process and/or to obtain missing FLT items.
- Sends applicable system-generated letters, Missing information, Out-Of-Balance (OOB), FLT drop, and FLT complete, as required.
- Prepares FLT spreadsheets from FLT Application and client source documents.
- Coordinate the quarter-end process for FLT clients to meet quarterly FLT deadlines.
- Handles complex client setups including multijurisdictional, large employee count, special taxation, identifies and troubleshoots OOBs and contacts client regarding OOBs and debit approval.
- Ensure FLT status indicators and Clarify Start Manager are properly updated.
- Notifies Client and Sales Associate of potential client ineligibility as a result of missing data or unresolved issues.
- Manages work bins within the FLT and Clarify applications providing updates to FLT TSS and/or Management upon request.
Financial Counselor Manager
Augusta University Medical Center
01.2019 - 07.2024
- Manage staff and evaluate performances and take disciplinary action when necessary.
- Identify the educational or training needs of staff.
- Daily review of staff work list and analyze data to provide reports in support of performance measures to senior management on a weekly basis.
- Interview and hire new staff, and mentor and recommend staff for advancements throughout the organization.
- Coordinate patient’s referrals and obtain appointments in a timely manner.
- Coordinate with VA Community Care to obtain updated vouchers for all services.
- Assist AU/VA Scheduler to obtain first appointment for ER/inpatient admission to update HSRM system.
- Assist VA staff and Veteran on billing issues.
- Submit medical records to VA when requested by VA staff.
- Access Optum website to obtain Inpatient and outpatient authorizations.
- VA Liaison for Vouchers on transfer patients admitted via the ER.
- Verify benefits on patients’ insurance and provide patient liability statement.
- Complete coding for ICD-10 and CPT codes for inpatient and outpatient visits.
- Completes monthly productivity and denial reports.
- Provide training to all new staff on job specific duties.
- Arrange system training with training department for all required staff training for new hires.
- Interdepartmental and external liaison on patient issues and referrals.
- Assist staff with overflow work (Patient registrations, insurance verification, and liability collection and precertification).
- Monitors monthly budget and expenses; review monthly financials for budget compliance.
- Knowledgeable of medical CPT codes, patient accounting procedures, patient insurance verification, account billing, revenue cycle, and general accounting principles (hospital and physician billing).
- Strong ability to plan, develop and implement policies.
- Assist patients with medical assistance and/or hospital charity assistance.
- Ensure collection of co-payments and/or deductibles and claims resolution.
- Resolve patient complaints via SOS system and reaching out to patients with resolutions on bills and any grievances.
- Continuous updates to staff and management team on insurance updates and statue changes.
- Maintains communication verbally, through email and one-on-one training and education programs across the community co facility and throughout the community.
- Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre-registration of patients.
- Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc.
- Verify insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic.
- Confirm what benefits of a patient’s upcoming visit/stay are covered by the patient’s insurance, including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided.
- Provide proactive price estimates and work with patients so they understand their financial responsibilities.
- Inform families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refer the patient to financial counseling.
- Review and analyze patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible.
PAS ER Registration Manager
Augusta University Medical Center
12.2006 - 12.2018
- Improved operations by implementing procedural changes.
- Helped team handle high-volume work by prioritizing tasks and organizing supplies.
- Worked effectively with diverse team to accomplish daily objectives and meet long-term goals.
- Served customers by going beyond offering exceptional support for needs.
- Assisted with tasks and work duties during slow periods to maintain team productivity.
- Interacted with clinical staff and acted as liaison with outside facilities.
- Coordinate with VA Community Care to obtain updated vouchers for all services.
- Access Optum to obtain Inpatient and outpatient authorizations.
- VA Liaison for Vouchers on transfer patients admitted via the ER.
- Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre-registration of patients.
- Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc.
- Verify insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic.
- Confirm that a patient’s health insurance(s) is active and covers the patient’s procedure.
- Confirm what benefits of a patient’s upcoming visit/stay are covered by the patient’s insurance, including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided.
- Provide proactive price estimates and work with patients so they understand their financial responsibilities.
- Inform families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refer the patient to financial counseling.
- Review and analyze patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible.
APAS ER Supervisor
AU Medical Center
, USA
01.2006 - 11.2006
- Maintains and fosters effective public relations with patients, visitors and staff.
- Serves as an advocate of Registration Services operations workflow and processes, building support through collaborative relationships with department and clinic leadership.
- Leads, oversees, measures and manages the performance and productivity of assigned teams and implements process improvements to enhance productivity.
- Regularly reviews metrics (insurance verification rate, point-of-service collections, avoidable write-offs, denials, productivity reporting, quality reporting, work list backlogs, etc.) to identify the root cause of issues, reports findings to leadership, and works to correct issues.
- Communicates with patients, family, physicians, clinic staff and practice administrators in a respectful manner to ensure an effective workflow and great patient satisfaction.
- Resolves issues and complaints regarding personnel or procedures in a timely manner.
- Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre-registration of patients.
- Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc.
- Verify insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic.
- Confirm that a patient’s health insurance(s) is active and covers the patient’s procedure.
- Confirm what benefits of a patient’s upcoming visit/stay are covered by the patient’s insurance, including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided.
- Provide proactive price estimates and work with patients so they understand their financial responsibilities.
- Inform families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refer the patient to financial counseling.
- Review and analyze patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible.
- AUGUSTA, GA
Patient Access Service Representative
AU Medical Center
, USA
12.2005 - 12.2005
- Utilizes proper patient identification, properly armband patients.
- Ensures all demographic and insurance information was obtained and corrected, scans IDs and insurance cards.
- Sends query for insurance eligibility to validate and accurately document eligibility and benefits.
- Informs patients of in/out of network status, as appropriate.
- Collects all payments due, including current liabilities, outstanding balances and ABN related amounts.
- Accurately schedules patient follow-up appointments at check-out that best fit the patient's schedule in coordination of availability of provider and other resources.
- Obtains all necessary patient demographics, insurance, and financial information for provider services rendered at off-site non-affiliated locations.
- Ensures accurate information is entered into the patient billing system including insurance accuracy, demographic information gathering, documentation of benefits and estimated liabilities, and cash collections.
- AUGUSTA, GA
Education
Bachelors - Business Administration, Management
Augusta State University
Augusta, GA01.2010
Associate of Business Administration - Management
Georgia Military College
Augusta, GA01.2007
Skills
- Good Communication Skills
- Data analysis
- Client communication
- Revenue cycle management
- Insurance verification
- Staff training
- Team Player
- Take initiative
- Good interpersonal Skills
- Problem solving
Timeline
Associate Implementation Specialist
ADP
09.2024 - Current
Financial Counselor Manager
Augusta University Medical Center
01.2019 - 07.2024
PAS ER Registration Manager
Augusta University Medical Center
12.2006 - 12.2018
APAS ER Supervisor
AU Medical Center
01.2006 - 11.2006
Patient Access Service Representative
AU Medical Center
12.2005 - 12.2005
Bachelors - Business Administration, Management
Augusta State University
Associate of Business Administration - Management
Georgia Military College