Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Laura Sohl Grigor

Madison

Summary

Healthcare administrator with extensive experience in financial management and strategic planning. Achieved a reduction in insurance and patient receivables from 18% to 1.96% in one year, showcasing effective leadership and operational efficiency across various healthcare environments.

Overview

27
27
years of professional experience

Work History

Practice Administrator

Eye Physicians & Surgeons
Milford
01.2022 - Current
  • Oversaw daily operations for a team of 76 employees, developed budgets, monitored expenditure, and implemented strategic planning and data analytics to enhance operational efficiency.
  • Developed and implemented strategies for billing and finance departments, negotiated payor contracts, and reviewed financial management reports to enhance collection processes, leading to a [%] increase in revenue.
  • Brought down all insurance and patient receivables from 18% in the 90 day and over brackets to 1.96% within 1 year.
  • Streamlined billing procedures that led to a 20% reduction in processing time and enhanced revenue processes to increase overall efficiency.
  • Managed human resources functions, including recruiting, supervising, and conducting staff performance reviews to ensure compliance with employment law and promote team effectiveness.

Owner / Interim Vice President of Strategic Operations, Yale Surgical Company

Shoreline Healthcare Consulting, LLC
Madison
01.2016 - 01.2022
  • Directed operational strategies that aligned with and advanced company goals.
  • Focused on driving volume growth and improving utilization, quality, and gross margin through strategic business plans, ROI analysis, cost reduction initiatives, and effective contract negotiations with hospitals and payors.
  • Developed franchise business and website to enhance local and national sales while ensuring compliance with BOC readiness.

Practice Administrator/Consultant

Bristol Gastroenterology Associates
Bristol
01.2009 - 01.2017
  • Oversaw daily operations for staff and providers, managing registration, scheduling, billing, A/P, A/R, credentialing, recruitment, payroll, and inventory to align with strategic vision and mission.
  • Developed business growth plans to enhance professional development, improve quality measures, and ensure compliance maintenance.
  • Consulted with hiring managers on accounts receivable processes to identify areas for improvement.

Practice Manager, Department of Surgery

Yale New Haven Hospital
New Haven
01.2011 - 01.2016
  • Directed daily operations for five physician practices, including general surgery, oncology, an oral maxillofacial clinic, and a multi-specialty surgical clinic, enhancing patient access and operational efficiency.
  • Enhanced financial performance by surpassing benchmark standards, improving quality control, and developing new programs to elevate patient, provider, and staff satisfaction.
  • Ensured accuracy and compliance of patient records by managing EPIC EHR system and adhering to healthcare regulations.

Business Manager, Surgical and Perioperative Services and Materials Management Assistant

Lawrence & Memorial Hospital
New London
01.2009 - 01.2011
  • Directed business and fiscal management for surgical and GI services across main campus and Pequot Health Center, ensuring alignment with organizational objectives.
  • Developed and maintained operational, strategic, and capital budgets to align with organizational goals.
  • Led surgical value analysis committee meetings to evaluate and improve service efficiency.
  • Recommended business developments through research and return on investment analysis to support informed decision-making.
  • Conducted monthly variance reports, profit/loss reports, and cost benefit analysis to evaluate financial performance and inform strategic decisions.
  • Provides leadership with ongoing education regarding operational budget management.
  • Oversaw IT and surgery scheduling systems, facilitating seamless operations and optimizing resource allocation.
  • Works with Material Management to review GPO contracts to maximize compliance and utilization.

Senior Consultant

VantagePoint Healthcare Advisors
Hamden
01.2007 - 01.2009
  • Specializing in ambulatory surgical center's operations, case costing, reimbursements including the Federal Registry.
  • Assisted clients throughout Connecticut, Massachusetts, and Rhode Island with operations and workflow plans, compliance, billing and coding review, collections, training, credentialing, personnel policy development, interim practice management, payor contract negotiation, and marketing initiatives.
  • Authored an article for Becker's ASC Review on strategies for improving patient satisfaction in ambulatory surgical settings, contributing to industry knowledge.
  • Contributed to the establishment of an Ambulatory Surgical Association in Rhode Island, promoting best practices and collaboration among surgical centers.
  • Facilitated discussions during client corporate meetings, strengthening partnerships and collaboration among stakeholders.
  • Work with vendors for EMR implementation and creating patient surveys.
  • Participated in nationwide healthcare conferences to gain insights on industry trends.
  • Participated in the Federation of American Specialists in Anesthesia, fostering professional relationships and staying informed on industry developments.

