Summary
Overview
Work History
Education
Skills
Additional Information
Certification
Accomplishments
Work Availability
Timeline
Generic

Lisa Pierce, MAHS, CPXP

Florence,SC

Summary

Seeking a position that provides an opportunity to utilize extensive healthcare experience to benefit the patient, the organization, and community by improving the patient and family experience, streamlining processes, increasing employee morale, and creating a highly reliable organization.

Proven performer capable of managing multiple tasks concurrently with a high level of autonomy. Loyal, outgoing, personable, and highly organized. Strong communication and critical thinking skills, service recovery, customer service, process improvement, cost reduction, materials and personnel management, relationship building, leadership coaching, project management,

Process Manager with excellent track record in collaboration across departments to evaluate, design and implement business processes. Consistently improved processes and managed change among stakeholders using positive approaches. Well-established data analysis experience.

Overview

15
15
years of professional experience
1
1
Certificate

Work History

Process Manager, Service Excellence

McLeod Health- McLeod Regional Medical Center
Florence, SC
11.2018 - Current
  • Served as primary facilitator on Patient Experience Improvement Teams and committees, locally and system-wide, facilitating various forms of events utilizing Lean Thinking (IE: Value Stream Analysis, Rapid Improvement Events, Consulting Engagements, Prioritized Improvement Projects, Patient Experience Mapping, Skills Fairs).
  • Function as role of consultant to clinical and operational leaders to implement evidence based best practice tactics with improvement strategies.
  • Provide data and other patient experience related support services to organizational leadership.
  • Assist in identifying opportunities for improvement regarding patient and family experience within the organization through analysis of internal and external, qualitative and quantitative data.
  • Develop outcome monitoring tools to assess effectiveness of change and to monitor sustainability.
  • Coordinate training and improvement teams to aid in organizational improvement to positively impact patient-centered delivery of care.
  • Cultivate relationships within departments, administration, physicians, and quality councils.
  • Provide real-time leadership coaching and staff coaching on behavioral standards.
  • Promote the Patient Family Advisory Council and champion their use in improvement work for the organization.
  • Managed change among staff to achieve buy-in and cooperation and overcome resistance.
  • Promoted change through positive promotion, benefits demonstration and interactive approach.
  • Conducted focus groups, surveys and feedback sessions to gather input from stakeholders.
  • Improved efficiency and effectiveness of performance and management of processes across departments.

Manager, Patient Access/Patient Financial Services

CHS- Carolinas Hospital System
Florence, SC
08.2013 - 11.2018
  • Responsible for direct management functions for facility Scheduling, Order Validation, Outpatient Authorization, and Inpatient Authorization Departments. Responsible for all training, education, process improvement, audits and compliance activities, and cost reduction for these areas, as well as Central Registration, ER Registration, and offsite registration locations. Responsible for customer recovery and improving patient satisfaction for these Patient Access areas. Lead timekeeper and Payroll processor.
  • Hiring Manager; Onboarded new employees with training and new hire documentation.
  • Achieved or exceeded financial goals on regular basis by controlling expenses, optimizing schedules and regulating inventory usage
  • Propelled continuous improvements and strategically capitalized on current market trends.
  • Received recognition for Perfect Attendance 2013- 2018
  • Department Safety Officer and Compliance Lead 2013-2018
  • Member of the facility Business Improvement Committee, Education Committee, Compliance Committee, UM Committee, and Safety Committee
  • Created standard account documentation guidelines; Leverage technology to create productivity standards for department; Streamlined and reduced the content required for patient registration packets, reducing paper cost and registration time
  • Created department reward and recognition program, as well as updated and improved Employee Incentive Program (bonuses)
  • Created and implemented department policies ; Created and implemented department Fire Safety, Downtime, and Inclement Weather plans.

Financial Specialist Team Lead

CHS- Southside Physician's Network
Petersburg, VA
02.2011 - 08.2013
  • Responsible for obtaining-authorizations, setting up payment plans, point of service collections prior to surgery, small balance adjustments for patient accounts, pre-registration of Bariatric accounts and pre-service collection of estimated balance for both the surgeon and facility;
  • Responsible for training and mentoring new hires (Financial Counselors)
  • Created and implemented payment plan structured
  • Organized electronic storage via shared drive to scan patient payment plan documentation
  • Received recognition as Top Point-Of-Service Collector for 2011
  • Received recognition for Perfect Attendance

Facilitator Team Lead, Facilitator Services

CHS- Southside Regional Medical Center
Petersburg, VA
09.2009 - 02.2011
  • Liaison between the physician's office and hospital for all outpatient services; Responsible for scheduling patients; understanding and providing instructions for patient preparation for specified medical test/procedure
  • Use knowledge of ICD-9 and CPT coding to identify and obtain authorization for patient procedure; ensuring patient arrives with required identification, physician order, and obtain payment on date of service
  • Quality assurance
  • Documentation control
  • Assisted in the development and implementation of organizational systems to better manage training, documentation, and progress reporting; and "paperless" Inpatient Insurance Verification system
  • Received recognition as Top Point of Service Collector for 2010
  • Received recognition for Perfect Attendance

