Summary
Overview
Work History
Education
Skills
Timeline
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Lisa Rabb

Prairie Village,KS

Summary

Experienced healthcare administration professional with expertise in project management and revenue cycle management. Skilled in multitasking, effective communication, and utilizing healthcare software like Epic and Waystar. Proven track record in medical billing, insurance claims management, and healthcare administration. Strong ability to prioritize tasks, optimize workflows, and build positive relationships with clients and colleagues. Adept at leading complex projects, resolving issues, and ensuring high team performance and productivity. Experienced Credentialing Specialist with excellent relationship-building, problem-solving, and communication skills.

Overview

16
16
years of professional experience

Work History

Regional Credentialing Specialist

Prime Healthcare Group
01.2022 - Current
  • Conducted primary source verifications, prepared records for site visits and audits
  • Enrolled providers in Medicaid, Medicare, and private insurance plans
  • Managed NPI numbers and updated profiles
  • Collaborated with departmental managers for hiring needs and recommendations
  • Improved office efficiency through effective communications and correspondence
  • Enhanced filing systems for improved accessibility and efficiency.

Senior Billing specialist

Prime Healthcare Group
01.2018 - 01.2022
  • Processed credentialing applications and ensured legal compliance
  • Researched and resolved billing discrepancies to enable accurate billing
  • Managed patient billing, insurance claims, and documentation
  • Collected payments and resolved financial discrepancies
  • Investigated and appealed denied claims, developed patient payment plans
  • Maintained billing software and responded to inquiries.

Pharmacy Technician

Balls Food Stores, Hen House
12.2011 - 05.2018
  • Answered incoming phone calls and addressed questions from customers and healthcare providers
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items
  • Stocked, labeled, and inventoried medication to keep accurate records
  • Entered and processed patients' prescriptions into internal system
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.

Senior Project Manager and Director of Operations

VBEC
01.2008 - 01.2011
  • Lead project design, development, and implementation
  • Hire and manage consultants, contractors, and sub-contractors
  • Communicate with customers and funders, develop proposals
  • Create project control roadmap and ensure milestones are met
  • Manage business operations and provide regular status reports
  • Developed and oversaw project operations and managed multi-functional issues through resolution
  • Monitored project and program quality to meet audit expectations.

Education

Nursing

Fort Hays State University
Hays, KS

Skills

  • Project Management: Planning, budgeting, cost control, problem-solving, risk management
  • Healthcare Software:
  • Proficient in Epic and Waystar, electronic health records (EHRs), clinical decision support systems (CDSS), telemedicine
  • Communication: Strong verbal and written skills, effective stakeholder and client communication
  • Leadership: Experience in leading cross-functional teams, conveying requirements to management
  • Relationship Building: Maintain positive professional relationships with associates, employees, and clients
  • Analytical Skills: Strong problem-solving and data analysis abilities, experience with data visualization
  • Process Improvement: Identify areas for improvement and implement process changes for efficiency
  • Regulatory Compliance:
  • Knowledge of healthcare regulatory standards (eg, HIPAA, HITECH)
  • Time Management: Ability to handle multiple tasks and competing priorities
  • Interpersonal Skills: Collaborate effectively with cross-functional teams and stakeholders

Timeline

Regional Credentialing Specialist

Prime Healthcare Group
01.2022 - Current

Senior Billing specialist

Prime Healthcare Group
01.2018 - 01.2022

Pharmacy Technician

Balls Food Stores, Hen House
12.2011 - 05.2018

Senior Project Manager and Director of Operations

VBEC
01.2008 - 01.2011

Nursing

Fort Hays State University
Lisa Rabb