Business Manager

Yale New Haven Ambulatory Services Corporation Division
New Haven
01.2002 - 01.2007
  • Primary duties include overseeing administrative operations for four surgical centers departments consisting of surgical scheduling, admitting, transcription and medical records.
  • Ensured corporate compliance training and education including HIPAA.
  • Followed regulations and local laws including the Federal Registry, OSHA, and AAAHC guidelines.
  • Coordinated with billing department on insurance participation and contract issues, enhancing operational efficiency.
  • Pre-authorized difficult surgical procedures with insurance companies.
  • CPT and ICD9 coding knowledge specializing in Medicare cases.
  • Ensured customer satisfaction for both patients and physicians.
  • Conducted evaluations of regular analysis reports to identify trends and forecast issues.
  • Established YNHASC Safety Committee and served as chairperson from 2005-2007 to enhance safety protocols.
  • Executed marketing initiatives to recruit new physicians and foster stronger relationships with existing physicians.
  • Facilitated monthly staff meetings to share departmental updates and enhance communication.
  • Engaged in public facility awareness by volunteering and coordinating with local chambers of commerce.
  • Met monthly with MIS team to discuss system performance and resolve issues. to ensure the computer programming Advantx and SDK are functioning to full capacity.

Patient Account Coordinator

Yale New Haven Ambulatory Services Corporation
New Haven
01.1999 - 01.2002
  • Managed insurance ledgers and conducted collection follow-ups, enhancing revenue cycle management.
  • Reviewed explanations of benefits and denials, identifying discrepancies to ensure accurate reimbursements.
  • Facilitated appeals process, ensuring compliance with regulations and improving claims approval rates.
  • Handled Medicare case management by reviewing patient eligibility and benefits, facilitating timely access to care.
  • Duties included reviewing and coding surgical procedures.
  • Acted as supervisor of the billing department when the manager was not available.
  • Proficient in Joint Commission readiness.

Education

Ph.D. - Human Services/Healthcare Administration

University of Arizona
Tucson, AZ
06-2028

MBA - New Haven, CT

Albertus Magnus College
New Haven, CT
05-2008

MSM - New Haven, CT

Albertus Magnus College
New Haven, CT
05-2007

Skills

  • Healthcare compliance
  • Project management
  • Risk management
  • Financial management
  • Data analytics
  • Strategic planning
  • Team leadership

References

Available upon request

Timeline

Practice Administrator

Eye Physicians & Surgeons
01.2022 - Current

Owner / Interim Vice President of Strategic Operations, Yale Surgical Company

Shoreline Healthcare Consulting, LLC
01.2016 - 01.2022

Practice Manager, Department of Surgery

Yale New Haven Hospital
01.2011 - 01.2016

Practice Administrator/Consultant

Bristol Gastroenterology Associates
01.2009 - 01.2017

Business Manager, Surgical and Perioperative Services and Materials Management Assistant

Lawrence & Memorial Hospital
01.2009 - 01.2011

Senior Consultant

VantagePoint Healthcare Advisors
01.2007 - 01.2009

Business Manager

Yale New Haven Ambulatory Services Corporation Division
01.2002 - 01.2007

Patient Account Coordinator

Yale New Haven Ambulatory Services Corporation
01.1999 - 01.2002

Ph.D. - Human Services/Healthcare Administration

University of Arizona

MBA - New Haven, CT

Albertus Magnus College

MSM - New Haven, CT

Albertus Magnus College
Laura Sohl Grigor