Hendersonville, N.C. Cellular 305-***-****
***** . *** abny1p@r.postjobfree.com
MARIE-FRANCE N. LACHANCE "Mary"
Profile Revenue Management
Corporate and/or management coordination of
Talented and department/section.
accomplished Auditing - Compliance & Forensic
professional with Structure & Implementation of revenue work-flow and
extensive background Policy & Procedures
in healthcare Claim Administration with Government Programs, Managed
finance, management, Care & Commercial Funding Sources
and support services Software management & monitoring of performances
for corporate, Credentialing of clinicians/facility/physicians
independent or Business Office Processes & Staff Management
facility based Budgetary Planning & Administration
practices/services. Data Mining & Analysis
Report structure and outcome generation
Staff Management & Training
Customer Service and Financial Responsibility Training
& Management
Experience
2011 - Present Owner CEO of Nonesuch House & Home
Retail Store Located in Hendersonville, NC
Home D cor & Fine Furnishings
2010 - 2011 Director of Client Financial & Support Services
Healthcare Solutions Network of NC
Structure & implementation of centralized business
office within two states for Mental Health & Substance
Abuse services . Credentialing with Federal & Managed
Care Contracts. Initiated & expanded revenue stream
outside government programs. Policy & Procedures with
workflow creation.
2009 - 2010 Healthcare Support Services & Billing Consultant
Contracted professional reviewer of systems, policies
with revenue analysis. Documented plan of action,
revenue maximization, work flow, and policies &
procedures. Project Completed.
2007 - 2009 Manager, Third Party Billing
Miami Behavioral Health Center
Managed and structured full billing cycle with
implementation of department restructure. Created
policy and procedures, maximized revenue, created
reporting structure, communication with management and
set up training program for facility staff, billing
staff and professional staffing. Participated in
credentialing and documentation of program
professionals.
2006 - 2007 Manager, Billing Central Billing Office
S. Florida ENT Associates PA
Complex practice & provider management with autonomous
remote offices. Centralization of facets of the
practice administration achieved. Project
Discontinued/Finalized.
2004 - 2005 Manager - Audit & Repricing Department.
Strategic Healthcare Development Corp. Cost
containment through hospital bill line item auditing,
repricing, billing verification, and pricing reviews
for self insured programs. Multiple Projects
Concluded.
2002 - 2004 Assistant Director - Level IV. University of Miami
School of Medicine, Department of Otolaryngology.
Directed specialty-billing department for school of
medicine medical group.
Assistant Director - Level III. University of Miami
School of Medicine. University medical group general
billing office. Assisted director in daily operations
and operational goals of department.
1 Yr. Contract Claim Arbitrator. Higeia Corporation
International PPO (Headquarters Toronto, Canada).
Negotiated on behalf of international travel insurance
carriers within the US & Canada.
1998 - 2001 Independent Consultant.
Self-Employed.
Seminars for the medical professional:
Staff education & training. Office restructuring.
Documentation & Coding requirements. Software
implementation and training,
Computer hardware installation and testing.
Interpretation, rewriting of software documentation.
Educational Material Design. Training program design.
Public speaking.
Manual preparation and form creation.
Compliance Manuals, Procedure Manuals.
1996 - 1998 Owner/Partner.
MEDC Administrators Inc.
Supplied contract consultant services to professionals
and medical services providers. Multiple Projects.
1986 - 1996 Owner, CEO.
Medical Claims Associates Inc.
The company managed 'Medicare Part A & B patient
account receivable' and 'patient financials'. In excess
of 50 million dollars in patient services was
administered for clients in the USA and Puerto Rico.
Historical Professional affiliations prior to 1986
Information Available Upon Request
Specialties: Thoracic and Cardiovascular Surgery,
General Surgery, Gastroenterology, Dermatology,
Diagnostic Services, Pathology & Laboratory, Internal
Medicine, OBGYN, Otolaryngology, Cardiology, Urology,
Mental Health & Substance Abuse, Psychiatry/Psychology,
Hematology, Facility Based Services, etc.
Skills English, French.
MS Office proficient, IDX/Groupcast & Legacy Software,
Knight Integrated Services Software (mental health &
substance abuse specialty specific software), Medical
Manager Practice Management Software, Microsoft Visio
and Cognos Power Play and Impromptu Report Generator.
Electronic Medical Records Management Software.