Tricia Craft
Chillicothe,OH
Summary
Dedicated professional eager to embrace new challenges, demonstrating a robust work ethic and adaptability. Strong interpersonal skills facilitate effective collaboration and communication. Proven ability to excel in independent roles while rapidly acquiring new competencies.
Overview
34
34
years of professional experience
Work History
Manager
C3 Revenue Cycle Solutions
01.2023 - Current
- Adapt to different roles depending on client requirements.
- Delivered onsite and remote support as per project assignments.
- Handled management and team building responsibilities.
Interim Patient Accounts Director
Johns Hopkins All Children’s Hospital
St Petersburg, Florida
07.2017 - 11.2022
- Served as an Interim Patient Accounting Director with responsibility for hospital billing, collections, payment posting, denials and vendor management
- Held bi-weekly meetings with all managers and supervisors to mentor them on daily, weekly and month-end activities
- Coached managers on issues resolution and continuous process improvement strategies
- Developed management reports and guidelines for Patient Accounting and CBO leadership to manage accounts receivable
- Developed collections schedule and job aides to assist staff and leadership on managing and prioritizing A/R
- Developed training curriculum and productivity / QA program to improve departmental accountability
- Redesigned workflow to optimize collection activities and denials resolution
- Facilitated process improvement meetings with Patient Access Director, Ambulatory Director and Institute leadership to reduce denials and back-end rework
- Assessed and resolved issues with EAPG payment methodology and updated IT systems to accurately calculate expected reimbursement
- Handled special billing and collection projects on aged accounts
- Reduced the aged account inventory by over $1,000,000 in six months
- Identified underpayments and trended issues with major payers, worked with leadership and payer representatives to resolve
Patient Accounting Manager
Johns Hopkins All Children’s Hospital
St Petersburg, Florida
01.2000 - 12.2016
- Led the implementation of various IT projects:
- Responsible for the design, build and testing of Optum’s Electronic Financial Record (EFR)
- Designed, developed and implemented denials management software and workflow
- Designed and implemented electronic billing workflow which achieved 98% electronic billing versus paper claim billing
- Implemented electronic secondary billing
- ICD-10
- Transition from UB92 to UB04
- Inpatient transition from per diem to APR-DRG payment methodology
- ER Patient Access Redesign
- Moved to monthly schedule posting to reduce staffing shortfalls and overtime in the ER
- Replaced paper documentation processes with electronic documentation processes
- Assessed and streamlined inefficient processes by reducing redundancy and optimizing system workflow
- Decreased registration errors by creating training program and developing an electronic searchable document tool to answer staff questions in real-time
- Responsible for designing organization-wide workflows for Florida’s move to Medicaid Managed Care including scheduling, authorizations, billing and collections
- Responsible for capturing, trending, quantifying and resolving managed care issues/underpayments by coordinating and collaborating with revenue cycle, managed care and payer leadership
- Responsible for governmental and commercial billing and collections for a 259-bed pediatric specialty hospital with annual collectible net revenue of $537 million
- Directly supervised a staff of 20 including collectors, billers, cash posters and analysts
- Developed all policies, procedures and workflow documents for collection, billing and cash posting
- Created and utilized management reports and trending to effectively manage and reduce accounts receivable and denials
Office Assistant
Seminole Family Medical Clinic
Seminole, FL
08.1990 - 12.1999
- Responsible for all scheduling, authorization and reminder calls for patients
- Responsible for patient check-in and check-out to include patient responsibility calculation and collection
- Submitted claims to managed care companies and conducted audits on capitated HMO patients
- Organized family meetings with the physician and provided education documents to patients regarding diagnosis
- Conducted audits on patient care and identified patients who have not been seen for initial and ongoing primary care, arranged appointments to establish care
Education
St Petersburg College
St Petersburg01.1992
High School -
Boca Ciega High School
St Petersburg01.1990
Skills
- Optum EFR
- Meditech MAGIC
- Cerner Millennium
- EPIC
- MS office
- Collaborative Teamwork
- Detail-Oriented Approach
- Leadership Development
Accomplishments
- Yellow-belt, Six Sigma
- Volunteer Teaching Assistant at Martin Luther King Jr Elementary School
- Volunteer Dog Walking at Tuscaloosa Metro Animal Shelter
Timeline
Manager
C3 Revenue Cycle Solutions
01.2023 - Current
Interim Patient Accounts Director
Johns Hopkins All Children’s Hospital
07.2017 - 11.2022
Patient Accounting Manager
Johns Hopkins All Children’s Hospital
01.2000 - 12.2016
Office Assistant
Seminole Family Medical Clinic
08.1990 - 12.1999
St Petersburg College
High School -
Boca Ciega High School
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