Revenue Cycle Project Management
Resume:
Angella L. Trappey
Lafayette, LA 70503
ad48ad@r.postjobfree.com
PROFESSIONAL PROFILE
Highly competent Medical Practice Manager with extensive experience in both hospital and private practice management. I am goal driven, compassionate and adaptable to the ever-changing medical landscape. I possess extensive experience in healthcare billing, revenue cycle, EMR/PM, front and back end processes, financials and numerous other areas.
AREAS OF EXPERTISE
Healthcare administration
Policy development
Project management and implementation
Financial management
EMR implementation
Budgeting and planning
Team Leader/Builder
Credentialing
OSHA/HIPAA enforcement and training
Task and time management
Decision making and problem solving
Self-motivated
Healthcare Administrative Consulting
PROFESSIONAL EXPERIENCE
CREDENTIALING MANAGER
Louisiana Primary Accountable Care Organization
Baton Rouge, LA
8-19-22/3-15-24
Ensure that the CredentialStream platform is configured properly to support the internal credentialing requirements of each health center, standardizing where possible across health centers to develop a LPCACO best practice.
Ensure that the workflows and processes supported by CredentialStream will meet the credentialing and privileging files for all licensed and certified staff in compliance with Federal Tort Claims Act (FTCA) requirements.
Assist new and renewing providers with privileging and credentialing applications; monitor completion and follow-up as needed.
Maintain licensed staff information in a centralized location.
Track license and certification expirations for all licensed staff to ensure timely renewals.
Work with the Chief Medical Officer to process applications for appointment and reappointment of privileges.
Track expirations and maintain current copies of licenses, DEA, board certifications, CPR training, and professional liability.
Conduct required National Databank and OIG searches for new and current providers and coordinate with human resources for completion of required criminal background checks.
Identify opportunities to improve workflow, work processes and patient care and work cooperatively to implement those improvements.
Assist with the development and revision of relevant policies and procedures.
Payor Enrollment and Credentialing
Ensure that health centers are able to maintain credentials with third party payors and that both practitioners and facilities are enrolled in Medicare/Medicaid.
Assist health centers in processing and filing applications with third party payors according to each payor’s individual requirements and addresses/corrects discrepancies and pending applications.
Prepare and maintain credentialing files and reports for all individual providers including maintenance of credentialing software, provider rosters and spreadsheets to comply with group delegation requirements, as required.
Accept and process all requests from payors for credentialing information/updates/new contracts and products.
Answer questions, process requests from staff/providers related to credentialing information and provide support as needed in all aspects of the credentialing process.
Maintain provider’s CAQH profile by entering data, supporting documents, and re-attesting quarterly.
Work closely with the Network Director as well as health center revenue cycle management staff to respond to credentialing requests from commercial/private insurance companies and government agencies in a timely manner.
Adhere to HIPAA guidelines.
Any other duties as deemed necessary by supervisor.
PRACTICE MANAGER
Louisiana Dermatology Associates/Phynet
Baton Rouge, La
5-31-21 to 5-20-22
Responsible for all aspects of the daily operations for 5 locations and 6 providers
Work closely with corporate office regarding front and back end operations
Established Charge Master with allowable fees for scope of practice
Maintain and foster working relationships with physicians
Ensure and enforce front end collections to maintain a healthy accounts receivable
Liaison between corporate leaders and physicians
Participate in corporate goals, objectives and policies
Promote cost effective, high quality health care services for patients
DIRECTOR
Dermatology Center of Acadiana, LLC
Lafayette, LA
11-15-2018 to 12-18-20
Responsible for all aspects of the daily operations of clinic
Handle financial reporting including payroll, accounts payable and accounts receivable
Manage front end processes to ensure accurate collection of patient demographics and patient balances
Maintain 2 different PM/EMR Platforms
Weekly and monthly meetings with physicians to review P&L, office issues, etc.
Set up charge master and acquired network allowables
Maintain credentialing for all providers with current and prospective networks
Develop business and clinical policies and procedures
Maintain and foster working relationships with referring providers
Louisiana Orthopaedic Specialists
Lafayette, LA 70508
1-19-2015-7-9-2018
PRACTICE MANAGER
Manage the office of 17+ providers while continuing to connect new providers to our practice.
Manage and supervise 130 employees
Review and monitor billing to ensure efficient revenue cycle procedures
Fee Schedule/Charge Master Maintenance
Assist in physician network managed care contracting including negotiation and fee review
Manage daily practice operations to ensure policy and procedure, standard operating procedures, as well as federal and state regulations, are maintained.
