Manager Medical
Resume:
Laura A. Griffie, CMC, CMIS, CMOM Lebanon, Ohio 45036
************@*****.***
Professional Summary
Experienced Healthcare Consultant with over 24 years experience in executing and managing the reimbursement process
for multiple physicians and specialties; managing employees, training on industry specific systems and improving financial
and operating performance.
Experience
*July 2009 – Present
Dell Services Healthcare Consultant
Senior Analyst
Responsibilities
•Addressed overall performance improvements, coding and compliance, and focus on reducing AR
•Worked closely with clearinghouse and client to reduce, manage and appeal denials
Developed reporting metrics to share with stakeholders
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•Managed relationships with all parties; from offshore, to senior leadership, to enhance performance
Achievements
Position requires a high degree of self training in multiple systems
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•Helped develop design of PMS application from the “model” version, to a “tailored” version to encompass the
client’s needs
•Excellent interpersonal skills, and ability to communicate effectively with client and team
Proficient with EPIC and with clearinghouse, Navicure
•
*December 1988 – April 2009
Kettering Health Network, Management Services Organization (MSO)
Manager 2003 – 2009
Team Leader/Coordinator 1999 – 2003
Trainer 1996 – 1998
Patient Account Specialist 1988 1995
576 East Pekin Road
Laura A. Griffie, CMC, CMIS, CMOM Lebanon, Ohio 45036
************@*****.***
Personnel Management and Training
Direct manager of 11 employees; executing the reimbursement process
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Organize, assign and monitor employee workload to ensure timely and accurate completion
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Cultivate a team environment among all employees
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Train direct report employees as well as outside office employees on industry specific systems such as; Misys
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Healthcare Systems, Last word, and Clinical Workstation
Write job descriptions based on hospital specific competencies
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Make personnel hiring and termination decisions
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Perform personnel evaluations and goal setting on an annual basis
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Direct Physician Services
Responsible for the accounts receivable (AR) process for 20 physicians and physician extenders including
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multiple specialty offices
Facilitate monthly meetings with physicians to review AR status and ma ke recommendations to increase
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collectable revenue
Research and develop individualized dashboards containing national benchmarks by specialty including; overall
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collection percent, days in AR, and percent of AR over 90 days
Review physician office notes and recommend coding to ensure compliance with CMS regulations
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Identify process improvements and enhancements to increase revenue generation
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Develop and execute a methodology to analyze uncollected debt and identify potential embezzlement practices
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Assist in development of physician office policies and procedures such as; no show policies, co pays, dismissals
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from practice, self pay policies, miscellaneous charges, etc.
Certifications
Certified Medical Office Manager
Certified Medical Insurance Specialist
Certified Medical Coder
References Available Upon Request
Contact this candidate