Michelle Washington

**** ********** ***** **** 314-***-****

Florissant, Mo. 63033 Home 314-***-****

E-mail: acuqgo@r.postjobfree.com

Summary A results-oriented professional with excellent problem solving, organizational, presentation and communication skills. Over 20 years experience in healthcare, customer service and staffing industry with special emphasis in patient registration, managed care, provider recruitment, contracting, claims processing, management, project management, medical records, branch operations and problem resolution. Always willing to give 110 percent and bring integrity to the workplace. Provide a flexible delivery style that focuses both on the customer and product.

Professional St. Louis County Department of Health St. Louis, Mo

Experience Health Information Management Supervisor 4/2015-present

Responsible for the planning, coordinating and staffing of the daily activities for the Health Information Management department to ensure the accuracy and timely processing of all Health Information Management functions and tasks.

Monitor the correspondence process which includes the transmission of patient information to external third parties.

Conduct training sessions with new staff and ongoing training for all staff.

Process bi-weekly payroll through MUNIS. Generate and process reports based on productivity standards and revenue collection.

Staff performance evaluations within the required timeframe of 90% of the time.

Serve as the designee of the HIPAA Privacy Officer, conduct training sessions and provide presentations.

St. Alexius Hospital St. Louis, Mo

Admitting/Communications Manager 10/2011-4/2015

Responsible for the direction and support of all registration process, insurance verification and phone operators.

Instrumental in the conversion of a new Hospital Information Systems. Assisted the PFS Director with the registration build for Paragon, developed training material for all areas of the hospital that required registration functions and provided ongoing training.

Monitored the registration Quality Assurance and provided education as needed to maintain a 98% accuracy rate.

Enforced departmental policies, practices, procedures and rules in accordance with hospital policies.

Liaison between department managers and other hospital departments, employees, patients and physicians.

Monitored all department resources, services and manage the budgetary process and payroll.

St. Louis Children’s Hospital St. Louis, Mo

NICU Support Services Supervisor 1/2010-10/2011

Managed day-to-day activities of all non clinical staff for the Neonatal Intensive Care Unit; Unit Secretaries and Patient Care Technicians.

Responsible for managing the milk room insuring that formula and breast milk are prepared and distributed to the patients.

Identified and recommended optimal staffing levels necessary to effectively manage unit’s services.

Participated in building an effective work unit through hiring, supervising and evaluating staff. Identified areas of improvement and implemented new processes.

Developed unit-based orientation processes for new orientee’s and provide ongoing training for staff.

Assisted with researching, evaluating, selecting and implementing systems which improved efficiency of the department.

Barnes Jewish Hospital St. Louis, Mo

Registration Supervisor 6/2007-1/2010

Responsible for building collaborative teams that strive for continuous improvement and business results that meet/exceed every customer’s expectation.

Lead required meetings, in-service programs and management development activities.

Maintained knowledge of reimbursement issues such as PPO, HMO updates, state agencies, Medicare and other insurance requirements as they occur. Develop, implement and administer procedures which assisted in maximizing hospital reimbursement.

Monitor the registration Quality Assurance process and provided education as needed to maintain a 98% accuracy rate.

Processed bi-weekly payroll and employee work schedules for the outpatient and surgery areas.

PMSI St. Louis, Mo

Field Representative 1/2007-5/2007

Maintained client relationships by coordinating services and effectively resolving customer service issues. Achieved revenue goals set for the central region. Developed strategies to keep ahead of market competition through research and prospecting.

Expanded existing business through a combination of telephone calls and in-person visits to high volume accounts, dormant accounts and potential accounts for increased business prospects.

Value Options Behavioral Health St Louis, MO

Regional Field Liaison 3/2006-12/2006

Provided primary interface with Great-West Health Plan Regional Staff and Value Options Account Director, Service Center Vice President and Medical Director. Served as liaison between Great-West Account Director and Value Options operational departments in order to resolve client issues. Communicated with Great-West regional staff to resolve case management and reporting issues.

Reviewed account related reports; utilization reports, service guarantees, revenue reports, paid claims reports, provider reports, cost data, appeals and denials reports.

Represented Value Options at client meetings, Provider forums and conventions.

Temps, Inc. St. Louis, Mo St. Louis, MO

Staffing Manager 9/2005-2/2006

Guided the activities of all field personnel. Accountable for growth, maintenance, sales and profit objectives for the branch. Recruited new field employees and hired new applicants. Determined field employees pay rates.

Oversaw branch operations as they related to scheduling, recruiting and hiring.

CPC Logistics, Inc. St. Louis, MO

Group Benefits Coordinator 5/2004-7/2005

Determined insurance eligibility for new employees and processed new employee benefit enrollment forms. Maintained the client and employee database. Processed temporary disability request and weekly disability checks. Resolved client and employee insurance issues.

CARE PARTNERS St. Louis, MO

Manager, Provider Services 1/2000-1/2003

Managed the day-to-day activities of the Provider Services Representatives. Assisted in assuring the Plan met all network access requirements. Managed the recruitment of Providers. Served as the primary liaison between the Plan and the Provider Network. Identified Provider Network needs and developed activities. Conducted staff training and development as it pertained to contracts, policies and procedures relating to Medicaid, fee-for-service and Managed Care.

CARE PARTNERS St. Louis, MO

Provider Service Representative 10/1997-1/2000

Identified and actively recruited qualified Providers to participate in the CARE PARTNERS Provider Network in new and existing areas. Responded to telephone and written leads, solicited targeted Providers, developed accurate financial data for use in recruitment and contract negotiations. Screened potential Providers to determine if the Provider met minimum credentialing standards.

Performed on-site office reviews for newly credentialed and recredentialed Providers.

Provided ongoing educational training for Providers and office staff about CARE PARTNERS policies and procedures.

Education Missouri Baptist University St. Louis, MO

Bachelor of Science/Business Administration 5/1991

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