Summary
Overview
Work History
Education
Skills
Websites
Certification
Accomplishments
Timeline
Generic

TRACY STEGMAN

Maple Valley,WA

Summary

Director – Finance and Operational Excellence

Revenue Cycle leader with 17 years of experience leading teams, operations, programs, and activities that maximize revenue and growth. Proven record of leveraging data insights to provide a deep understanding of the big picture and how to impact the bottom line, balancing strategic thinking ability to work with high-level leaders, expertise in business lines, as well as longevity of employees. Additionally, influential communicator who can direct and develop cross-functional teams at all levels to enable performance visibility, drive continuous improvement efforts, and inform executive decision-making.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Director, Specialty Billing and Follow-Up

Providence Health and Services
Renton, WA
07.2021 - 11.2023
  • Responsible for monitoring KPI metrics such as AR days, aging over 90 days, accounts untouched over 30 days, DNB (discharged not final bill) days, daily cash collections. All to maximize cash collections in a fast pace and continuously changing environment
  • Ensuring timely submission of all claims and insurance collections for UB04, 1500 CMS, worker’s compensation, motor vehicle accounts, mental health, transplant, research, victims of crimes sexual assault, client/corporate, cosmetics/cash packages and other specialty services
  • Manage vendors, Client accounts contracts, third party payers, and collaborated with internal and external legal teams
  • Lead and trained two managers, 51 employees (indirect reports) and oversee $68M+ in account receivables (AR) within a non-profit hospital health system with 51 hospitals across 7 states and 120,000+ employees; conducted weekly huddles with all levels and 1:1s with managers
  • Lead meetings with other departments, leaders, and CFOs to promote improvement and provide updates on AR status and other projects
  • Established solid relationships with various levels across multiple departments and teams: CFO’s, VP’s, Directors, Managers, as well as first level employees

Revenue Manager, Accounts Receivable and Insurance Billing

Providence Health and Services
10.2006 - 07.2021
  • Managed a 35-member caregiver team to perform physician billing and insurance follow-up during successful transition period
  • Managed commercial payer teams overseeing Blue Cross, motor vehicle accidents (MVA), and other non-contracted payers, led legacy system rundown team after Epic implementation and directed and developed worker compensation (WC) and MVA teams for several years after legacy run-out
  • Managed manual and electronic billing and insurance collection activities to ensure accuracy of claims and timely collections as well as monitored and analyzed specialty billing and follow-up AR to maximize cash collections
  • Managed and trained a team of 40 collection specialists to collect insurance AR through timely and accurate follow-ups
  • Implemented and oversaw a 15-member “On-call” revenue cycle representative team to support revenue cycle efforts
  • Reported on KPIs related to AR additions, collections, and balance weekly to manage $135M in AR for eight hospitals
  • Tracked insurance billing, aging, and payment information using reports, Excel, SSI, and MediFinance reports

Education

Bachelor of Arts - Psychology

University of Montana

Skills

  • Strategic Planning
  • Team building
  • Revenue Cycle Management
  • Operational Excellence
  • Performance Improvement
  • Hiring and HR Processes
  • Staff Development
  • Open Communication
  • Hospital and Physician Billing & Follow-up
  • Vendor Management
  • System Conversion
  • Workers Compensation & Third Party Liability
  • Client Contracts
  • Large Volumes of Data
  • Program and Project Management
  • Collaboration and Leadership
  • KPI Reporting and Data Analysis
  • P&L and Financial Statements
  • Tableau
  • SSI (Billing system)
  • Epic (Electronic Health Record system)
  • Microsoft Office 365 (Word, Teams, SharePoint, OneNote, Forms, Excel, PowerPoint, Power BI)

Certification

  • Certified Epic Resolute HB Insurance Follow-up
  • Change Acceleration Process Training for Leaders
  • Development Dimensions International Leadership Development

Accomplishments

· Champion Epic upgrades, late charge automation to adjust based on policy requirements collaborated with analyst for Medicare 72-hour overlap rebuild, implemented bundled billing bolt on package,

· Corporate account contract enhancement for reducing outstanding AR by millions of dollars and boosting productivity.

· Alignment with research team to reduce DNSP days, aged AR, cash collections and increase performance.

· Developed Additional Document Requests (ADR) workflow process within Epic health system to automate, minimize touches, etc. for current inflow of 20,000+ requests per month. In turn, Epic Madison requested feedback for developing their future functionality for ADR/RFI (request for information)

· Outpatient behavioral health clinic process improvements by meeting weekly with department and team and create in-depth system wide mental health Power BI dashboard reports by collaborating with Data and Analytics to monitor, trend, and drive improvements for AR.

· Participate in a workgroup for business and technology for Washington state comprised of providers and insurance plans to develop best practices for electronic transactions provided by X12 (American National Standards) to transfer information between providers and payers electronically.

· Participated in administrative simplification panel for 5010 implementation of HIPAA-mandated 5010 transaction sets.

· Denials automation - reduced denials by 20% for Work Comp and Third-party claims registered incorrectly.

· Served as Epic readiness HB follow-up owner, participating in workgroups to support Epic system design and implementation.

· Implemented and oversaw a 15-member “On-call” revenue cycle representative team to support revenue cycle efforts.

Automated electronic billing for WC and MVA claims with medical records, increasing turnaround time for insurance payments

Timeline

Director, Specialty Billing and Follow-Up

Providence Health and Services
07.2021 - 11.2023

Revenue Manager, Accounts Receivable and Insurance Billing

Providence Health and Services
10.2006 - 07.2021

Bachelor of Arts - Psychology

University of Montana

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