Lauren Blanchard
Drexel Hill,PA
Summary
Effective Healthcare Executive highly skilled in procedure optimization and revenue metrics analysis to increase financial performance. Aiming to utilize 12 years of strategic planning and Medicaid and Medicare population health management to drive profit and contribute immediate value. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high performing teams.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Revenue Cycle Director
Eagleville Hospital
08.2020 - Current
- Identified discrepancies between budgetary targets and actual revenue and expenses.
- Created financial dashboards to provide insights into key performance indicators.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Monitored and guided revenue cycle operations.
- Evaluated and negotiated contracts to procure favorable financial terms.
- Completed financial reporting and analysis for billing revenue cycle.
- Improved overall financial reporting by streamlining control processes and reporting structures.
- Planned, created, tested and deployed system life cycle methodology to produce high quality systems to meet and exceed customer expectations.
- Educated, coordinated, and mentored 24 team members for a 333-bed inpatient drug & alcohol rehabilitation and acute psychiatric facility.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Re-negotiated contracts resulting in 10% reimbursement increase over 2 years.
- Improved the claims submission process resulting $500,000 self pay AR reduction, Days in AR reduction from 52 to 40, and Days in DNFB reduction from 23 to 12
- Reduced uncompensated care write-offs by $230,000 year over year.
- Reduced staff turnover by negotiating competitive salaries and flexible scheduling.
- Ensured average bed occupancy rate of 87%-92%
- Improved patient safety by strategically implementing safety initiatives and training programs within admissions department.
- Oversight of admissions and business office operations.
- Strategically coordinated with community and state partners to ensure timely admission and identify areas of need.
- Annual organizational fiscal and strategic planning.
- Collaborated with C-level executives and stakeholders to develop long-term financial plans.
- Data and presentation preparation for quarterly board meetings.
- Ensured compliance with all regulatory requirements and conditions of participation.
- Managed and maintained facility credentialing.
Revenue Cycle Manager
Main Line Healthcare
08.2017 - 08.2020
- Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
- Completed financial reporting and analysis for billing revenue cycle.
- Created financial dashboards to provide insights into key performance indicators
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Developed strategic plans for day-to-day financial operations.
- Utilized financial software to prepare consolidated financial statements.
- Monitored and guided revenue cycle operations.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Analyze and improve billing office workflows to optimize return on investment in Epic software application, ensure consistent revenue growth and recognition.
- Minimize denials to maintain under 30 days in Accounts Receivable.
- Effectively and accurately reconcile and post over $200 million annually in contract, global, insurance, and patient payments between two patient accounting systems.
- Validate and archive $2 billion of patient accounting data to sunset NextGen application.
- Identify and resolve system issues, underpayments, and denial trends with third party payors and vendors.
- Facilitated Diversity, Respect, and Inclusion Learning Experience 1-2 times monthly.
Project Manager
Crozer Keystone Health Network
11.2016 - 08.2017
- Drafted project reports to identify successful outcomes, insights and future recommendations.
- Identified plans and resources required to meet project goals and objectives.
- Planned, designed, and scheduled phases for large projects.
- Monitored project performance to identify areas of improvement and make adjustments.
- Maintained open communication by presenting regular updates on project status to customers.
- Developed and initiated projects, managed costs, and monitored performance.
- Provided detailed technical and operational direction in project challenges, consistently meeting deliverables according to deadlines.
- Tracked project and team member performance closely to quickly intervene in mistakes or delays.
- Sourced, vetted and managed vendors needed to accomplish project goals.
- Coordinated with cross-functional teams to resolve project issues and mitigate risks.
- Coordinated internal resources and third party consultants/vendors for execution of Cerner Millennium software in under 6 months:12/12/2016 kickoff-5/1/2017 go-live
- Ensured that all deliverables are executed on-time, within scope, and within budget
- Accurately and effectively migrated data from 20+ year old practice scheduling and billing application into new system
- Improved front and back office workflows to optimize return on investment, billing cycle, and clean claim rate
- Designed, coordinated, and tracked training of Cerner Millennium for 650+ employees in 5 weeks with 87% first pass rate.
Interim Director of Admissions
Crozer Chester Medical Center
05.2015 - 12.2016
- Remained composed and highly professional in fast-paced and constantly changing environment, effectively handling challenging situations and difficult individuals to achieve objectives.
