Liz Arana
Falls Church,VA
Summary
Adaptable individual with broad experience in building new processes and strategies to address and support the changing landscape of healthcare today.
Overview
19
19
years of professional experience
Work History
Director, Revenue Cycle Management
Privia Health
Arlington , VA
2022.03 - Current
- Additional Responsibilities (see Associate Director position responsibilities)
- Collaborated with senior leadership to set long-term objectives for the RCM market functions.
- Implemented systems for tracking progress on key initiatives or projects.
- Developed and implemented comprehensive strategies to improve operational processes and organizational efficiency.
- Conducted regular meetings with department heads to review progress on strategic initiatives.
- Facilitated collaboration between teams by encouraging open communication channels.
- Cross market RCM support for newly implemented markets.
Associate Director, Revenue Cycle Management
Privia Health
Arlington , VA
2018.06 - 2022.03
- Serves as the market subject matter expert on all issues surrounding payer reimbursement, accurate claim processing, claim submission, collections and other general revenue cycle management for a multi-specialty provider group
- Priority focus on implementing practices to improve RCM key metrics for market levels, regional specialty verticals and individual Care Centers
- Manages and maintains national function related to self pay recovery for all markets, maintains third party vendor relationship
- In collaboration with other operational teams, such as performance and implementation, creates action plans to improve care center performance. Serves as an escalation point for larger or complex claim issues or trends
- Develops RCM resources, such as RCM Best Practices Guide to drive consistency and quality for all AR Managers in resolving outstanding AR
- Develops specialty focused resources to address variance in RCM best practices by specialty, such as the Pediatric Billing and Coding Playbook
- Implements month over month Care Center metric tracking to reinforce proactive RCM intervention on decreasing performance metrics
- Routinely monitors claim productivity and QA, issue management QA, key metric results, denials, payment compliance, and others
- Monitors progress of claim or payer activities, initiates discussions with payers on reimbursement activities for claim resolution
- Conducts weekly subgroup staff meetings, monthly all staff meetings
- Empowers direct reports to lead new initiatives outside of their daily tasks, while providing management, guidance and training to staff
- Participated in annual market budget development
- Assigned/allocated resources as required ensuring company goals for aging and accounts receivable days are met
- Responsible for staffing to include hiring, termination, coaching and training
- Provides ongoing feedback to subordinate staff regarding performance throughout the year
Manager, Revenue Cycle Management
Privia Health
Arlington , VA
2017.03 - 2018.06
- Directly oversaw and managed the entirety of the following national functions: Collections, Patient Refunds and Insurance Refunds
- Directly managed teams accountable for the accounts receivable (AR) including analysis and resolution of the aged AR, looking for root cause issues, as well as led approach to denial management
- Independent decision making -regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
- Made policy updates as needed, to all RCM policies.
- Met with the Performance Operations, Implementation, Sales and other Privia teams, as well as Care Centers to review escalated issues and discuss payer or claim concerns.
- Supported care center go-lives as needed, which may include overnight travel.
- Set measurable goals to drive toward achievement of department’s daily and monthly KPIs, requiring a team focused approach to attainment of these goals.
- Was responsible for performing or assisting with duties related to staffing to include hiring, termination, coaching and training
- Provided ongoing feedback to subordinate staff regarding of performance throughout the year to subordinate staff, counseled employees as needed
AR Manager
Privia Health
Arlington , VA
2014.06 - 2017.04
- Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.
- Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
Medical Accounts Receivable & Privia Coordinator
Patrick Correnty, MD, LLC
Arlington , VA
2005.05 - 2014.06
- Manage 1,000+ Privia members: triage, prescription requests, scheduling
- Manage patient financial accounts, including reconciling, posting and invoicing
- Review and edit claim codes daily to ensure successful claims submission
Education
Bachelor of Arts - Psychology
University of Virginia
Charlottesville, VA05.1996
Skills
- Revenue metrics analysis
- Efficient in process improvement
- Efficient in strategies in scalability
- Multi-specialty revenue cycle knowledge
- Interpersonal communication skills
- Issue and conflict resolution
- Proficient in athenaNet, Trizetto, Salesforce, Google Suites, Microsoft Suites
Timeline
Director, Revenue Cycle Management
Privia Health
2022.03 - Current
Associate Director, Revenue Cycle Management
Privia Health
2018.06 - 2022.03
Manager, Revenue Cycle Management
Privia Health
2017.03 - 2018.06
AR Manager
Privia Health
2014.06 - 2017.04
Medical Accounts Receivable & Privia Coordinator
Patrick Correnty, MD, LLC
2005.05 - 2014.06
Bachelor of Arts - Psychology
University of Virginia
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