Summary
Overview
Work History
Accomplishments
References
Professional Development
Timeline
Generic

Virginia Brown

Ovilla

Summary

Over twenty years of successful experience in operations and accounts receivable management in the healthcare industry. Able to provide business office management and training for Hospitals, Physician Practices, Home Health, DME and Infusions operations. Specific areas of expertise include Software Training and Implementation, ICD9/CPT Coding, Billing requirements for Medicare, Medicaid, Workers Compensation as well as major Commercial payers, Experience with the follow electronic billing software; Florida Share, NEIC, EDS, Emdeon, TDH Connect, GPNET, Lytec, CPRplus, SME, Meditech, Allscripts Homecare, Collections and Cash Application, Scheduling (home health/hospice and physician appointments), Insurance Verification/Authorization, Managed Care Price Negotiations, Accounts Payable Processing, Payroll Processing, Lean Six Sigma Principles (Green Belt level)

Strategic professional in business operations known for high productivity and efficiency in task completion. Specialize in process optimization, project management, and data analysis, ensuring streamlined workflows and enhanced operational efficacy. Excel in communication, problem-solving, and leadership, leveraging these soft skills to drive team success and achieve organizational goals.

Overview

20
20
years of professional experience

Work History

Independent Consultant

Independent Consultant
01.2014 - Current
  • As an independent consultant served as project manager for Bristol Homecare and Hospital’s Allscripts implementation (Bristol Connecticut) and Randolph Hospital Home Health, (Asheboro North Carolina).
  • Assisted with Allscripts implementation for Medical Services of America’s home health agencies located nationwide as well as several consulting assignments for Allscripts and Simione Healthcare Consultants.
  • Provided advice on operational processes, business development initiatives, organizational changes and other areas of improvement.
  • Reviewed existing policies and procedures to suggest necessary improvements.
  • Evaluated existing systems and processes against industry best practices to enhance efficiency.
  • Managed multiple projects simultaneously ensuring timely completion within budget constraints.
  • Collaborated with stakeholders to define project scope, objectives and deliverables.
  • Maintained positive working relationship with fellow staff and management.

IT/MIS Application SME (Consultant)

Accelion Health/Beaumont Home Services
Troy
01.2013 - 01.2014
  • Contracted to provide IT subject matter expertise and develop innovative process improvement/optimization solutions for a hospital based home services company consisting of Hospice, Home Health, Infusion, Private Duty and DME business lines.
  • Developed project plan to optimize use of the software and provide training and education for staff from intake and clinical documentation through revenue cycle management.

HSG Optimization Implementation Consultant

Allscripts Homecare
Raleigh
01.2008 - 01.2012
  • Provided process focused consultative services to new and existing Homecare and Hospice clients to ensure optimal use of the software.
  • These consultative services included workflow analysis, system testing, product training, assisting with client specific training materials as well as supporting process redesign and improvement initiatives.

Senior Director of PFS Operational Analysis

Coram Healthcare
Denver
01.2006 - 01.2007
  • Analyzed revenue cycle processes and was successful in removing ambiguity across teams.
  • Led PFS Directors and Branch Managers responsible for high dollar specialty drugs in reducing DSO by developing standardized processes that addressed the length of time revenue was held for required documentation.

Accomplishments

  • While direction operations for Spectraclaim, implemented billing and collections processes for 200 bed hospital business office that resulted in reduction in A/R days from 80 to 60
  • As Sr. Director of Operations at Coram developed a cross functional team and executed a strategy that resulted in a 50% reduction in suspended billing, exceeding assigned goals consistently.
  • While with Quantum Health Resources (Home Infusion) led team responsible for negotiating pricing and developing standardized billing codes for a regional home infusion managed care contract with BC/BS of Texas.
  • At Columbia Homecare Group contributed to and edited the Business Operations Process Guide for Home Health Agencies
  • Leading A/R solutions consulted with Baylor Home infusion and organized a team to conduct an 'A/R Clean-up' that resulted in a 75% increase in monthly collection in 60 days.

References

Provided upon Request

Professional Development

  • Homecare Manager – Certificate
  • ICD9/CPT Coding Certificate
  • Sklar Practice Management Seminar – Collecting Unpaid Accounts
  • Practice Productivity Seminar – How to Improve Collections
  • Assertiveness Skills of Women Managers and Supervisors
  • Moorestream Green Belt Certification

Timeline

Independent Consultant

Independent Consultant
01.2014 - Current

IT/MIS Application SME (Consultant)

Accelion Health/Beaumont Home Services
01.2013 - 01.2014

HSG Optimization Implementation Consultant

Allscripts Homecare
01.2008 - 01.2012

Senior Director of PFS Operational Analysis

Coram Healthcare
01.2006 - 01.2007
Virginia Brown