Patient Account Specialist, Medical Billing

CHS- Southside Regional Medical Center
Petersburg, VA
10.2008 - 09.2009
  • Worked with outside entities/insurance organizations to resolve issues with billing, claims and payments.
  • Customer Service and Service recovery
  • Quality Assurance
  • Created process and procedure manual for all secondary billing
  • Received recognition for Perfect Attendance

Insurance Verification Specialist

CHS- Southside Regional Medical Center
Petersburg, VA
09.2007 - 10.2008
  • Verified insurance, Initiated the Authorization for inpatient admissions and observation services, Developed and Maintained close relationship with Case Management Department
  • Quality assurance
  • Created and maintained training manual and correlating information for Insurance Verification Position

Medical Biller, Patient Account Representative

MidState Medical Billing
Clarksville, TN
07.2006 - 12.2006
  • Durable Medical Equipment Billing /Collections Follow-up on durable medical equipment accounts and denials previously billed to review for corrections and rebilling
  • Performed customer service calls to patients for additional information to resolve accounts and for payment on account balance

Education

Master's Degree - Human Services

Liberty University
Lynchburg, VA

Bachelor's Degree - Healthcare Administration

Liberty University
Lynchburg, VA

Associates Degree - Health Information Technology

DeVry University
Online

Certification- Health Information Technology/Medical Billing/Coding -

Draughan's University
Clarksville, TN

Skills

  • Change Management Processes
  • Continuous Improvement/ Lean Methodologies
  • Data Analysis for Key Performance Indicators (KPIs)
  • Employee / Leader Coaching and Motivation
  • Service Quality and Behavioral Expectation Standards
  • Customer Loyalty/Satisfaction
  • Opportunity Assessments
  • Process Improvement and Optimization
  • Interpersonal Communication Skills
  • Operational Efficiency
  • Strategic Goals
  • Process and Project Management
  • Customer Service

Additional Information

Focus on innovation and evidence-based co-design while leveraging technology to achieve an improved experience, for employees and customers alike. Creating a knowledgeable workforce , utilizing lean methodologies and project management skills, and aligning with strategic organizational goals.

(Myers-Briggs INFJ-T)(Enneagram # 1)(Learning style- visual)

Certification

  • Certified Project Manager (CAPM)- Project Management Institute 2022 (In-progress)
  • Certified Patient Experience Professional (CPXP) -The Beryl Institute 2019-Current
  • Lean Problem-Solving Methodologies Certification- McLeod Health 2019
  • Nonprofit Essentials Certification- NonProfitReady 2022

Accomplishments

  • Created and implemented the facility Order Validation process; reduced invalid orders for the facility (outpatient services) by 96% for 2016-2018
  • Assisted in the reorganization of the Patient Access department to include a 50% staff reduction with a 25% productivity increase; reduced outpatient denials from an average of $250,000 per month to under $10,000 per month; improving the facility bottom line by $2,000,000 for 2017
  • Assisted in ECW electronic health record (project management of personnel and completion of data migration- coordinated and trained 24 employees for Cerner Registration Chart Prep and ECW Schedule Backload after Cerner HER implementation 2019
  • Collaborated with IT to design standardized department electronic work order request system 2019 (Internal Project Management Software)
  • Patient and Family Support: Comfort calls, Virtual visits and patient family updates process design, implementation, and monitoring (COVID-19) 2020
  • Staff and Leadership Support: Zen Den, Code Teal, Care Packages-design, recruit donations, implementation, monitoring, collaboration for growth 2020
  • Researched, designed, and implemented Visitor Management processes 2020-2021
  • Designed and developed virtual registration process for Children's Hospital patients 2021
  • Collaborated on design and implementation of Discharge Folder (for system wide utilization) 2021
  • Collaborated with Hospitality Services Manager to research evidence based best practices and create standard work for Patient Representatives 2021
  • Collaborated on design and implementation of Discharge TV Channel (for system wide utilization) 2022
  • Develop Skills Fair content for wide scope approach utilizing multi-modal learning 2022
  • Streamline continuum (access and education) for Heart & Vascular patients (hospital and office stakeholders) 2022

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Process Manager, Service Excellence

McLeod Health- McLeod Regional Medical Center
11.2018 - Current

Manager, Patient Access/Patient Financial Services

CHS- Carolinas Hospital System
08.2013 - 11.2018

Financial Specialist Team Lead

CHS- Southside Physician's Network
02.2011 - 08.2013

Facilitator Team Lead, Facilitator Services

CHS- Southside Regional Medical Center
09.2009 - 02.2011

Patient Account Specialist, Medical Billing

CHS- Southside Regional Medical Center
10.2008 - 09.2009

Insurance Verification Specialist

CHS- Southside Regional Medical Center
09.2007 - 10.2008

Medical Biller, Patient Account Representative

MidState Medical Billing
07.2006 - 12.2006

Master's Degree - Human Services

Liberty University

Bachelor's Degree - Healthcare Administration

Liberty University

Associates Degree - Health Information Technology

DeVry University

Certification- Health Information Technology/Medical Billing/Coding -

Draughan's University
  • Certified Project Manager (CAPM)- Project Management Institute 2022 (In-progress)
  • Certified Patient Experience Professional (CPXP) -The Beryl Institute 2019-Current
  • Lean Problem-Solving Methodologies Certification- McLeod Health 2019
  • Nonprofit Essentials Certification- NonProfitReady 2022
Lisa Pierce, MAHS, CPXP