Michelle Hindmarsh
United States
Summary
Patient and client focused team lead known for delivering high productivity and efficiently completing tasks. Skilled in contract negotiation, financial analysis, and regulatory compliance. Excel in problem-solving, communication, and time management to optimize contract performance and stakeholder satisfaction.
Overview
16
16
years of professional experience
Work History
Member Services Manager
Wake County Human Services
Raleigh , NC
07.2022 - Current
- Prepared staff work schedules, assigned team members to specific duties, and assisted with the recruitment, selection, onboarding, and training of new members of the services staff. Monitored team performance to ensure quality customer service standards were met.
- Built financial models to allocate resources, forecast cash and investment needs, and make capital budgeting decisions, and communicated with stockholders or other investors to provide information and raise capital. Managed relationships with the IRS, bankers, and auditors.
- Facilitated the resolution of patient billing inquiries and complaints in a timely manner, participated in negotiations between payers and providers concerning reimbursement rates, and implemented new financial and accounting software packages. replacing various non-integrated offerings.
- Worked closely with the billing department staff to ensure that all bills were paid promptly and accurately according to contractual agreements with payers. Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
- Collaborated with department managers to develop comprehensive training programs that meet the needs of each individual team member. Handled employee discipline and termination to address policy infractions.
Procurement and Contracts Manager
Cigna Healthcare
Nashville, TN
08.2018 - 07.2022
- Performed market research to identify the best suppliers that meet quality standards at competitive prices. Prepared bid documents, evaluated bids submitted by vendors, and selected qualified suppliers.
- Established cross-functional team that exceeded benchmarked order management metrics and reduced average purchasing cycle times time year-over-year. Drafted purchase agreements based on established legal templates.
- Performed data analysis on financial trends and presented findings to supervisors to brainstorm process improvements. Conducted regular reviews of existing contracts for improvement opportunities or potential non-compliance issues.
- Developed procedures for collecting, verifying, storing, protecting, tracking, analyzing, and reporting clinical trial data and conducted regular meetings with department heads to discuss current issues or concerns related to operations. Handled employee discipline and termination to address policy infractions.
- Managed financial operations including budgeting, billing, accounts receivable and payable, payroll, purchasing, and auditing. Monitored employee performance on an ongoing basis to ensure quality standards were being met.
Client Services Manager
Emdeon
Hermitage, TN
05.2015 - 08.2018
- Translated complex statistical results into easy-to-understand visuals that can be shared with non-technical audiences. Utilized statistical methods, such as regression analysis and Monte Carlo simulations, when performing predictive modeling tasks.
- Performed quality assurance checks on medical databases to ensure the accuracy of patient records, and evaluated and recommended upgrades to improve existing computerized healthcare systems. Performed complex contract modeling, and monitored health plan performance.
- Analyzed large volumes of data from hospitals, clinics, laboratories, and insurance companies to assess the efficacy of treatments and interventions. Supported healthcare applications by monitoring security, performance and reliability.
- Met needs of physicians and other treating team members with timely retrievals of patient medical records. Created dashboards using Tableau and Power BI that enable real-time tracking of key performance indicators.
- Developed algorithms for natural language processing applications used in medical research projects and created visualizations and reports of health-related statistics for physicians, researchers, and other stakeholders. Handled employee discipline and termination to address policy infractions.
Financial Analyst
Southern Hills Medical Center
Nashville , TN
06.2013 - 05.2015
- Short-term project that provided guidance on investment decisions based on current economic trends and forecasts. Informed investment decisions by analyzing financial information to forecast business, industry or economic conditions.
- Provided financial analysis support during merger and acquisition (M&A) activities, and analyzed financial data to identify trends, patterns, and strategies. Assessed potential risks associated with the new investments or acquisitions.
- Developed strategies to improve the efficiency of business operations, reduce costs, and developed financial analysis reports and presentations by applying acquired financial principles. Assisted senior management in preparing timely reports for board meetings.
- Prepared monthly, quarterly, and annual financial reports for management review, and illustrated concepts with charts and graphs showing historical and forecasted trends. Trained junior analysts on financial analysis techniques and best practices.
- Coordinated deal financing by gathering resources from financial institutions, public agencies or private companies. Monitored regulatory compliance in financial reporting, and ensured adherence to GAAP accounting standards.
Medical Billing Administrator
Metropolitan Government of Nashville and Davidson County
Nashville , TN
03.2009 - 06.2013
- Identified areas of improvement within the existing billing system and recommended solutions to management. Created detailed spreadsheets outlining each client's charges, payments received, outstanding balances.
- Developed internal controls and procedures that improved efficiency in the billing process. Analyzed trends in claim processing times and worked closely with staff members to reduce delays.
- Evaluated employee performance relative to billing goals set by the management team. Create seamless operational performance and reimbursement maximization related to managed care contracting and performance monitoring.
- Applied HIPAA privacy and security regulations while handling patient information, and resolved billing disputes with insurance companies in a timely manner. Created staff teams based on employee strengths and made adjustments to promote overall productivity.
- Processed incoming payments from insurance companies or patients. Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
Education
Bachelor of Science - Business Administration
Franklin University
Columbus, OH12-2020
Data Analytics Certificate
Vanderbilt University
Nashville, TN06-2010
Associate of Applied Science - Paralegal Studies
Volunteer State Community College
Gallatin, TN02-2009
Skills
- Data analysis
- Contract negotiation
- Contract performance monitoring and reporting
- Conflict Resolution
- Grant Writing Expertise
- Multimillion-dollar P&L management
- Effective leader
- Problem-solving aptitude
- Price structuring
- Vendor management
- Project management
- Regulatory compliance
- Medicare and medicaid expertise
- Epic software trainer
- Pricing strategy
Affiliations
- March of Dimes Treasurer 2018-2025
Timeline
Member Services Manager
Wake County Human Services
07.2022 - Current
Procurement and Contracts Manager
Cigna Healthcare
08.2018 - 07.2022
Client Services Manager
Emdeon
05.2015 - 08.2018
Financial Analyst
Southern Hills Medical Center
06.2013 - 05.2015
Medical Billing Administrator
Metropolitan Government of Nashville and Davidson County
03.2009 - 06.2013
Bachelor of Science - Business Administration
Franklin University
Data Analytics Certificate
Vanderbilt University
Associate of Applied Science - Paralegal Studies
Volunteer State Community College
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