Primarily responsible for recruitment, hiring, staff training/development and supervision of employees.
Manage front end and back end processes to ensure consistent and accurate collection of demographic and
insurance information as well as collection of patient responsible balances.
Supervise and motivate managers at all levels.
Manage and coach all staff regarding the requirements for patient satisfaction, problem resolution and collection activities.
Maintains compliance for all providers for Meaningful Use and PQRS metrics. Mips and Macra.
Mary L. Laville, M.D.
Lafayette, LA, 70508
May 2014-January 2015
On Site Consulting
January 2015-March 2015
Off Site Hourly Consulting
OFFICE MANAGER
Re-organized and re-structured Dr. Laville’s office after the abrupt departure of her Office Manager
Evaluated need for current staff and the replacement of key staff members
Evaluated accounts receivables and helped to organize account with an outside Billing Service
Set forth new and improved policies and procedures
Worked with CPA in balancing old AR and training CPA on new report reading
Re-Structured Employee Office Handbook, updated OSHA, HIPAA along with training current staff regarding governmental regulations
Accounts Payable
Accounts Receivable
Payroll
Improved financial and analysis reporting
Instituted charge master and obtained all allowables for networks
Acadiana Brain Injury Center
Youngsville, LA 70592
November 2013-April 2014
DIRECTOR
Carry out all policies and objectives established by ABIC Governing Board. Directly managed daily operations of Programs and services. Monitored program operations and plans, facilitates and executed multiple activities for clients and program content development.
Assisted with recruitment, hiring, staff training/development and supervision of employees. Management of employees, mandatory staff training on a weekly basis, provided orientation, training, staff meetings and inservices for employees.
Lafayette General Medical Center
Lafayette General Medical Physicians
Lafayette, LA 70503
February 2011-July 2013
FINANCIAL ANALYST
Manage the finances of 36+ provider network while continuing to connect new providers to our network Review and monitor outsourced billing company to ensure efficient revenue cycle procedures Credentialing
Fee Schedule/Charge Master Maintenance
Assist in physician network managed care contracting including negotiation and fee review Budget for 36+ cost centers
Create and maintain financial statistics analysis tool for MGMA benchmarking and budget variance analysis Produce monthly financial snapshot reports
Review bank account reconciliations, assure adequate cash controls, review revenue cycle for all network practices that generate ~13 million annually
Produce ad-hoc pro formas for various projects including new practice construction and service lines
Marketing to assure continuation of referrals from non-employed physicians/hospitals
Compile financial and programmatic analyses on various components of the physician practice operations of LGMD Physicians and Hospital Services in order to evaluate, support and make recommendations on financial performance.
Coordinates relationships between hospital departments and practice managers
Coordinates physician bonus calculations on a WRVU model
Instrumental in coordinating and moving 8 AR databases into 1 AR database
Devised one report for all practice managers to summarize a complete financial snapshot of their practice, broken down by physician and total practice
Upon directive of our health system to move toward implementing an EMR for all employed physicians. I handled the build process and implementation for Cerner Practice Management System and Cerner EMR for 10 physicians. Worked closely with current billing company to ensure smooth interface interaction and with Cerner for this implementation
Pediatric Associates of Lafayette, LLC
Lafayette, LA 70503
September 1996-December 2010
ADMINISTRATOR
Administer, direct and coordinate all activities of practice to carry out objectives
Responsible for clinic operation
Implementation of new and established policies
Liaison between physicians and staff
Maintain effective utilization of the physical and financial resources of the practice
Accounts payable/Accounts receivables
Payroll
Financial management and reporting
Personnel management
Health insurance contract negotiations
Maintain fee schedules of all networks/carriers
Established and maintain LLC and all legal aspects
Risk management
Maintain all business, general, health and malpractice insurance
HIPAA and OSHA programs
Oversee all medical billings procedures
Maintain current CPT and ICD-9 guideline
Handles all credentialing for physicians with hospitals and insurance companies
Marketed to all OB/GYN within the Acadiana area to ensure a solid referral base.
Michael Judice M.D. and Jennifer Boustany, M.D
Pediatrics
Office Manager
January 1990-September 1996
Richard Schmidt, M.D.
Gastroenterologist
Office Manager
September 1989-December 1989
Medical Office Management (MOM)
Physician Liaison
January 1988-September 1989
COMPUTER SKILLS
MS Suite
Mysis Tiger
QuickBooks
Ingenix Caretracker
Advanced Md
Office 365
ACS
Cerner CPM/EMR
GE Centricity
Office 365
MedEvolve
EMA
Care Cloud
CredentialStream
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