Summary
Work History
Education
Skills
Accomplishments
Affiliations
Timeline
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Lori Gifford

Lori Gifford

Fisherville,KY

Summary

Experienced executive with over 25 years of experience in Healthcare. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational improvements. Consistently lowered costs while increasing profits.

Work History

VP of Revenue Cycle and Managed Care

Onpoint Medical Group
02.2018 - 06.2020
  • Drove operational improvements which resulted in savings and improved profit margins
  • Worked directly with CFO and CEO to establish improved revenue per visit and revenue cycle turnaround
  • Lead the data migration of 4 acquired medical practices onto one EMR platform successfully in 1 year
  • Set up KPI performance indicators for regular reporting
  • Improved Net days in AR year over year
  • Worked with Accounting and Finance to improve reporting
  • Negotiated higher reimbursement contracts in the first year
  • Launched telehealth billing across the platform (17 practice locations) during Covid-19 pandemic successfully
  • Completed financial reporting and analysis for billing revenue cycle.
  • Supported clinical team members with all revenue cycle procedures and addressed any issues as needed.
  • Monitored and guided revenue cycle operations.
  • Identified discrepancies between budgetary targets and actual revenue and expenses.
  • Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Maintained excellent attendance record, consistently arriving to work on time.
  • Processed tax payments, set up payment plans and worked with delinquent taxpayers to resolve issues.
  • Responded to taxpayer questions and helped individuals complete and file tax documentation.
  • Completed [Type] audits and [Type] investigations to check provided information.
  • Professionally negotiated and dealt with taxpayers in confrontational situations.

President

Billright Medical Billing, Inc
09.1996 - 06.2020
  • Founded Billright Medical Billing, Inc in 1995
  • Provided an outsourced management solution for local medical practices to include: billing, contracting, appointment scheduling, IT, and bookkeeping for over 25 years.
  • Earned the company exceptional rating and testimonials from clients
  • Led the processing of over 150M in claims processing to all carriers including Medicare, Medicaid, Cigna, Humana, Anthem, etc
  • Assisted medical practices with ICD-9 to ICD-10 transition
  • Maintained VAR responsibilities with Henry Schein/MicroMD EMR and PM
  • Provided a call center for patient claims for over 25 years assisting patients with claim and bill inquiries.
  • Initiated operational improvements using lean methodologies to drive efficiency and reduce costs.
  • Consulted with vendors and advised department director to resolve issues and determine equipment needs.
  • Worked with director, production manager and department heads to prepare final budgets, shooting schedules and production dates.
  • Worked with director, production manager and department head to prepare film's final budget, shooting schedule and production dates.
  • Liaised between Physician owners department and Billing department.

Realtor

Semonin Realtors®
09.2021 - Current

Education

Bachelor of Arts - Pre Medicine / Biology

University of Puget Sound
Tacoma, WA

Healthcare Economics

University of Denver, University College
Denver, CO

Skills

  • Revenue and profit maximization
  • Medicare and Medicaid knowledge
  • Friendly and professional communications
  • Extensive knowledge of Revenue Cycle
  • Extensive knowledge of process work flow to maximize revenue cycle outcomes
  • Proven success with maximizing reimbursement for medical services
  • Extensive knowledge with RAF and Hedis scoring with insurance payers
  • Project Management
  • Teamwork/Collaboration
  • Analyzing Claims
  • Budgetary Oversight
  • Management Experience
  • Patient Scheduling
  • Patient Registration
  • Debt Collection Procedures
  • Policy Development
  • Billing Practices
  • Financial Counseling

Accomplishments

    Served on the HIT Vendor Advisory Committee for Colorado Technology Association and CORHIO Colorado Regional Health Information Organization

    Lead Multiple practices in the successful processing of over 150 M in medical claims

    Was one of the first companies in the State of Colorado to be an approved electronic billing vendor for Medicare

    Lead the successful migration of multiple medical practices onto a new EMR/PM platform while minimizing the impact of revenue

    Proven ability to improve revenue cycle KPI's while significantly lowering the cost of the department

Affiliations

MGMA Medical Group Management Association

AAPC American Academy of Procedural Coders

Timeline

Realtor

Semonin Realtors®
09.2021 - Current

VP of Revenue Cycle and Managed Care

Onpoint Medical Group
02.2018 - 06.2020

President

Billright Medical Billing, Inc
09.1996 - 06.2020

Bachelor of Arts - Pre Medicine / Biology

University of Puget Sound

Healthcare Economics

University of Denver, University College
Lori Gifford