Nova McGrew
Laurel,MD
Summary
To leverage 13 years of patient care experience, with strong background in revenue cycle, front office management, staff training, credentialing and executive administration. Revenue cycle management professional skilled in optimizing financial performance and operational efficiency. Proven track record in identifying revenue opportunities, implementing process improvements, and leading successful teams. Strong focus on collaboration, adaptability, and achieving measurable results. Expertise in claims management, regulatory compliance, and financial analysis. Diligent Executive Professional with deep understanding of revenue cycle management and operational efficiency. Successfully led initiatives to streamline billing processes and reduce claim denials. Demonstrated leadership in team collaboration and process improvement.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Director Of Revenue Cycle
Adventist Fort Washington Medical Center
09.2022 - Current
- Contributed to staff retention efforts by fostering a positive work environment, promoting teamwork, and recognizing employee achievements regularly.
- Achieved a high level of compliance by implementing strict adherence to regulatory guidelines, including HIPAA privacy rules.
- Boosted patient satisfaction by providing timely, accurate billing statements and addressing inquiries with professionalism and empathy.
- Collaborated with cross-functional teams to identify areas for operational improvement within the revenue cycle process.
- Enhanced cash flow by promptly identifying and resolving discrepancies in payment postings and adjustments.
- Participated in industry conferences and educational sessions to stay current on emerging trends, best practices, and regulatory changes affecting healthcare revenue cycle management.
- Monitored and guided revenue cycle operations.
- Completed financial reporting and analysis for billing revenue cycle.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Managed cross-functional teams to improve overall revenue cycle operations.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Coordinated with finance team to produce accurate monthly reports on collection metrics and trends.
- Created financial dashboards to provide insights into key performance indicators.
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
- Designed and maintained financial models to identify and measure risks.
- Collaborated with C-level executives and stakeholders to develop long-term financial plans.
- Identified discrepancies between budgetary targets and actual revenue and expenses.
- Served as a liaison between the organization''s leadership team members and payers during contract negotiations, securing favorable terms for reimbursement rates.
- Established strong relationships with insurance carriers to expedite claims processing and maximize reimbursement rates.
- Ensured timely claim submission by effectively managing coding workflows within the department.
Practice Manager
Adventist Medical Group
12.2020 - 09.2022
- Developed close working relationships with front office and back office staff.
- Ordered all office supplies and kept check on inventory levels.
- Supervised team of 13 office personnel.
- Coordinated with physicians to optimize appointment schedules and maximize daily patient flow.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Boosted staff morale by offering constructive feedback and specific direction.
- Oversaw accounting, budgeting, and financial reporting.
- Identified opportunities for additional services or expansion within the practice based on market research analysis.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Spearheaded initiatives aimed at improving community relations, including hosting events such as health fairs or seminars on relevant topics in healthcare management.
- Provided supervision and management to team of support personnel.
- Managed office budget, reducing unnecessary expenses and allocating funds for necessary improvements.
- Enhanced staff productivity by providing comprehensive training programs and regular performance evaluations.
- Collaborated with marketing teams to develop promotional materials that effectively highlighted the practice''s unique offerings.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Conducted regular staff training sessions to ensure high levels of patient service and care.
- Developed and enforced office policies to ensure compliance with healthcare regulations, improving practice efficiency.
- Led team of administrative staff, fostering collaborative work environment to enhance productivity.
- Conducted thorough market analysis to identify trends and opportunities for practice growth.
Practice Manager of Operations
Fort Washington Medical Center
11.2018 - 10.2019
- Ensured compliance with industry regulations through regular audits, risk assessments, and corrective action plans.
- Addressed patient concerns promptly while maintaining a high level of professionalism, ultimately leading to improved patient retention rates.
- Managed financial processes, including billing, collections, and insurance reimbursements, resulting in increased revenue.
- Developed strategic partnerships with vendors to secure competitive pricing on supplies and services.
- Established performance metrics to evaluate team efficiency and identify areas for improvement.
- Championed change management efforts during periods of organizational growth or restructuring, ensuring a smooth transition for all stakeholders.
- Consulted with healthcare professionals on business decisions.
- Increased physician satisfaction by addressing concerns and providing timely feedback on patient referrals.
