Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Niki Figgins

Bowling Green,KY

Summary

Forward-thinking Continuous Improvement Leader with 30 years of relevant Revenue Cycle experience. Career focus on charge capture innovation, cultivating ideal operations while leveraging system tools and functionality. Successful in partnering with leadership to design and implement operational and measurement best practices and systems to maximize revenue. Empowering staff and stakeholders to improve performance and maximize customer satisfaction. Through advanced training and mentoring, I facilitate and motivate progress while interfacing with executives on all levels.

Overview

28
28
years of professional experience

Work History

Project Manager, Data Conversions

Health Data Movers
Bowling Green, KY
01.2022 - Current
  • Drive continuous improvement of project delivery process by providing strong leadership.
  • Communicate and facilitate cross team interdependencies to induce resolution.
  • Anticipate and review project risks and devise proactive strategies to avoid potential roadblocks and meet quality and timeline goals and objectives
  • Forecasted, scheduled and monitored project timelines, personnel performance and cost efficiency; uncovering and solving stakeholder concerns and project issues.
  • Build and establish strong partnerships with teams, vendors and contractors.
  • Connect stakeholders and decision makers to close gaps and instigate progress regarding scope, execution and issue resolution.
  • Furnished project updates to various stakeholders, informing on strategy, adjustments and progress, and escalations as needed.

Manager, Revenue Cycle Applications

Owensboro Health Hospital
Owensboro, KY
02.2021 - 02.2022
  • Set team direction for all Revenue Cycle Epic and Non-Epic
  • Continuous improvement: perform workflow assessments, efficiency gains and system development to meet business requirements.
  • Evaluate operational trends and devise proactive strategy adjustments to maintain alignment between performance and objectives.
  • Restructured project management for Rev Cycle analysts to align with and optimize toward business priorities, best practices, and the overall strategic plan.
  • Provide team leadership, direct design facilitation and validation processes for implementations including recent hospital addition and SBO implementation
  • Advise/support integration with Lawson and transition to Workday
  • Increased morale and team skillsets - invoking confidence and improving effectiveness

Manager, IS Rev Cycle & Access

Enloe Medical Center
Chico, CA
01.2017 - 01.2021
  • Sets Team direction for all Revenue Cycle, Business & Patient Access integrated applications, Epic and Non-Epic. Including Medical Records, Risk & Compliance, as well as Security and Access.
  • Provide expert level application integration guidance and support, improving processes, cultivating working relationships with key stakeholders.
  • Project management including developing workflow diagrams and process recommendations, capitalizing on system functionality.
  • Collaborate with Office for Operational Excellence, vendors, technical and application teams to plan and execute implementations, moving projects forward.
  • Optimized Quality/Denials workflows, Registration, Referrals and Auth/Cert workflows for enhanced efficiency and revenue recovery.
  • Analyze metrics, evaluate and provide counsel to Senior Team related to development and function, as well as participating in strategic planning for maintenance and optimization.
  • Led team through "Big Bang" Epic Implementation with various integrations, including MRT and PRCT testing.

Interim Director, Team Manager

UCSD Medical Center
San Diego, CA
07.2012 - 12.2016

Interim Director, Community Connect Program

  • Lead client communications, managed project team, and integration with peripheral teams
  • Responsible for providing counsel to Systems Director and CIO for the formation of the Program, Customer Account Management, Contracts Review and Revision, and assisted with Strategic Planning
  • Assisted connect organization with design, strategy, standardization adoption as well as continuous innovation
  • Directed Project management, Systems development, Implementation, Training, and Post-Live support Teams

Manager, Orders and Charging Integration Teams

  • Created a new model for integration between clinical systems and billing systems, to improve charge capture, and revenue/collections efficiencies.
  • Clinical Application areas: ClinDoc, Ambulatory, Cupid, Radiant, Optime, Quality, ASAP, and Willow.
  • Novel and metrics-driven solutions development for revenue improvement with Supplies/Implants, Mobile Charge Capture, Cupid and Therapy charging.
  • Interim manager for Help Desk, Training, and HIM Teams during my tenure. I brought process improvements, improved employee engagement and initiated a knowledge base product.
  • Ensured development plans, goals - weekly, quarterly and yearly - are met or exceeded.

