Sade Mayfield
Clinton,MD
Summary
Knowledgeable Project Manager with solid background in Healthcare IT consulting, focusing on optimizing technology solutions for diverse business needs. Successfully guided multiple projects to completion, ensuring seamless integration and enhanced system performance. Demonstrated expertise in problem-solving and strategic planning, effectively managing client expectations and requirements.
Overview
21
21
years of professional experience
Work History
Health IT Consultant
Clinovations Government + Health
04.2023 - Current
- Provide strategic guidance and hands on support to healthcare organizations in optimizing their processes and Health IT systems
- Develop and deliver informative presentations and training sessions on healthcare IT topics, including system configurations, data analytics, and process improvement
- Prepare comprehensive documented observations, analyses and interpretations of results including technical reports, summaries, and quantitative analyses
- Conduct thorough needs assessments and gap analyses to identify opportunities for process improvement
- Lead brainstorming and collaborative development sessions with project team members to address complex client needs and provide strategic solutions
- Manage activities and project team to ensure project is proceeding on schedule and within estimated budget
Director of Patient Engagement
Unity Health Care, Inc.
02.2019 - 04.2023
- Served as Senior Manager that directed, developed, implemented, and evaluated information system programs, strategies, initiatives, policies, and procedures
- Drove key performance metrics throughout the organization by using appropriate implementation techniques, change management, and education
- Developed and managed technology budget and staff, providing support for more than twenty-five sites throughout the District of Columbia
- Served as subject matter expert on committees and workgroups concerned with implementing technology tools and software designed to improve patient care and experience
- Used technology as a key driver in researching tools and resources to assist patients in their personal health decision making and care taking to enhance the patient's experience
- Utilized SQL to monitor and analyze reports/metrics and identify and prioritize efforts for improvement
Sr eRecord Analyst
University of Rochester Medical Center
01.2022 - 04.2022
- Completed the functional design and build of the eRecord Revenue Cycle hospital billing application after successfully achieving (and maintaining) current Epic certification
- Epic certification may require two to five weeks of training requiring travel
- Performed in-depth analysis and facilitates development of integrated workflows
- Collaborated with the project team, subject matter experts, training and technical teams to effect system changes that reflect an in-depth understanding of the business and end user requirements while also considering impact to integrated components and standardization
- Meet with operational leaders, compliance, HIM, and Revenue Integrity regarding changes/additions to the EPIC Hospital billing application
- Managed all phases of assigned tasks/projects, meets established deadlines, and maintains flexibility while managing multiple priorities
- Reviewed requested enhancements; prioritizes and implements requested changes to the system
- Collaborated to seek resolution of system issues or conflicts for points of integration while applying a broad knowledge of application, workflow and integration
- Act as a participant in the rapid run process for upgrades, coordinating the activities of their application level team including EPIC NOVA review, presentation to operational leaders and Revenue Cycle steering meetings
- Utilized issue tracking tools such as Sherlock and MyIT
- Participated in, and/or maintains standards for system build, Revenue Cycle database/spreadsheets, and adheres to change control policies
- Provided guidance and mentoring for Revenue Cycle customers and others on the team to include precepting emerging eRecord staff
Practice Management & Billing Analyst Supervisor
Unity Healthcare, Inc.
03.2018 - 02.2019
- Served as team Supervisor who reviewed, developed, implemented, evaluated, and revised charge guidelines to optimize revenue management; effectively implements recommendations and monitors results
- Serve as liaison between Patient Financial Serviced and Health Informatic Departments to perform system updated/modifications as it relates to Revenue Cycle workflows
- Lead revenue cycle system team for upgrades, implementations, and testing; provide technical support to project teams and associated stakeholders
- Coordinated project assignments of HIT Practice Management & Billing Team members and monitors progress of assignments
- Developed project organizational structure in collaboration with senior management
- Estimated the resources and participants needed to achieve project goals and manage the resources
- Developed project logistics to upgrade the electronic health record system to the latest version build
- Facilitated and supports standard system design and configuration decision for Unity’s EMR
- Worked with Executive leadership and stakeholder team to identify and resolve configuration and workflow process issues to improve revenue and operation efficiencies
- Served as expert to make system recommendations that will improve workflows that impact the Revenue Cycle
- Created and managed training strategies, concepts, principles, and practices, and authorization of resources in difficult and complex mission requirements
- Performed evaluations analyses, and studies to identify opportunities for improvement and the sources of such weaknesses and recommends changes to improve identified processes and approaches to fill in identified training gaps and ambiguities
- Participate in policy and procedure development discussions and assist in implementation of billing policies
- Monitor and track the development of training programs to achieve workforce capability and capacity goals
Revenue Integrity Analyst
Office of Chief Finical Office NFPHC
10.2017 - 03.2018
- Audit and analyze the charge capture and revenue monitoring functions to ensure the department’s budget is met
- Analyze department's processes and workflow to assist department in enhancing maximum charge capture and reduce the occurrence of late charges
- Assist with various functions related to the processing of hospital revenue from identification, capture, entry and reconciliation of billing services
- Assists Manager in providing training to staff engaged in billing data entry and related charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented
- Ensure accurate descriptions, CPT/HCPCS coding, additions, deletions, pricing, and any other changes are accounted for and included in the charge master
- Conduct ongoing CDM reviews to ensure the accuracy and completeness of the departmental charge masters, which encompasses the coordination, monitoring, and approval of all changes made to the department CDM
- Monitor DNFB report for revenue leakage
- Works Extended Batch Report to identify payment variances and other abnormalities
- Develop and monitor charge reconciliation reports
- Act as the liaison between Revenue Cycle Management team and revenue generating departments throughout the hospital
- Conduct chart reviews to compare clinical documentation versus charges posted to the patient’s account to assess accuracy and completeness of charge capture
Practice Management & Billing Analyst
Unity Health Care, Inc.
