Dynamic Senior Director driving proven results within the healthcare industry. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Manages complex occupational issues while meeting business objectives. Collaborates with management teams and stakeholders to uphold company vision.
Overview
29
29
years of professional experience
Work History
Senior Director-Member Services
Advanced Medical Pricing Solutions
11.2018 - Current
Directed operations of Member Services, Provider Services, and Care Navigation Teams across the organization to provider first-class customer service
Directed design and execution of business transformation initiatives to drive performance, profit optimization and growth opportunities.
Fostered work culture of collaboration and inclusion to increase morale and reduce turnover.
Drove strategic improvements to enhance operational and organizational efficiencies.
Led development of business operation processes and policies.
Promoted from Director to Senior Director January 2023
Improved customer experiences to increase renewal rates, reduced churn and enhanced support services.
Worked closely with organizational leadership and board of directors to guide operational strategy and client retention
Monitored office workflow and administrative processes to keep operations running smoothly.
Established departmental performance goals and provided feedback for underperforming areas.
Assisted with sales and marketing strategies to foster achievement of revenue goals.
Optimized operational processes using analytics tools to address client-specific metrics.
Manager- Field Services
Change Healthcare
02.2010 - 11.2018
Directed a team of 7 employees across numerous hospital locations in order to provide screening and enrollments eligibility and enrollment services for state and federal aid program to the uninsured population
Conducted quality assurance measures for all applications taken to ensure timeliness and accuracy
Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Reviewed all hospital referrals to ensure accuracy of assessments by employees
Maximized performance by monitoring daily activities and mentoring team members.
Developed and implemented business strategies to achieve business goals and stay competitive.
Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Developed and maintained relationships with customers and suppliers through account development.
Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
Resolve Application Manager
Chamberlin Edmonds (now Change Healthcare)
08.2007 - 02.2010
Managed a team of 8 employees within the corporate environment to provide resolution and approval, agency follow up and customer service to all Georgia Medicaid and disability applicants
Monitored quality and quantity of applications and ensured that applications were submitted and resolved timely
Maintained ongoing relationships with various departmental managers, state and federal agencies, to ensure applications were processed accurately and timely, and accounts were approved, precerted and billed timely, therefore ensuring revenue for local hospitals
Reviewed and analyzed statistical data related to department productivity to ensure goals were being met
Provided account updates/analysis to billing department on ongoing basis with regards to high dollar, split bill and problem accounts
Monitored inbound/outbound calls to ensure that abandoned call rate was less than 10% and hold times were minimal
Hired and trained departmental staff.
Assistant District Manager
Chamberlin Edmonds
03.1999 - 12.2001
Managed a team of 8 employees at numerous hospitals within the Atlanta metro area in order to provide eligibility and enrollment services for the uninsured population
Provided recruitment and training to all direct reports
Monitors quantity and quality of applications taken to ensure applications were submitted timely and accurately
Reviews all hospital referrals to ensure accurate assessments are completed
Analyzes various reports daily to ensure goals are being met
Devised strategies for problem solving in order to exceed hospital, district, and company goals and profitability
Assisted in implementation and start-up of newly contracted facilities within the state of Georgia.
Healthcare Representative
Chamberlin Edmonds
02.1998 - 03.1999
Screened uninsured hospital patients for potentially eligibility for government medical assistance
Completed and submitted disability and Medicaid applications on all self-pay patients meeting qualifications
Attended weekly case management meetings to provide updates on current in house self-pay patients and their applications, as well as answer questions related to our process
Met weekly with management to review referrals to ensure accurate assessments were being made.
Client Support Specialist
Chamberlin Edmonds
07.1997 - 02.1998
Acted as liaison between hospital patients and government agencies in order to qualify patients for Medicaid
Answered daily phone calls to answer applicant questions, solve problems and provide application updates
Attended continuous training to ensure the most up to date knowledge on all Medicaid policies and guidelines.
Activity Director
Lee County Health Care
07.1996 - 05.1997
Developed and implemented daily activity programs for 60-bed skilled nursing facility, including 8-bed Alzheimer's unit
Established volunteer program and recruited and trained volunteer staff
Created wrote and published quarterly facility newsletter
Participated in care plan team to ensure each resident's physical, emotional and social needs were met.
Coordinator of Senior Volunteer Program
Older Americans Council
03.1995 - 07.1996
Organized and implemented ongoing volunteer opportunities for over 450 senior volunteers
Created and published first-ever quarterly newsletter for locate sponsor of volunteer program
Presented informational programs to prospective volunteers as a recruitment tool
Planned and presided over yearly volunteer recognition program.
Education
Bachelor of Science - Gerontology
Bowling Green State University
Bowling Green, Ohio
Skills
25 years experience in Healthcare and Patient Advocacy