Misty Benson
Ewa Beach,HI
Summary
Detail-oriented Director of Revenue Cycle with 20 years of experience analyzing, evaluating and conducting research on business operations. In-depth knowledge of client relations, strategic risk assessment and operations administration. Committed to driving profitability through efficiency and improved operations.
Overview
21
21
years of professional experience
Work History
Consulting Associate
Benson RCM Support
01.2022 - Current
- Supported client projects and internal initiatives by producing quality deliverables and participating in meetings and brainstorming sessions.
- Scheduled and coordinated client meetings to discuss project updates and issues.
- Developed customized presentation materials and managed performance measurements for existing accounts to attract new client
- Implemented billing practices
- Supported new software implementation
Director of Revenue Cycle Operations
ParkTree Community Health Center
09.2019 - Current
- Direct all revenue cycle operations for the health center
- Manage day-to-day operations of billing department assuring efficient cash flow and good billing practices
- Created enrollment department and developed policies
- Advanced data analytics and reporting development
- Responsible for creating metrics to meet desired KPI of the organization
- Responsible for development of practice management training for all administrative front line staff
- Responsible for all file maintenance system set up for NextGen EPM.
DIRECTOR OF PATIENT ACCOUNTS
PEAK VISTA COMMUNITY HEALTH CENTER
01.2014 - 07.2019
- Responsible for managing day to day function of a Federally Qualified Health Center billing office, created processes to reduce accounts receivable and increase revenue
- Strong understanding FQHC medical and dental billing requirements
- Delivered favourable results, maintaining under 30 days in AR
- Mentored junior leadership, and maintained KPI benchmarks, developed staff training plans, identified trends and develop quick responses to ensure account integrity
CLINICAL TEAM MANAGER
PEAK VISTA COMMUNITY HEALTH CENTER
02.2016 - 01.2018
- Responsible for the management and administration of daily clinic operations to include planning, coordinating, and facilitating those activities necessary for the efficient operation of the clinical team for Residency Clinic
- Coordinates inter-departmental processes with other managers to include other clinical team managers throughout the Peak Vista system as necessary and indicated to assure excellent company operations
- Completes monthly budget reports and monitors clinic expenses
- Works with patient accounts to assure billing requisitions are completed
- Responsible for the administration, management, and supervision of staff to include interviewing, hiring, the training process, competency assessments, performance reviews, corrective actions, counselling, and terminations
- Assures adequate clinical staffing to meet organizational goals
- Able and willing to step into all administrative positions within the team when necessary
- Ensure ACGME standards are met and adhered to.
REVENUE CYCLE TRAINER
PEAK VISTA COMMUNITY HEALTH CENTER
08.2014 - 02.2016
- Responsible for training all aspects of the revenue cycle
- Proficient understanding of good billing practices and insurance policies including Medicare and Medicaid and ability to train effectively to all learning methods
- Ability to captivate an audience and gauge their understanding of topics being trained
- Responsible for process improvement and workflow development for medical and dental processes.
SITE COORDINATOR II
ARIZONA COMMUNITY PHYSICIANS
01.2011 - 08.2014
- Responsible for daily operations of a busy family practice office
- Responsible for all hiring and disciplinary actions of all staff and mid-level providers
- Responsible for compliance, regulatory, OSHA and CDC requirements
- Training of all staff on new policy and procedures including ICD-10, RAF scoring, HEDIS, and Meaningful Use Measures
FINANCIAL COUNSELOR
BANNER
01.2010 - 01.2011
- Responsible for accurate verification of all Medical and Behavioral Health benefits for inpatient services, responsible for collections and follow up of patient liability in a professional manner
- Responsible for emergency room notification of all payers including state funded behavioral programs.
PATIENT ACCESS LEAD
NORTHWEST MEDICAL CENTER
01.2009 - 01.2010
- Responsible for training all new employees on workflow processes for both hospital and ancillary locations
- Responsible for auditing all demographic and insurance data
- Implementing new processes for urgent care facilities
- Maintained compliance with JAHCO/HIPAA/EMTALA guidelines.
COMMERCIAL COLLECTION SPECIALIST
NORTHWEST MEDICAL CENTER
01.2006 - 01.2009
- Responsible for negotiation and collections of all non-contracted payers for reimbursement of all hospital claims
- Worked efficiently and effectively in a team environment as well as an individual
- Communicated with admitting department in a professional manner
- Demonstrated a strong understanding of good billing practices.
PREADMISSION REPRESENTATIVE
NORTHWEST MEDICAL CENTER
01.2003 - 01.2006
- Responsible for the coordination of multiple ancillary sites schedules and patient flow
- Obtained benefit information, initiated authorization as necessary
- Knowledge of CPT and ICD-9 codes for a variety of procedures and departments
- Worked closely with multiple physician's offices ensuring patient procedures were scheduled correctly.
Education
Master's in Health Care Administration with specialization in Project Management -
COLORADO STATE UNIVERSITY GLOBAL CAMPUS
02.2020
Certified Revenue Cycle Representative -
HFMA
08.2019
BACHELOR OF SCIENCE in Healthcare Administration- Cum Laude -
GRAND CANYON UNIVERSITY
01.2015
Skills
- Data Analytics
- Cross-Functional Team Development
- Quality Assurance
- Workflow Analysis
- Problem solving
- Conflict resolution
- Process improvement
- Project management
- Team leadership
- Attention to detail
- NextGen Enterprise Practice Management implementation
- Advanced Reporting
- Proven success in reducing AR
Additional Information - Skill Highlights
- IDX
- NextGen
- CPT
- ICD-10-CM
- Strong analytical skills
- Dentrix
- Allscripts
- Meditech
- Proficient in Microsoft Office
- SharePoint design and management
- Skilled in financial communications per HFMA guidelines
- Proficient in quality care measure and data capture
- Strong knowledge of FQHC billing requirements
- Hospital and professional billing expertise
- Strong understanding of adult learning theories
- Strong leadership qualities
Committees
California Primary Care Association Billing Peer Network, Co-Chair, 2021
Timeline
Consulting Associate
Benson RCM Support
01.2022 - Current
Director of Revenue Cycle Operations
ParkTree Community Health Center
09.2019 - Current
CLINICAL TEAM MANAGER
PEAK VISTA COMMUNITY HEALTH CENTER
02.2016 - 01.2018
REVENUE CYCLE TRAINER
PEAK VISTA COMMUNITY HEALTH CENTER
08.2014 - 02.2016
DIRECTOR OF PATIENT ACCOUNTS
PEAK VISTA COMMUNITY HEALTH CENTER
01.2014 - 07.2019
SITE COORDINATOR II
ARIZONA COMMUNITY PHYSICIANS
01.2011 - 08.2014
FINANCIAL COUNSELOR
BANNER
01.2010 - 01.2011
PATIENT ACCESS LEAD
NORTHWEST MEDICAL CENTER
01.2009 - 01.2010
COMMERCIAL COLLECTION SPECIALIST
NORTHWEST MEDICAL CENTER
01.2006 - 01.2009
PREADMISSION REPRESENTATIVE
NORTHWEST MEDICAL CENTER
01.2003 - 01.2006
Master's in Health Care Administration with specialization in Project Management -
COLORADO STATE UNIVERSITY GLOBAL CAMPUS
Certified Revenue Cycle Representative -
HFMA
BACHELOR OF SCIENCE in Healthcare Administration- Cum Laude -
GRAND CANYON UNIVERSITY
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