Summary
Overview
Work History
Education
Certification
Timeline
Generic

Lisa A. Roberson

Albuquerque,NM

Summary

Encouraging manager and analytical problem-solver with over 14 years of leadership experience in healthcare and customer service environments. Proficient in using independent decision-making skills and sound judgment to positively impact organizational success. Dedicated to applying training, monitoring, and morale-building abilities to enhance employee engagement and boost performance.

Healthcare Operations Management – Revenue Cycle Management – Leadership and Team Management – Project Management – Budgeting – Compliance – Policy Development – Health Information Systems – Process Improvement – Compensation & Incentive Programs – Performance & Change Management – Data Analysis and Reporting – Claims Management – KPI Management – Medical Billing

Overview

12
12
years of professional experience
1
1
Certification

Work History

Manager, Clinical Operations

OptumCare
Albuquerque, NM
05.2022 - 08.2023

Provided leadership, direction, and administration of operations for three specialty clinics (Podiatry, Cardiology, and Ophthalmology/Optometry). Directed, supervised, and coordinated the overall operation of the clinic and staff.

  • Accomplished multiple tasks within established timeframes.
  • Managed and motivated employees to be productive and engaged in work.
  • Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
  • Supervised and managed daily activities of clinical team consisting of eight physicians and 25 nursing and support staff.

Director of Business Revenue

Kewa Pueblo Health Corporation
Santo Domingo Pueblo, NM
07.2018 - 02.2022

Managed third-party revenue cycle operations for multi-specialty Tribal 638 facility, serving over 5000 Kewa Tribal members. Oversaw day-to-day operations for the business office consisting of 8 employees, responsible for $13.5 million in annual third-party revenue. Ensured compliance with relevant regulations, standards, and directives from the Centers for Medicare and Medicaid Services (CMS), accreditation agencies (AAAHC), and third-party payers. Supervised staff, completed performance evaluations, and performed job training and orientation.

  • Created cross-functional team by restructuring business office to include coders from HIMS department; reduced claims inventory by 2600 in 30 days.
  • Implemented KPIs to hold business office accountable to third-party revenue goals.; removed “that’s how we’ve always done it” mindset.
  • Completed financial reporting and analysis for billing revenue cycle.
  • Assessed current revenue cycle procedures and implemented improvements to foster efficiency.

Contact Center Claims Supervisor

Molina Healthcare
Albuquerque, NM
10.2017 - 07.2018

Directed, guided, coached, and mentored a team of (17) agents and (2) Team Leads serving over 10K callers monthly. Ensured compliance with federal/ state contractual requirements, HIPAA, and company policies. Collaborated with senior management, peers, and other departments on operational efficiency, exceeding service expectations, and developing long-term strategies.

  • Strengthened the skills of agents through effective and supportive coaching that created self-awareness and commitment.
  • Provided real-time coaching, guidance, and feedback to customer service agents to achieve development goals.
  • Managed daily activities that impacted targeted service levels and tracked adherence to schedules and average handle times.
  • Initiated personnel actions including employment; terminations; performance/salary reviews; and disciplinary actions.

Applications Systems Analyst, Meaningful Use

ASRC Federal
Albuquerque
11.2012 - 09.2016

As a Meaningful Use National Consultant supported the Indian Health Service (IHS) in achieving meaningful use using the Resource & Patient Management System (RPMS) EHR. Supported the implementation of meaningful use across 400 facilities throughout IHS, enabling IHS to receive over $160 million in incentive payments for physicians and hospitals.

  • Reviewed, interpreted, and analyzed the Centers for Medicare and Medicaid Services (CMS) Electronic Health Record Incentive regulations to provide training and support to providers and hospitals on Meaningful Use.
  • Assisted facilities with using the tools that are built into the RPMS EHR technology for reporting meaningful use and clinical quality measures as required by CMS or their respective state.
  • Maintained communication with state agencies to determine state-specific requirements for health information exchange (HIE) and Medicaid EHR Financial Incentive programs.
  • Developed training materials, guides, and checklists to assist in meaningful use awareness and attestation.

Management Analyst

State Of New Mexico
Santa Fe, NM
10.2011 - 11.2012

Recruited to consult eligible providers and hospitals on the New Mexico Medicaid EHR Incentive Payment Program.

  • Provided program process guidance through interpretation analysis of policies released by CMS and the Office of the National Coordinator for Health Information Technology (ONC); researched Federal regulations and rules to ensure understanding and program compliance.
  • Aided eligible providers and hospitals regarding program information, State Level Registry (SLR), and EHR system requirements.
  • Provided technical support and training to internal and external EHR team members.
  • Conducted user access testing of SLR to analyze changes, enhancements, and new program functions; performed in-depth analysis of workflow, data collection, report details, and other technical issues associated with SLR; liaised with the vendor to report issues and determine fixes.
  • Managed program’s pre-payment audit process and final invoice approval resulting in over $40 million in incentive payments within the first year of program.

Education

Some College (No Degree) -

Central New Mexico Community College
Albuquerque, NM

Certification

  • HealthCare Information Security and Privacy Practitioner (HCISPP) – 4/20204

Timeline

Manager, Clinical Operations

OptumCare
05.2022 - 08.2023

Director of Business Revenue

Kewa Pueblo Health Corporation
07.2018 - 02.2022

Contact Center Claims Supervisor

Molina Healthcare
10.2017 - 07.2018

Applications Systems Analyst, Meaningful Use

ASRC Federal
11.2012 - 09.2016

Management Analyst

State Of New Mexico
10.2011 - 11.2012

Some College (No Degree) -

Central New Mexico Community College
Lisa A. Roberson