LISA HITE, CSPO, CSM, CBAP, PMP, YELLOW BELT

EMAIL: accp6q@r.postjobfree.com

PHONE 678-***-****

PROFESSIONAL EXPERIENCE

CLINITHINK, BRIDGEND, WALES, UNITED KINGDOM JUNE 2013 - PRESENT

Clinithink was founded in 2011 and is a natural language processing and healthcare analytic software engine company that serves healthcare customers around the world. The main solution, CLiX, translates unstructured data into structured data.

Product Owner/Analyst:

• Product Owner for Licensing, Analytical Solutions, Query Authoring, and 3rd party applications using NLP.

• Provide healthcare market research and analysis by way of product briefs.

• Coordinate matrix releases of software across multiple client locations

• Ensure project is completed and delivered within specified time frame and on budget

• Managed the marketing, operations, terminology, and data scientist relationship with regards to products.

• Developed processes for triaging product backlog, release of customer facing documentation, time and volume based licenses, and

• Provide architectural, technical, and functional requirements to a development team that is on shore and off shore based.

• Implemented Scrum Agile process and Mingle (product management software).

MCKESSON PROVIDER TECHNOLOGIES, ALPHARETTA, GA JULY 2009-APRIL 2013

McKesson is ranked 14th on the FORTUNE 500 with more than $112.1 billion in annual revenue. The company delivers pharmaceuticals, medical supplies and health care information technology solutions for every health care setting.

Business Analyst/Product & Program Manager:

• Product & Program Manager for Medisoft Practice Management, Lytec Practice Management, and Revenue Management products.

• Manage the entire product lifecycle from concept to end of life for 3 software solutions via waterfall and agile methodologies.

• Collaborate with support, marketing, development, quality assurance, sales, marketing, Value Added Resellers (VARs) to develop new features as well as enhancing existing features within the products.

• Manage three VAR advisories boards that provide consultation on strategic, marketing, and feature functionality.

• Business Analyst/Product Owner with the HzERM Access Management (AM) team and the Physician Acute Care/Ambulatory team.

• Responsible for writing, prioritizing and articulating the functional and technical requirements for hospital-owned physician practice and affiliated physician practices and hospitals.

• Leader in the utilization of agile methodology via Rally software.

• Interact with McKesson service and support business units daily.

• Act as a liaison between the business units, customers, development, and quality assurance departments.

• Assist in design and implementation of application and operational requirements.

• Certified Agile Scrum Master (CSM), Certified Scrum Product Owner (CSPO), Yellow Belt Six Sigma

GBS,LLC SEPT 2007–JULY 2009

GBS is revenue cycle management company offering billing and collection services for anesthesia practices, general surgery, and gastroenterology practices.

Director of Revenue Cycle

• Provided financial forecasting, including month end, weekly financial reporting, receivable levels, cost center productivity as well as departmental strategic plans.

• Oversaw the operational aspects of 50 national accounts with $125 million dollars and 350+ physicians/CRNA/PA and 75+ employees compromising of remote based, offshore employees and near shore contractors.

• Coordinated and assist in third party financial audits as they relate to accounts receivables and mediate and resolve conflicts regarding third party payers.

• Assisted in contract negotiations by utilizing denial management historical data within the company, regional information and national payer trends.

• Ensured compliance with all federal and state rules and regulations specifically pertaining to the revenue cycle by analyzing current operational processes.

• Managed implementation of offshore billing processes as well as managed process to move to near shore contractors.

• Managed employees and billing processes in India, Nicaragua, and Mexico

Significant Achievements

• Implemented a denial management process based upon Six Sigma guidelines that decreased days in AR from 60+ days to 31 days.

• Improved collections by 66% via reduction in provider enrollment issues.

• Implemented national compliance and leadership programs.

• Implemented company-wide projects, such as scanning solution for 95% of national locations as well as realizing improvement opportunities in revenue cycle auditors.

• Created an educational program for providers and office staff that increased revenues and provided a structured claims appeal basis.

CBIZ/MEDICAL MANAGEMENT PROFESSIONALS MAY 2006- JUNE 2007

CBIZ/ Medical Management Professionals is a provider of medical billing services and practice management solutions for hospital based physicians and medical practices.

Operations Manager - Anesthesia

• Performed monthly practice evaluations and practice strategic analysis.

