Lynne T. Davis
Carmel,IN
Summary
Managerial professional with proven record of streamlining processes and leading high-performing teams. Known for strong analytical skills and commitment to achieving results. Teams rely on collaborative leadership and adaptability to changing needs.
Overview
31
31
years of professional experience
Work History
Manager, Practice Transformation
Ascension Medical Group
04.2019 - Current
- Manage a team of 20 Transformation Specialists supporting the Athena EMR
- Coordinate and Roll Out Initiatives from Local and National Groups
- Work closely with Ascension Compliance, Quality Assurance, Finance, Legal, National Support
- Work with outside vendors Phreesia, Datavant, Ingenious Med, InQuicker
Practice Liaison
St. Vincent Health
03.2009 - Current
- Currently rolling out GE Centricity (IDX) to former TCG practices
- Train doctor’s office staff on practice management systems – Misys Vision and GE Centricity (IDX)
- Develop and maintain training materials for classes
- Support office staff by providing practice activity reports as requested, troubleshoot IT issues within the practice management systems, provide ongoing associates training
- Maintain, update and roll out physician schedule templates
- Assist in testing computer system upgrades prior to implementation
- St. Vincent Health (July 2011 – present)
- St. Vincent Medical Group (July 2010 – June 2011)
- The Care Group (March 2009 – June 2010)
Assistant Manager, Claims Department
Medical Savings Insurance Company
01.2004 - 01.2009
- Assisted the Claims Manager with all aspects of Claims Department
- Primary contact for Utilization Review Agent to ensure accurate certifications and benefit determinations
- Successfully coordinated several States’ Department of Insurance Market Conduct Examinations
- Conducted medical terminology training for Claims staff
- Worked with attorneys on many legal and complex claim issues
- Instrumental with implementing new Claims processing system and training
- Worked with a team to develop new health insurance product – product language, training and launch
- Supervised staff reviewing claims with respect to specialized claim adjudication
- Worked on various projects as assigned by the President and Chief Financial Officer
- Interaction with all departments of Company concerning daily operations
- Claims Analyst Supervisor (2002 – 2004)
- Investigated contestable claims to rule out preexisting conditions and/or misrepresentations
- Reviewed claims with respect to specialized claim adjudication
- Supervised two Claims Analysts doing similar work
- Processed employee claims
Investigator, Special Investigations Unit
Golden Rule Insurance Company
01.2000 - 01.2002
- Reviewed potential fraudulent claims submitted by insureds including all foreign, handwritten and otherwise suspicious claim documents
- Saved $250,000 by identifying fraudulent and non-covered claims in 2001
- Responsible for review of potential fraudulent activity of brokers
- Worked with Legal Department and had contact with most departments within the company
- Corresponded with State Departments of Insurance, attorneys and insureds
- Senior Claims Analyst; Senior Case Manager (1997 – 2000)
- Conducted investigations of contestable health claims to rule out preexisting conditions and/or material misrepresentations on insurance applications
- Obtained opinions from medical consultants as needed
- Review of daily claims activity to identify potential HIV related claims
- Case management of bone marrow and organ transplant files from identification of benefits for the transplant to approving coverage for the transplant
- Responsible for compiling year end Claims data and reports
Senior Case Management Analyst
Golden Rule Insurance Company continued
01.1994 - 01.1997
- Review of catastrophic claims with related treatment costs in excess of $100,000
- Claims Analyst (1988 – 1992); Senior Claims Analyst (1992 – 1994)
- Conducted investigations of contestable health claims
- Claims Adjustor 1987 – 1988
Education
Bachelor of Science - Finance
Ball State University
05-1985
Skills
- Team leadership
- Time management
- Decision-making
- Verbal and written communication
- Complex Problem-solving
- Task delegation
Timeline
Manager, Practice Transformation
Ascension Medical Group
04.2019 - Current
Practice Liaison
St. Vincent Health
03.2009 - Current
Assistant Manager, Claims Department
Medical Savings Insurance Company
01.2004 - 01.2009
Investigator, Special Investigations Unit
Golden Rule Insurance Company
01.2000 - 01.2002
Senior Case Management Analyst
Golden Rule Insurance Company continued
01.1994 - 01.1997
Bachelor of Science - Finance
Ball State University
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