Lisa Johnson
Dublin,OH
Summary
Management professional with 25 years experience seeking a position that will highlight my leadership, team-building and communication skills.
- Strong knowledge of the revenue cycle with emphasis on days in AR reduction, increased collections, process improvements, back office organization, front desk, system design and set up.
- Staff reduction through automation and process improvements.
- Mentor and motivate associates for succession planning and development.
- Emphasis on report analysis as well as development of meaningful reports for each client/specialty.
- Documented reduction of average days in Accounts Receivable, increase in collections and net collection rates for multiple clients.
- Passion for the education of front end users and back office billing staff to successfully improve collection process and provide knowledge of the entire revenue cycle process.
- Consulting experience working with multiple hospitals, physician practices and physicians.
- Successful system implementations and key player in a large physician practice organization to hospital system bi-directional registration interface.
- Proven success with both in-sourcing and out-sourcing.
- Innovative and flexible leader with strong organizational skills with the ability to adapt well to change and maintain a positive outlook under pressure.
- Ability to prioritize, organize, set and meet deadlines.
Overview
37
37
years of professional experience
Work History
Director, Revenue Cycle
OhioHealth
08.2014 - Current
- Responsible for all centralized professional billing functions.
- Responsible for $140M in receivables, resulting in an average of $45M in collections each month, maintaining DAR of 30 and insurance aging less than 15% over 90 days.
- Assisted in development, implementation and assessment of long and short range goals and objectives; assures goals and objectives are integrated with Revenue Cycle KPI's.
- In-sourced all back-end billing functions from a vendor.
- Optimized staff performance by designing comprehensive training programs tailored to individual needs.
- Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
- Led successful implementation to Epic for all practices at OhioHealth.
- Created and implemented associate scorecards.
- Served as Revenue Cycle Lead and SME to develop and implement all virtual health/telemedicine services across the organization due to COVID-19 pandemic.
- Served as Revenue Cycle Lead to develop and implement compliant billing for COVID-19 vaccines, testing, telemedicine services due to pandemic.
- Consulted with Directors and VPs of Ethics & Compliance, Legal, OhioHealth Physician Group Operations, Epic/IT , Managed Care and Finance regarding revenue integrity, data quality issues, payer relationships and KPI's.
- Successfully out-sourced transactional work to decrease cost to collect.
- Developed KPI's and quality measurements for out-sourced vendor.
Manager, Revenue Cycle
OhioHealth
11.2009 - 08.2014
- Responsible for billing and collections for non-government payors.
- Responsible for $184M in receivables, resulting in an average of $91M in collections each month, maintain over 90 days aging less than 5%.
- Chair Insurance Master Committee, CAS Code Committee, Managed Care Workgroup.
- ARCR lead for Resolute Hospital Billing for Follow-up, Denials and Allowance Discrepancies.
- Received Epic Certification for HB Follow-up and Denials.
- Instrumental in re-design of payor scorecards.
- Works closely and oversees vendor for clinical denials/appeals as well as focus on reduction of initial denials.
- Developed and maintained positive payor relationships resulting in improved turnaround of issues.
- Set aggressive targets for employees to drive company success and strengthen motivation.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
Director, Revenue Cycle
Ohio State University Physicians Inc
01.2003 - 01.2008
- Continued billing staff management and client accountability from University Physician Systems under new management with goal of forming a single Practice Plan.
- Chaired the Accounts Receivable and Payer Issues Committee.
- Co-chaired and sat on several committees for implementation of a single patient statement to encompass all physician billings.
- Increased department to over 100 team members due to growth of business with 10 manager direct reports.
- Created policy and procedures for consistency with all client end users.
- Conducted train the trainer classes for successful policy implementation.
- Analysis of trends impacting the accounts receivable for each group and took appropriate action to realign staff, revise policies and procedures as needed as well as determine an appropriate action plan for improvements.
- Planned and conducted meetings with managers and staff to ensure compliance with established practices and to keep employees updated on current changes and standards in the healthcare insurance environment.
- Implemented electronic payment posting.
- Assisted in implementation of Electronic Medical Record.
- Chaired the Revenue Cycle Committee to include all practices and hospital representatives.
- Developed and maintained the budget and operating plan for the billing division.
- Increased company revenue by streamlining processes and implementing cost-saving measures.
- Leveraged data analytics insights for informed decision-making in critical areas such as sales forecasting, budgeting, or personnel management.
- Optimized operational processes using analytics tools to address client-specific metrics.
Senior Consultant & Manager, Professional Billing
University Physicians Systems, Inc.
01.1997 - 01.2003
- Transferred from DMF of Ohio to lead a start up company they founded, with intentions of assisting other smaller practices at Ohio State University Hospitals to successfully implement a standard billing system
- Consulted with the various practices in regard to system design, report capabilities and structure, office re-organization, employee evaluation for correct assignment of duties and overall billing functions for each individual practice.
- Acquired complete billing responsibilities for several practices.
- Marketed the business to outside entities.
- Acted as account manager to all clients/practices.
- Developed meaningful reports and snapshots of receivables for each client based on specialty.
- Developed professional relationships with key individuals in each practice.
- Conducted monthly meetings with clients and staff.
- Created the billing office Compliance Plan and received certification as a Compliance Officer.
- Consulted with outside Practices on Compliance issues.
- Began with consulting responsibilities being primary, billing as needed with 5 billing staff which grew to a staff of 50 and overall responsibilities for both the billing office and the clients.
- Worked closely with large team from OSU Hospital to build a bi-directional interface to share patient financial information to eliminate duplication.
- Managed transfer from paper claim submissions to electronic.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Optimized resource allocation by analyzing project requirements thoroughly and assigning appropriate personnel.
- Developed effective improvement plans in alignment with goals and specifications.
- Monitored technology use and program functionality, updating programs and making changes to enhance output.
- Obtained Certified Professional Coder certification.
Accounts Receivable Manager
DMF Of Ohio
06.1987 - 01.1997
- Managed team of 30 responsible for patient registration, charge entry, payment posting, claims handling, rejection/denial resolution, follow-up on insurance receivables, collection of self-pay receivables (which included bad debt, financial counseling, payment plans, discounts).
- Analysis and reporting of outstanding accounts receivable by multi-specialty, physician and overall for the Internal Medicine practice plan.
- Met with payers to develop mutually satisfying relationships to ensure both accurate billing and timely collections.
- Led 2 successful system conversions.
- Trained staff on new systems.
- Created procedure manual for the billing team.
- Managed various personnel functions, including, but not limited to recruitment and staffing, mentoring, disciplinary actions, yearly performance appraisals and compensation management.
- Analyzed aging reports and provided recommendations for improving collections efforts.
- Implemented training programs for new hires within the accounts receivable department, ensuring consistent quality standards across the team.
Education
East Tennessee State University
Johnson City, TNSkills
- Project Management
- KPI Tracking
- Program Management
- Change Management
Timeline
Director, Revenue Cycle
OhioHealth
08.2014 - Current
Manager, Revenue Cycle
OhioHealth
11.2009 - 08.2014
Director, Revenue Cycle
Ohio State University Physicians Inc
01.2003 - 01.2008
Senior Consultant & Manager, Professional Billing
University Physicians Systems, Inc.
01.1997 - 01.2003
Accounts Receivable Manager
DMF Of Ohio
06.1987 - 01.1997
East Tennessee State University