- Presented production ideas and determined creative scenarios for production and delivery.
- Conducted meetings with staff to discuss production progress and to attain production objectives.
- Educate, coordinate, and mentor team of four managers, one supervisor, and 115 front line staff members to provide customer service, accurate patient demographic, and financial information across six facilities.
- Maintained clean claim rate of 98% system wide
- 92% of total claims sent to payors within 3 days of discharge system wide.
- Maintained point of service collection rate of 52% system wide
- Created and implemented data collection plan to align staffing, quality, and POS collections with administrative goals.
- Trained financial counselors across six facilities to enroll community members in health insurance through federal healthcare exchange and through state medical assistance
- Identified opportunities and collaborate across departments to improve POS collections, staff productivity, clean claim rates, and patient satisfaction.
- Participant in Daily Safety Check-in, Trauma Operations Process Improvement Committee, Emergency Services Committee
Community Outreach Coordinator
Crozer Keystone Health Network
08.2014 - 05.2015
- Acted as main point of contact between management, clinical staffs and external community.
- Coordinated with community stakeholders for successful implementation of social and community service initiatives.
- Conducted community workshops to promote different programs and educate public on available services.
- Connected individuals with available and relevant resources.
- Facilitated community involvement and education of non-profit events by maintaining and developing community partnerships.
- Created and implemented community-based programs to improve education or fill specific needs.
- Enrolled community members in health insurance through federal healthcare exchange and through state medical assistance
- Developed and implemented financial assistance protocols for uninsured patients by tailoring inpatient financial assistance policies to meet the needs of uninsured and underinsured communities.
- Researched, organized, and dispensed information regarding public assistance programs and resources in Delaware County.
- Created and executed marketing plan for the Community Health Centers.
- Collaborated with community partners to share information and coordinate new ideas for improving access to uninsured patients.
- Investigated workflow, analyzed data, and collaborated to imagine new solutions to long patient wait times during provider visits.
- Developed long-lasting partnerships with local leaders, management team and peers with active engagement, exemplary communication and consistent issue resolution.
Lead Medical Receptionist
HAN Neurosurgical Associates
10.2011 - 08.2014
- Scheduled, precertified, and billed encounters for a 3-physician neurosurgical practice.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Contributed to and helped lead employee staff meetings, reporting trends in procedures, advising leadership on resources needed and preparing information to be disseminated.
- Referred and screened patients to make best use of resources, triage staff, and serve community members.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Fielded concerns surrounding patients and care, liaising between physician, patient, and insurance company.
- Disseminated sensitive patient information and coordinated with translators to offer personalized service to individuals from diverse backgrounds.
Education
Ph.D. - Organizational Leadership
Eastern University
St. Davids, PA05.2027
MBA - Healthcare
Eastern University
St. Davids, PA05.2015
Lean Six Sigma Black Belt Certificate -
Villanova University
Villanova03.2015
Bachelor of Fine Arts - Film And Video Production
The University of The Arts
Philadelphia, PA05.2002
Skills
- Strategic Planning
- Community Engagement
- Business Acumen
- Revenue Cycle Management
- Revenue Performance
- Drug Abuse Prevention
- Organizational Structure
- Continuous Improvement Process
- Budget Monitoring
- Compliance Requirements
- Quality Improvement Plans
- Executive Leadership
Affiliations
- Upper Darby Futbol Club Treasurer
- International Leadership Association
Certification
ASAM Certified
BLS Certified
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Revenue Cycle Director
Eagleville Hospital
08.2020 - Current
Revenue Cycle Manager
Main Line Healthcare
08.2017 - 08.2020
Project Manager
Crozer Keystone Health Network
11.2016 - 08.2017
Interim Director of Admissions
Crozer Chester Medical Center
05.2015 - 12.2016
Community Outreach Coordinator
Crozer Keystone Health Network
08.2014 - 05.2015
Lead Medical Receptionist
HAN Neurosurgical Associates
10.2011 - 08.2014
Ph.D. - Organizational Leadership
Eastern University
MBA - Healthcare
Eastern University
Lean Six Sigma Black Belt Certificate -
Villanova University
Bachelor of Fine Arts - Film And Video Production
The University of The Arts
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