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Medical Manager

Location:
Upper Marlboro, Maryland, United States
Posted:
February 04, 2019

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Resume:

FANNICE M. BECKETT, CHAM

*** ***** *****

Upper Marlboro, MD 20774

Mobile 301-***-****

ac8dxo@r.postjobfree.com

Results oriented, accomplished management positions with experience spearheading organizational success through operational initiatives. Possess a highly developed multifaceted skill set, combined with high caliber management skills, strategic oversight, sophisticated training, procedural development and statistical reporting to maximize performance and achieve all goals. Comprehensive background in areas of patient access and the front-end revenue cycle management, to include but not limited to, managed care (HMO/PPO) insurances, admitting, registration, pre-registration, scheduling, authorizing and verification of insurances, financial counseling processes and quality assurances of accounts and claim denials. Extensive industry expertise and thrive in fast paced environments.

Areas of Expertise include:

Operational Management

Maximizing Efficiency

Enhancing Performance

Cost Reduction

Revenue Growth

Staff Training & Leadership

Procedural Development

Budgeting

Strategic Reports & Oversight

Intuitive, Detailed Research & Review

CAREER HIGHLIGHTS

Enhanced revenue driving Point of Service collections from 48k in 2009 to 250k in fiscal year 2015

Streamlined processes reducing department registration errors to 3.5%

Developed program achieving 73% CHAA/CHAM staff certifications

Cultivate high impact teams improving retention and promoting staff within Patient Financial Services (PFS) division

Improved operational performance by establishing a valuable computerized managed care insurance matrix

Initiated electronic downtime registration processes to include forms and labels using Microsoft Office software

Detailed research and review of insurance claim denials, account corrections and resolutions for duplications within the Master Patient Index (MPI)

Innovative thinker with a non-traditional approach to technology advancements within the industry

Smooth transition comprehensively preparing and training staff for Bed Board Management and the ICD-10 conversion

PROFESSIONAL EXPERIENCE

UNIVERSITY OF MARYLAND CHARLES REGIONAL MEDICAL CENTER La Plata, MD 20646

PROJECT COORDINATOR – REVENUE CYCLE DIVISION (PER DIEM) Dec 2015 – Present

Duties and responsibilities of the position is the research, development and implementation of practices, processes, procedures and policies that streamline the operational management of the Revenue Cycle’s Patient Access and Health Information Management departments.

Implemented the transition of Bed Board Management (the admitting and placing patients electronically in beds) from nursing to the Patient Access department

Provided Quality Assurance to the accuracy of the data collected transferring patients’ statuses while correctly placing patients on the appropriate unit and documenting pertinent medical information

Developed spreadsheets to provide statistical data on physicians’ documentation deficiencies and reported the outcomes to the Revenue Cycle director, hospital executive board and The Joint Commission

Improved the process of data documentation and its collection to submit Birth Certificate forms and Affidavits of Parentage to the state of Maryland while lowering the percentage rate for incomplete and inaccurate data submission

Effectively merged duplicate medical records and outlined the research practices for merging and account corrections of patients’ demographics and insurance information within the Meditech Billing and HIM modules

MANAGER – PATIENT ACCESS DEPARTMENT Nov 2009 – Nov 2015

Responsible for the daily operation of the department’s business objectives, performance and resource management. This also included staffing, scheduling creation and adherence, training, quality assurance and performance evaluations

Responsible for Twenty-six (26) FTEs

Enhanced operations strategically managing all functions/activities related to patient scheduling, registration, insurance authorization/verification and hospital admissions

Spearheaded organizational success directing a $6.5M plus budgeted department

Slash costs and maximized efficiency, intelligently developing, planning and administering a departmental budget

Optimize workflow by creating reports to analyzing internal processes and implementing calculated procedural enhancements and/or policy changes to improve overall operations

Ensure precision accounting thoroughly analyzing and applying quality assurance methods to compiling financial and statistical reports for auditing by the hospital finance analyst and the State of Maryland HSCRC

Effectively collaborate with all Revenue Cycle departments: HIM, Patient Accounts and Account Receivable teams to insure comprehensive financial accountability and gains

Conducted research and reported on fraudulent insurance information and abuse of rendering medical services to patients using aliases to Patient Accounts and Corporate Compliance

Engineered, restructured and upgraded numerous hospital and department policies, procedures and practices

Participated in various hospital and medical systems (UMMS) committees to initiate or change policies, practices, computer software, mandated federal and state government compliances, regulations and other initiatives assigned to or volunteered

MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL Washington, D.C. Jun 2000 – Oct 2009

SUPERVISOR – PATIENT ACCESS DEPARTMENT

Primary responsible for the daily activities within the department. Developing and implementing the efficiency and effectiveness of pre-admission, pre-registration, admissions, registration and Quality Assurance.

Shared Responsibility for Forty-Two (42) FTEs with One (1) Colleague

Delivered oversight and direction to admissions, bed board, patients’ registrations, scheduling, insurance authorizations and verifications in areas of Inpatient, Outpatient, and the Emergency Department

Drive departmental goals and maximize productivity through interviewing, hiring, orientating and training staff to include conducting competency testing and performance evaluations

Optimize workflow by creating reports to analyzing internal processes and implementing procedural enhancements and/or policy changes to improve overall operations

Provided research for quality assurance on account corrections and claim denials

Performed hospital payroll to include submission of staff’s time, approving PTO and detailed record keeping of the department’s time and attendance

Participate in various hospital and medical systems (MedStar) committees to initiate or change policies, practices, computer software, mandated federal and state government compliances, regulations and other initiatives assigned to or volunteered

EDUCATION & TRAINING

PRINCE GEORGE’S COMMUNITY COLLEGE Largo, MD

Business Management

No Degree Obtained

HOWARD UNIVERSITY Washington, DC

Allied Health Coursework

Howard University Hospital

Work Study Program, Medical Terminology and Anatomy

Certificate Awarded

UNIVERSITY OF DISTRICT OF COLUMBIA Washington, DC

Liberal Arts/Special Education

Funded by DC Government’s CETA Program

No Degree Obtained

UM CRMC HOSPITAL COMMITTEES

Chaired – AHIQA Software Implementation Team

Co-Chaired – Access E-Signature Software Implementation Team

Member – Meaningful Use Steering, Data Validation & Patient Portal Committees

Member – Service Excellence / HCAHPS Committee

Member – IT Advisory Committee

Member – UMMS Data Standardization Committee

Member – Leadership Council

Member – ICD-10 Steering Committee

Member – UMMS HIM Front-End Processes Workgroup

Additional Course Work

Certified Healthcare Access Manager (CHAM)

Certified Healthcare Access Associate (CHAA)

Supervisory and Management Training

Administrative Personnel Management Training

Microsoft Office

Association Affiliations

National Association of Healthcare Access Management (NAHAM) – Member since 2008

NAHAM’s Local Chapter – National Capital Assoc. of Healthcare Access Mgmt. – Member since 2015



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