• Analyzed reimbursement and denial management improvement process results for opportunities for increased revenue stream.

• Performed monthly quality assurance/improvement audits.

• Reported financial analysis of managed care contracts, federal and state payers and third party payers.

• Maintained compliance plan across all business units.

SOUTHEASTERN PAIN SPECIALISTS/JOHNS CREEK SURGERY, PC APRIL 2001- JANUARY 2006

Southeastern Pain Specialists was a multiple physician practice with multiple locations providing pain management services Johns Creek Surgery, PC is a general surgery practice providing surgical services, advanced laparoscopic procedures, endocrine disorders, oncologic procedures, varicose veins, bariatric services, and nutritional services in multiple locations in northeast Atlanta.

Practice Manager

• Provided initial set-up and daily management of accounts receivables.

• Developed computer systems and processes for front-end and back services.

• Negotiated and managed and third party contracts.

• Reported monthly financial analysis of managed care contracts, federal and state payers and third party payers.

ETSU/MEMORIAL HOSPITAL – CHATTANOOGA FAMILY MEDICINE RESIDENCY PROGRAM MAY 2000- MAY 2001

Chattanooga Family Residency Program was an extension of East Tennessee State University in conjunction with Memorial Hospital to train Family Medicine physicians.

Medical Program Facilitator

• Coordinated 15 residents, 4 faculty physicians, 6-8 third and fourth year medical students, 15 clinical/clerical staff members and 3 research assistants.

• Completed departmental budgets and contractual issues for primary care clinic

• Developed and maintained curriculum standards and licensure requirements.

• Coordinated and supervised recruitment, selection, orientation, and performance evaluation of residents.

• Performed ombudsman duties for Memorial Hospital, East Tennessee State University, and Residency Review Committee

SISKIN HOSPITAL FOR PHYSICAL REHABILITATION PROGRAM SEPTEMBER 1999- MAY 2000

Siskin Hospital provides inpatient, outpatient, vocational, day, and sub-acute physical rehabilitation treatment programs in brain injury, amputation, stroke, spinal cord injury, orthopedics, and major multiple trauma.

Business Office Operations Coordinator

• Maintained departmental financial databases.

• Coordinated admission, discharge, and transfers with physical therapists, case managers, and nursing staff.

• Performed month end process for Finance department.

• Assisted Vice President – Finance and Controller.

INSIGHT HEALTH SERVICES D/B/A CHATTANOOGA OUTPATIENT CENTER APRIL1996- JULY 1999

InSight Imaging is a national provider of diagnostic imaging services through a network of outpatient imaging centers and mobile facilities. Their services include MRI, Open MRI, CT, PET/CT, X-Ray, Mammography, DEXA, and nuclear medicine.

Assistant Administrator/JCAHO Safety Officer

• Developed policies and procedures for JCAHO – Joint Commission for Accreditation of Healthcare Organizations.

• Maintained accounts payable for two diagnostic facilities.

• Performed physician credentialing for20 physicians and 10-14 technologists.

• Assisted the Radiologist/Medical Director in all aspects of his business, both professional and personal responsibilities.

• Ensured compliance with FDA licensure, state and federal radiation policies and procedures.

ASSOCIATES IN EAR, NOSE, THROAT/HEAD AND NECK SURGERY JULY 1994- MARCH 1996

Associates in Ear, Nose, Throat/Head and Neck Surgery provide otolaryngology services as well as audiology.

Scheduler/Payment Poster/Front End Services

• Scheduled patient’s appointments for 5 physicians and 4 locations.

• Maintained patient’s medical records.

• Posted patient payments.

• Assisted Dr. Harvey.

EDUCATION

McKesson Learning Center – San Francisco, California

Project Management Professional

St. Joseph’s College – Windham, Maine

Masters of Health Service Administration Program

Special emphasis on quality improvement, management and marketing straties

Expected Completion Fall 2014

Auburn University – Auburn, AL

Bachelor of Science – Health Service Administration.

Special emphasis on management development, long term care policies, quality management and marketing

May 1994

Computer Skills

• SNOMED CT

• Medisoft

• Lytec

• Revenue Management

• GE Centricity

• HzERM

• Practice Plus

• e-Clinicalworks

• Mysis Tiger

• Fox Meadows

• Avid Anesthesia Solutions

• Northern/Nightingale

• MedSuite

• Dalcon

• Microsoft Office Suite

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