Department Manager, IT Director

Medical Group of North County, Inc
Vista, CA
04.1996 - 09.2012
  • Responsible for revenue cycle, including Patient Access, Referrals, Authorizations, Insurance Contracts, HMO agreements, Inventory Management, Pharmaceutical Programs, Billing, and Collections.
  • Maintained, upgraded, trained and supported EMR
  • Responsible for ALL aspects of Unix server maintenance, upgrades, and backups.

Accomplishments:

  • Improved pharmaceutical procurement rates, lowering costs, up to 20% on various high-dollar chemotherapy medications.
  • Improved collections and payment processing workflows to reduce bad debt by 30%.
  • Implemented 2 significant EMR upgrades, including navigating Y2K, without issue.

Owner/Operator

The Good Life
Paradise, CA
10.2004 - 07.2012

Consulting EMR development:

  • Provided consultation, advisory and EMR Technical support.
  • Developed data conversion programming, system configuration, and training materials development for a new EMR the practice was converting to.

Operated a Health Coaching and Nutrition Business

Education

Some College

Skills

  • Project Management- Drive Tasks and Decisions
  • Knowledge of complete healthcare Revenue Cycle
  • Experience in Data Conversions and Epic Bridges
  • Medical Terminology, ICD9, ICD-10, and CPT codes knowledge
  • Extensive experience with creative solutions to execute business vision
  • Articulate complex concepts, effectively analyzing and synthesizing material and feedback through management reports and metrics
  • Affinity for workflow assessment, integration and process improvement - leveraging technology
  • Expert in Implementation / Conversion testing and validation
  • Excel in team leadership and motivation, including interpersonal relationship and management skills and team development
  • Expanded proficiency in MS Office Suite – Word, PowerPoint, Excel, and MS Visio
  • Epic Certified, and extensive knowledge of charge capture and revenue applications including SBO and various 3rd party systems

Accomplishments

Revenue & Access Accomplishments:

  • Optimized Utilization Review Team's processes, resulting in reduced denials, reversing a monthly trend of $8M in denials.
  • Implemented Appointment Reminders and outreach system, reducing staff time spent (ROI $1M annual - staff time reallocated to patient care face-to-face service.) Reduced no show rates 5%-12%
  • Pre-empted Epic's therapy charging workflow to integrate documentation and charges in Therapy - first Epic customer to implement
  • Led IT efforts for Registration and Referral realignment project - increasing cross-department communication, improving prior authorization and reducing lost revenue
  • Optimized internal IT process for service delivery, improving communication with business units, establishing better engagement for prioritization and increasing IS staff efficiencies.
  • Coordinated recovery of systems and data validation after a critical cyber-attack outage.

Community Connect:

  • Implemented Epic for 30 provider Neurology Practice on Epic in 90 days. While supporting existing customers and planning next staged implementation.

Orders/Charging: Novel Integrated Team model

  • Innovated a surgical coding charge capture and reconciliation process reducing staff hours and improving revenue capture

Timeline

Project Manager, Data Conversions

Health Data Movers
01.2022 - Current

Manager, Revenue Cycle Applications

Owensboro Health Hospital
02.2021 - 02.2022

Manager, IS Rev Cycle & Access

Enloe Medical Center
01.2017 - 01.2021

Interim Director, Team Manager

UCSD Medical Center
07.2012 - 12.2016

Owner/Operator

The Good Life
10.2004 - 07.2012

Department Manager, IT Director

Medical Group of North County, Inc
04.1996 - 09.2012

Some College
Niki Figgins