- Implemented a strategic plan to grow the practice''s network of referring providers, resulting in higher overall revenue.
- Produced and distributed brochures, newsletters and press kits.
- Built and maintained positive relationships with public by utilizing strategic plans.
- Supervised team of 2 office personnel.
Practice Manager
Roseu Medical Center
01.2017 - 09.2018
- Managed daily operations for Primary Care medical practice with increase of 45% revenues first 5 months of employment: oversee the business needs of medical practices, develop business strategies, manage budgets, and oversee day-to-day operations (scheduling, billing, collections, etc.)
- Maintains workflow by studying methods; implementing cost reductions; and developing reporting procedures
- Creates and revises systems and procedures by analyzing operating practices, recordkeeping systems, forms control, office layout, and budgetary and personnel requirements; implementing changes
- Resolves administrative problems by coordinating preparation of reports, analyzing data, and identifying solutions
- Ensures operation of equipment by completing preventive maintenance requirements; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques
- Completes operational requirements by scheduling and assigning administrative projects; expediting work results
- Supervise social media outreach
- Deliver content via LinkedIn, Twitter, Facebook, email, or direct mail
- Coordinate and deliver email campaigns
- Mass-mail materials
- Create brochures
- Orchestrated an integrated advertising campaign across multiple media channels, growing patient volume
- Oversee daily operations of 2 practice locations with 1 physician and 3 Nurse Practitioners’, monthly rotations of 5 -6 medical students and provided leadership for 8 support staff and a liaison for solving problems
- Meet with physician's and staff to ensure clinical and administrative policies were followed for compliance and better quality of care and understand their frustrations and concerns to ensure an adequate support system
- Worked closely with billing to monitor charges and payments
- Communicated with providers on coding issues
- Responsible for payroll, staff performance and recruitment
- Participated in meetings to ensure practices were OSHA and HIPPA compliant
- Recruited and trained new hires
- Successfully marketed the practice to area Urgent Care Clinics and hospital administrators which resulted in dramatic increases in the practice's patient population
- Responsible for office flow from check in- to checkout
- Responsible for creating and delivering marketing ideas and activities
- Concepts and creates marketing materials, manages projects, and ensures company messages are consistent
- Executed the launch of Lipo C Weight loss program and introduced Genetic Testing for all patients, increasing revenue by 28%
- Modified check-in system allowing for increased revenue and decreased check-in and wait times
- Organized all social media aspects; Facebook page, Website, Twitter
- Scheduled and Organized Meet and Greet Reception for local Physicians with purpose of Networking
Revenue Cycle Coordinator
The Women’s Wellness Center
11.2014 - 11.2016
- Daily implementation of the following; Upstream (scheduling, patient access, pre-authorization, insurance verification and financial counseling)
- Midstream (case management, charge capture, clinical documentation, charge description master, and HIM)
- Downstream (billing and claim submission, cashiering, refunds, and adjustment posting)
- Third party and guarantor follow up, processing, payment posting and customer service collections
- Provides support to Director of Operations for the development and execution of plans to improve policies, procedures and systems throughout the practice
- Provides frequent status updates and summary reports to leadership
- Evaluates Generic Daily Report and report on Incomplete Notes to address with Director of Operations
- Assesses and resolves issues with early detectable accounts in the payment cycle
- Receives all patients during arrival
- Appointment management and record maintenance
- Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone
- Keeps patient appointments on schedule by notifying provider of patient's arrival; reviewing service delivery compared to schedule; reminding provider of service delays
- Comforts patients by anticipating patients' anxieties; answering patients' questions; maintaining the reception area
- Maintains patient accounts by obtaining, recording, and updating personal and financial information
- Protects patients' rights by maintaining confidentiality of personal and financial information
- Maintains business office inventory and equipment by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies
- Obtained training in Revenue Cycle to cover responsibilities of the Revenue Cycle upon my hire
- Outreach efforts to attract new businesses for the practice
