Lisa Tidwell
Katy,TX
Summary
Dynamic operations leader with a proven track record of driving strong annual EBITDA margins through strategic process improvements and effective team management. Skilled in budget control and organizational development, I excel in enhancing customer satisfaction while optimizing revenue streams and fostering cohesive team environments.
Overview
29
29
years of professional experience
Work History
Vice President of Operations
GetixHealth
Sugar Land, TX
05.2003 - Current
- Oversight and management of team of over 270 domestic and offshore staff focused on customer service, support, insurance verification, billing, and follow-up functions for optimal business outcomes.
- Business unit responsible for in excess of $26 million in annual revenue.
- Consistently outperformed company EBITDA goals by achieving 26%+ annual EBITDA margins utilizing performance optimization strategies and efficiency improvements.
- Developed annual budget and quarterly reforecasting for my business unit.
- Managed patient accounts utilizing extensive knowledge of medical terminology, government and commercial insurance payment policies and guidelines.
- Knowledge of multiple provider systems including Meditech, SMS, IDX, EPIC, ARTIVA, and CUBS.
- Helped implement multiple telephony systems to include scripting of an enhanced IVR to achieve in excess of 55% automation rate.
- Generated and analyzed reports on open inventory and developed collection strategies to increase revenue and decrease A/R aging.
- Applied excellent problem-solving, process development, and strategic implementation skills to lead and support all areas of operations.
- Enhanced customer satisfaction by developing and implementing strategies to improve service quality including assembling a quality assurance team and fully vetted QA process.
- Championed continuous improvement initiatives to enhance overall operational efficiency.
- Held regular progress meetings with all relevant parties involved in various stages of complex projects, fostering cohesion among multidisciplinary teams.
Medical Reimbursement Specialist
U.S. Physical Therapy
Houston, TX
01.2002 - 05.2003
- Analyzed clinics billing practices to determine ways to increase net revenue.
- Evaluated existing and potential health plan contracts for 56 therapy clinics to determine potential net revenue, out clauses, and limitations.
- Set target net revenue for new and existing clinics based on market trends.
- Developed and maintained Charge Masters for clinics for revenue optimization.
- Wrote appeal letters and worked with health plans to minimize denials.
Regional Claims and Customer Service Manager
Heritage Health Systems of Texas
Houston, TX
10.1996 - 12.2001
- Managed team that handled prompt and accurate processing of in excess of 75,000 medical claims monthly for large Managed Healthcare/ Medicare Advantage company in Houston and Beaumont, TX area's.
- Developed departmental policies and procedures to comply with Health Plan, State of Texas, and CMS guidelines.
- Set up provider contracts and employer benefit sets in claims system to ensure accurate claims adjudication.
- Instrumental in licensing and implementation of Medicare Advantage Plan including interviewing with CMS to ensure knowledge base prior to finalization of contract. (SelectCare of Texas/ Texan Plus).
Education
Bachelor of Science - Communications
The University of Texas At Austin,
Austin, TX12-1989
Skills
- Organizational development
- Budget development
- Cost analysis and savings
- Business development
- Process improvements
- P&L management
- Operations management
- Performance analysis
Timeline
Vice President of Operations
GetixHealth
05.2003 - Current
Medical Reimbursement Specialist
U.S. Physical Therapy
01.2002 - 05.2003
Regional Claims and Customer Service Manager
Heritage Health Systems of Texas
10.1996 - 12.2001
Bachelor of Science - Communications
The University of Texas At Austin,