Pamela McCarthy
Knoxville,TN
Summary
Accomplished Billing Implementation and Workflow Manager enhancing operational efficiency and fostering team collaboration. Expert in workflow analysis and adept at driving revenue growth, I've led initiatives that significantly improved processes and team performance. Skilled in optimizing workflows and effective communication, my leadership has consistently resulted in enhanced productivity and employee satisfaction.
Overview
28
28
years of professional experience
Work History
Billing Implementation and Workflow Manager
PME Communications
Knoxville, TN
02.2021 - Current
- Conducted regular reviews of workflow processes to ensure alignment with organizational objectives and industry best practices.
- Improved workflow efficiency by analyzing and optimizing processes within the department.
- Enhanced collaboration among team members with regular meetings and clear task delegation.
- Developed comprehensive workflow documentation for better understanding of processes among team members.
- Reduced delays in project delivery by proactively identifying potential bottlenecks and implementing solutions.
- Implemented automation tools to minimize manual tasks, increasing overall productivity within the department.
- Collaborated with cross-functional teams to identify areas for improvement in existing workflows, resulting in more efficient operations.
- Managed multiple projects simultaneously, ensuring timely delivery without compromising quality.
- Achieved higher employee satisfaction by creating a supportive work environment that fostered professional growth.
- Led process improvement initiatives that resulted in a significant increase in revenue.
- Established clear expectations and goals for team members, fostering accountability and enhancing performance outcomes.
- Monitored performance metrics to assess the effectiveness of implemented changes, making adjustments as needed for continuous improvement.
- Drove innovation within the department by fostering an environment of continuous learning and exploration, empowering team members to contribute ideas for process improvements.
- Trained new employees on workflow management best practices, ensuring smooth integration into the team and quick adaptability to their roles.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Recruited, interviewed and hired employees.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
Billing Specialist
Westside Gastrointestinal Specialists
Knoxville, TN
03.2008 - 08.2020
- Responsible for accurate and timely filing of claims to insurance payers for all outpatient and inpatient charges for a two physician practice.
- Responded to all medical records requests from insurance companies, attorneys, subpoenas, and patients.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Implemented a streamlined workflow to reduce redundancies and manual processes.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
Cariten Healthcare
Compliance Data Analyst
Knoxville, TN
08.2002 - 03.2005
- Audited physician records during the implementation of the CMS hierarchical condition category model to ensure proper reporting.
- Developed and distributed educational materials and conducted member meetings to improve understanding of program benefits.
Supervisor and Franchisee Coordinator
Cendant Corporation
Elizabethton, TN
03.1997 - 03.2002
- Oversaw daily operations of team of 20-50 employees, ensuring calls were managed in a timely manner.
- Increased team productivity by applying strong leadership talents and implementing efficient workflows resulting in clear expectations for staff.
- Developed and coached the top team in the organization for revenue per call resulting in the addition of a hotel brand for our center.
- Responsible for performance improvement and disciplinary actions.
- Participated in team building activities to ensure rapport throughout the supervisory staff.
- Presented at Regional Operators Council meetings to educate franchisees on marketing strategies within the reservation system.
Education
High School Diploma -
Citizens' HIgh School
Orange Park, FLHealth Information Technician
Rasmussen College
Minneapolis, MNSkills
- Workflow Analysis
- Lean principles
- Software integration
- Scheduling expertise
- Teamwork and collaboration
- Problem-solving
- Attention to detail
- Multitasking
- Reliability
- Team leadership
Timeline
Billing Implementation and Workflow Manager
PME Communications
02.2021 - Current
Billing Specialist
Westside Gastrointestinal Specialists
03.2008 - 08.2020
Cariten Healthcare
Compliance Data Analyst
08.2002 - 03.2005
Supervisor and Franchisee Coordinator
Cendant Corporation
03.1997 - 03.2002
High School Diploma -
Citizens' HIgh School
Health Information Technician
Rasmussen College