01.2013 - 10.2017
- Served on HIT Team for EHR implementation of eClinicalWorks for practice management and billing software
- Conducted in-person classroom or virtual training for all staff on the Practice Management and Billing function of the EHR system
- Administer and supports end-user training by providing feedback and guidance on clinic processes and workflows addressed during training
- Train staff on Front Office and Billing policies and procedures
- Respond to and troubleshoot Help Desk support tickets for system errors
- Work closely with Director of Reimbursement to identify common denial trends made by front office staff and develop training material to educate staff
- Update EHR with annual ICD-10, CPT, and HCPCS codes
- Update CDM on an annual basis
- Add/update insurances in eClinicalWorks EHR system
- Audit patient accounts for registration, documenting, and charging errors that impact revenue
- Performs evaluations analyses, and studies to identify opportunities for improvement and the sources of such weaknesses and recommends changes to improve identified processes and approaches to fill in identified training gaps and ambiguities
- Provide on-site support for end users
- Conduct monthly front office meetings to review updates, issues and concerns
Patient Service Coordinator
George Washington University Medical Faculty Associates
12.2010 - 12.2012
- Assist patients and providers with appointments in other departments or hospital by scheduling the appointment or by providing a telephone number for scheduling and directions to the facility
- Prepare and review patient’s lab request forms, order forms and referrals for complete demographics, ICD-9 & CPT codes
- Assist with researching procedures with regard to proper CPT coding/correct ICD 9 codes
- Obtain pre-authorization for procedures & testing ordered
- Prepare appointment notices and provide instructions for procedures and testing as needed
- Schedule and post-surgery cases & procedures on provider’s proxy calendar
- Maintain weekly procedure cancellation log by division
- Verify patient’s insurance status, deductibles & co-payments
- Cross trained to provide backup in other administrative areas within Medicine
- Direct patients for financial counseling and identify appropriate person in the Business Office
Physician Admin Assistant & Billing Manager
Urologic Surgeons of Washington
05.2007 - 03.2010
- Act as direct contact and Administrative Assistant for Dr
- Harold A
- Frazier
- Assist physician with scheduling in/outpatient surgeries, biopsies, as well as consultations
- Arrange business meetings, travel arrangements and personal engagements
- Responsible for obtaining pre-authorization for surgeries and procedures
- Handled prescription refills via fax or telephone
- Supervised, monitored and handled billing matters for the entire practice of 6 physicians
- Assist with patient billing inquiries regarding statements received from the business office
- Edits and audits charge entry data
- Analyze and correct all TES edits
Medical Receptionist
Community Radiology Associates
07.2003 - 05.2007
- Provide secretarial and reception services to the Radiologist, nurses and Rad Techs
- Perform all registration for new patients and update registration information for established patients
- Schedule, reschedule, cancel and verify appointments
- Verify insurance eligibility and authorization for diagnostic test
- Collect and log copayments, self-pay and past due balances into the financial system
Education
Master of Science - Health Informatics
University of Maryland Global Campus
Hyattsville, MD05-2020
Bachelor of Science - Healthcare Adminisration
University of Phoenix
Tempe, AZ06-2017
Skills
- Business analysis
- Project management
- IT change management
- Systems architecture analysis
- IT vendor management
- Data analytics
- Equipment configuration
- Needs assessment
- Project lifecycle management
- Project leadership
- Project coordination
- Budget control
- Project planning
- Strategic planning
- Written communication
Timeline
Health IT Consultant
Clinovations Government + Health
04.2023 - Current
Sr eRecord Analyst
University of Rochester Medical Center
01.2022 - 04.2022
Director of Patient Engagement
Unity Health Care, Inc.
02.2019 - 04.2023
Practice Management & Billing Analyst Supervisor
Unity Healthcare, Inc.
03.2018 - 02.2019
Revenue Integrity Analyst
Office of Chief Finical Office NFPHC
10.2017 - 03.2018
Practice Management & Billing Analyst
Unity Health Care, Inc.
01.2013 - 10.2017
Patient Service Coordinator
George Washington University Medical Faculty Associates
12.2010 - 12.2012
Physician Admin Assistant & Billing Manager
Urologic Surgeons of Washington
05.2007 - 03.2010
Medical Receptionist
Community Radiology Associates
07.2003 - 05.2007
Master of Science - Health Informatics
University of Maryland Global Campus
Bachelor of Science - Healthcare Adminisration
University of Phoenix
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