- Successfully organized the first health expo on the grounds of the practice to market the Wellness Center
- Designed the first brochure of the practice currently being used as our primary marketing tool
Front Office Administrative Support
Howard University Hospital
08.2010 - 11.2014
- Coordinated all front office functions and provided assistance to directors with administrative duties
- Directly involved in process improvements to enhance the efficiency of the front office
- Responsible for the administrative front office functions, including all patients’ chart preparations
- Printed schedules for all therapists and Audiologist
- Obtained all required authorizations prior to patients’ appointments
- Established patients in Sorian Scheduling System
- Provided support to physicians and division managers
- Recorded minutes for monthly staff meetings
- Maintained email correspondences with staff, vendors, and patients; drafting memorandums
- Coordinated administrative schedules for managers
- Served as the primary liaison between patients and physicians to ensure a consistently positive patient experience
- Greeted patients, vendors and co-workers in courteous manner
- Handled multi-functional phone systems to address all patient needs
- Continuously practiced CARES and SHARES standards of behavior
- Remained compliant with HIPPA
- Recommended process improvement idea that increased division volume by 30%
Rehabilitation Assistant
Howard University Hospital
08.2010 - 11.2014
- Prepared patients for treatment in physical therapy
- Prepared hot/cold packs for patients’ treatment
- Transported patients when necessary and maintained patients’ log and other clerical duties
- Provided coverage for front office when short staffed
- Worked with financial counselor to ensure first of the month registration
- Generated positive patient satisfaction through extra efforts in care treatment and one-on-one communication with staff and patients
- Earned reputation for maintaining a positive attitude and producing high-quality work
- Increased HCAPS scores on multiple cycles after
- Selected to serve as CARES Ambassador representing my division
- Selected to serve on Employee Advisory Committee to work directly with the Executive Leadership of Howard University Hospital
Assistant to VP of Marketing
Discovery Health Communications
12.2005 - 08.2010
- Communicated effectively with multiple departments to plan meetings and prepare welcome packages for visitors, students, and vendors; established strong relationships to gain support and effectively achieve results
- Assisted with multiple recruitment events (average of 12 large gatherings per year) that contributed to consistent high enrollment levels
- Co-developed comprehensive, 60 page training manual that enabled faster on boarding for newly hired support staff
- Developed innovative power point presentation used by Vice President of Marketing
- Handled multifaceted clerical task, coordinated travel arrangements, maintained daily reports, and administrative functions such as filing/copy/fax, recorded meeting minutes
- Earned excellent marks on performance reviews, with citations for excellence in areas including work volume, accuracy and quality; ability to learn and master new concepts; positive work ethic; and commitment to providing unsurpassed service
Education
CME/CEU - Billing Scenarios, Case Manager, Hard Close and EOB reporting
01.2015
Billing and Coding Training -
Montgomery College (ED2GO)
01.2014
Prince Georges Community College
01.2005
High School Diploma -
Oxon Hill High School
01.1991
Skills
- Denial Resolution
- Staff Training and Development
- Claims Management
- Medical Coding
- Revenue Cycle Optimization
- Revenue performance
- Account Monitoring
- Account resolutions
- Revenue Enhancements
- Revenue metrics analysis
- Willing to Learn
- Teamwork and Collaboration
- Customer Service
- Problem-Solving
Certification
Certified Microsoft Office Application Specialist (MOS), 2010
Accomplishments
- Achieved Up front Collections results through effectively training and coaching Patient Access staff.
Timeline
Director Of Revenue Cycle
Adventist Fort Washington Medical Center
09.2022 - Current
Practice Manager
Adventist Medical Group
12.2020 - 09.2022
Practice Manager of Operations
Fort Washington Medical Center
11.2018 - 10.2019
Practice Manager
Roseu Medical Center
01.2017 - 09.2018
Revenue Cycle Coordinator
The Women’s Wellness Center
11.2014 - 11.2016
Front Office Administrative Support
Howard University Hospital
08.2010 - 11.2014
Rehabilitation Assistant
Howard University Hospital
08.2010 - 11.2014
Assistant to VP of Marketing
Discovery Health Communications
12.2005 - 08.2010
Billing and Coding Training -
Montgomery College (ED2GO)
Prince Georges Community College
High School Diploma -
Oxon Hill High School
CME/CEU - Billing Scenarios, Case Manager, Hard Close and EOB reporting
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