Dynamic Patient Access Director with a proven track record at Horizon Medical Center, driving a 30% increase in net revenue. Expert in revenue cycle management and fostering employee engagement, I excel in strategic planning and problem-solving, ensuring compliance and enhancing patient satisfaction through effective communication and operational excellence.
Overview
10
10
years of professional experience
Work History
Patient Access Director
Horizon Medical Center & Pinewood Springs, HCA
Dickson, TN
07.2023 - 12.2025
Accountable for the management of patient access departments which includes strategic and operational oversight.
Manage facility operations of patient access functions of a 158-bed hospital with a Behavioral Health facility with 67 beds
Ensures that third party billing is submitted correctly and that appropriate follow-up is performed.
Assures that denials are corrected and filed.
Oversees the timely and accurate posting of charges and payments daily.
Assures compliance with self-pay and bad debt policies.
Increased net revenue by 30% year over year at Pinewood Behavior Health facility.
Reviewed AR data and developed strategies to enhance revenue outcomes.
Fostered employee engagement through a collaborative culture that promoted problem solving and identified inefficiencies.
Builds and maintains valuable inter-departmental relationships with facility leadership and physicians to discuss opportunities and develop action plans.
Works together with hospital leadership on different service line expansion projects to ensure planning is thorough and effective.
Collaborate with departmental leadership to ensure excellent patient experience
Acted as a liaison between the shared service center and facility executive team to facilitate communication and collaboration.
Review and analyze denials in an effort to determine root cause and reduce future denials.
Active participation in Patient Access Service Advisory Committee, Patient Access Satisfactory Committee and Patient Access Service Professional Pathway.
Maintain and monitor Patient Experience is overall exceeded.
Delivered a great experience to every patient by utilizing excellent front-line customer service, modern technology, and efficient processes.
Patient Access Manager
Skyline Medical Center & Skyline Madison, HCA
Nashville, TN
07.2019 - 07.2023
Managed operations of patient access functions for 233-bed hospital with Level 2 Trauma Center and 95-bed Behavioral Health facility.
Supervise and direct all areas of registration to ensure optimum quality, productivity, and customer service.
Confirm patient registration functions are completed timely and precisely.
Monitors and implements patient registration functions when needed to ensure wait times are kept to a minimum.
Manage and resolve patient concerns with a focus on sustaining excellent patient experience.
Supervised departmental personnel, fostering high performance and team cohesion.
Actively practice budget/cost management.
Monitored payer communications and responses to identify trends for process improvements and departmental education.
Utilize Meditech and HOST to identify accurate patient rate codes and status for billing.
Efficiently and proactively inform and address issues that may be impeding performance, including technology or processes.
Monitored eRequest and CRT aging accounts and escalated issues to the appropriate department for resolution.
Reviews collection reports to ascertain status of collections and balances outstanding and to evaluate effectiveness of current collection policies and procedures.
Ensures that correct coding and compliance guidelines are being adhered to during the collection process.
Patient Day Coordinator
HCA
Nashville, TN
02.2017 - 07.2019
Utilize Meditech and HOST to identify accurate patient rate codes and status for billing.
Correct charges rendered to patient and change status using ETRAN.
Verified insurance and Explanation of Benefits in compliance with CMS guidelines.
Balance out hospital charges rendered to patients.
Ensure that third party billing is submitted correctly.
Implement appropriate billing edits, bridge routines, etc. to ensure a clean claim is submitted.
Update admit and discharge dates for correct room rates and reconciliation.
Verify patient information according to the latest policies and procedures.
Identified trends in payor responses and collaborated with departments to enhance billing processes.
Monitors payer communications and responses to identify trends for process improvements, department education or Relay Assurance edits and bridge routines.
Ensured adherence to SOX audit controls to maintain accuracy in balance billing.
Patient Access Team Lead
Centennial Medical Center/HCA
Nashville, TN
11.2015 - 02.2017
Verified insurance and obtained pre-certification and authorization to ensure service eligibility.
Ensured correct assignment of insurance plan codes for billing accuracy.
Calculated and collected patient liable amounts.
Collected required signatures for patient services.
Resolved patients’ issues and concerns to enhance satisfaction.
Addressed patients’ questions and concerns in accordance with policy to maintain compliance.
Interviewed incoming patient and obtained demographical information.
Researched patients visit history to comply with Medicare 72-hour rule.
Patient Access Representative/Patient Care Technician at Arkansas Children HospitalPatient Access Representative/Patient Care Technician at Arkansas Children Hospital