LISA MILLINGTON
Jacksonville,FL
Summary
An accomplished and talented healthcare professional with a comprehensive background in leadership, healthcare quality, revenue cycle, performance metrics, and administration. Delivers outstanding job performance with extensive experience in budget creation, billing, NCQA standards, electronic medical records, quality metrics, and RAF scores. Advanced Excel user and proficient with MS Office. Establishes, cultivates, and manages productive relationships. Leadership / Mentor Analytical Exemplary Communicator Initiative / Motivated Solution-Oriented Dedicated Performance-Focused Resourceful Committed to Excellence
Overview
15
15
years of professional experience
Work History
Lead Assistant Manager of Post Audit Operations
EXL
05.2022 - 01.2023
- Trained new employees on accounting principles and company procedures.
- Collaborated with accounting manager to comply with governing bodies and limit regulatory risks.
- Developed financial models to assess and analyze financial performance of clients.
- Trained and mentored department staff on policies and procedures to establish strong foundation for client development and service activities.
- Analyzed complex client problems and generated targeted solutions that resolved outstanding issues while enhancing client business positions.
- Participated in billing and collections operations to facilitate client payment of overdue invoices.
Case Manager Contact Tracer
Healthcare Support Staffing
07.2020 - 03.2022
- Case management for employees affected by Covid 19
- Coordinated contact tracing efforts with supervisors and case investigators
- Conducts interviews that reflect emotional and cultural awareness
- Collects and records accurate information
- Calls newly diagnosed patients to trace individuals they had contact with and determine exposure
- Interviews traced contacts, assesses symptoms, and refers for testing
- Provides contacts with regulated information on isolation and quarantine procedures
- Collaborates with local authorities in supporting the isolation and quarantine of individuals
- Maintains ongoing virtual communication to monitor symptoms
- Facilitates health checks and test, as well as referring contacts to available community resources
- Complies with protecting personal information.
- Provided evidence-based therapeutic interventions and crisis management to clients to lessen negative on physical, mental and emotional wellbeing.
- Monitored clients' progress and tracked client services to provide crisis interventions.
Clinical Quality Specialist Supervisor
Healthcare Support Staffing
01.2020 - 05.2020
- Supervised a remote team of medical over readers
- Performed medical overreading and quality assurance.
Billing Specialist
Jax Spine and Pain
07.2019 - 11.2019
- Performed accounts receivables with commercial insurance
- Scheduled accounts receivables and patient collections
- Reduced commercial accounts receivable by 60% in three months.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
HEDIS Project Coordinator
Healthcare Support Staffing
01.2019 - 05.2019
- Medical chart review
- Vendor Management
- Supervised a team of 10 Medical Review nurses
- Coordinated, completed, and updated management on all HEDIS processes and results
- Organized and maintained a plan of action to improve HEDIS scores
- Requested and evaluated reports for member compliance and improvement opportunities for each HEDIS measure
- Worked with providers and internal departments on rate investigation and validation activities, including maintaining all evidence, documentation, and changes
- Oversaw the HEDIS project for quality regarding nurse assignments, vendor oversight, and timeline adherence
- Ensured compliance by conducting quality audits and maintaining all data and process controls.
- Recruited and oversaw personnel to achieve performance and quality targets.
- Supervised multiple projects from project start through delivery by prioritizing needs and delegating assignments.
- Prepared meeting agendas and minutes for distribution and record keeping.
- Verified quality of deliverables and conformance to specifications before submitting to clients.
- Tracked project and team member performance closely to quickly intervene in mistakes or delays.
Staffing Coordinator
River Garden Hebrew Home
05.2018 - 12.2018
- Created schedule and maximized staffing ratios for long-term care facility with five units.
Practice Manager III
St. Vincent's Healthcare
12.2014 - 04.2018
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Created and implemented organizational policies and procedures.
- Boosted staff morale by offering constructive feedback and specific direction.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Developed and implemented strategies to improve patient access, satisfaction and care quality.
- Provided supervision and management to team of support personnel.
- Developed close working relationships with front office and back office staff.
- Consulted with healthcare professionals on business decisions.
- Ordered all office supplies and kept check on inventory levels.
- Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
- Developed policies and procedures for effective practice management.
- Supervised team of up to 45 office personnel.
- Addressed and remedied all patient or team member issues.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Oversaw accounting, budgeting, and financial reporting.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Program Coordinator
Centene Corporation
03.2014 - 12.2014
- Assisted in the Launch of Manage Medicaid in Florida
- Evaluated program performance against expectations
- Designed aspects of new initiative focused on HEDIS measures
- Directed improvement plans
- Trained and mentored coworkers on computer software.
LPN/Office Administrator
Dr. Joseph Pattison
08.2007 - 03.2014
- Initiated in-office Coumadin Clinic and tracking system
- Assisted in all facets of patient care
- Conducted medical billing and transmitted to clearinghouse
- Triaged phone calls and reported abnormal test results to patients.
Education
Bachelor of Science - Health Care Admin in Health Care Administration
Capella University
Certificate in Nursing - undefined
Vernon Regional Junior College
Associate of Science - Computer Information Systems in Computer Information Systems
Northern Maine Technical College Presque Isle
Skills
- Appraisal Accuracy
- Regulatory Standards
- Strategic Execution
- Financial Operations Systems
- Accounting Systems and Controls
- Corrective Action Implementation
- Goal Attainment
- Analyzing Financial Statements
- Report Preparation
- Process Analysis and Optimization
- Compliance Monitoring
- Staffing Management
- Government Auditing Standards
- Enterprise-Wide Planning
- Management Consulting
- Annual Reviews
- Employee Development
- Business Operations Analysis
Quote
The way to get started is to quit talking and begin doing.
Walt Disney
Timeline
Lead Assistant Manager of Post Audit Operations
EXL
05.2022 - 01.2023
Case Manager Contact Tracer
Healthcare Support Staffing
07.2020 - 03.2022
Clinical Quality Specialist Supervisor
Healthcare Support Staffing
01.2020 - 05.2020
Billing Specialist
Jax Spine and Pain
07.2019 - 11.2019
HEDIS Project Coordinator
Healthcare Support Staffing
01.2019 - 05.2019
Staffing Coordinator
River Garden Hebrew Home
05.2018 - 12.2018
Practice Manager III
St. Vincent's Healthcare
12.2014 - 04.2018
Program Coordinator
Centene Corporation
03.2014 - 12.2014
LPN/Office Administrator
Dr. Joseph Pattison
08.2007 - 03.2014
Bachelor of Science - Health Care Admin in Health Care Administration
Capella University
Certificate in Nursing - undefined
Vernon Regional Junior College
Associate of Science - Computer Information Systems in Computer Information Systems
Northern Maine Technical College Presque Isle
Similar Profiles
Amandeep Singh SandhuAmandeep Singh Sandhu
AVP - Bid Management and Solutioning at EXLAVP - Bid Management and Solutioning at EXL
Shoukat AliShoukat Ali
Manager Operations at EXLManager Operations at EXL
Melissa Roy-HillMelissa Roy-Hill
Premium Auditor at EXLPremium Auditor at EXL
MANJUSHA PATTADKALMANJUSHA PATTADKAL
Senior Data Scientist at EXLSenior Data Scientist at EXL
Luis VilaLuis Vila
Pipefitter Foreman at Gary Rodgers PlumbingPipefitter Foreman at Gary Rodgers Plumbing