Manager Management

Healthcare Consultant with proven successes in Reimbursement

Analysis, Relationship Management and Process Improvement.

Jeffrey Pennington Key strengths include:

Analyzing and trending denials and

3163 Blairhill Court reimbursement

Atlanta, Georgia 30340 Coaching and training employees

Mentoring direct reports

Delivering high-impact presentations

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Promoting best practices

Retaining and satisfying clients

c.678-***-**** Planning and preparing budgets

Project management

Successfully manage continuing upward trend in client

results, representing 31 office locations, with annual Charges

of $121 million, Collections of $27 Million and annual revenue

Practice Consultant (Nov 2008 - Present)

of $1 million in 2014.

Consistently develop strong sustainable relationships with

Client relationship development including assessing

clients resulting in client retention increase of 7% in 2014.

needs, preparing and analyzing reports, comparative

Identified error in Medicaid Eligibility process by partnering

analysis to peers, denial review and

with IT, resulting in a 119% increase in qualifying patients and

recommendations, fee schedule analysis,

increased collections.

underpayment analysis and accounts receivable

Project manager for initiative to move clients to company's

analysis. Onsite and remote system training and go

new operating platform.

live execution.

Effectively led an international project team across

Client Services/Ops Manager (Feb 2007 - Oct 2008)

multiple lines of business, improving client satisfaction by

eliminating unpaid claim back logs.

Managed a client base for 10 large hospital systems

Successfully identified and resolved training opportunities

including the largest hospital in the US - New York

for the staff that resulted in surpassing production goals.

Presbyterian for CareMedic - a healthcare industry

Mentored and promoted 3 direct reports to leadership

leader in proactive financial management for

positions.

outsourcing hospital accounts receivables.

Project Management for medical system billing platform

conversion for physician clinics and central business office.

Consolidated three Customer Support Departments

Business Office Director (Jun 2002 - Jan 2007) improving customer satisfaction. Patient drop call rate

improved from 25% to less than 3%.

Provided leadership for a central billing office staff of Successfully negotiated and selected outside vendor for

67 employees for 6 corporations and 9 management patient balance resolution.

service organizations for the largest health system in Reduced payment posting back log by one week.

East Central Mississippi and West Alabama. Instrumental in doubling hospital revenue from $6 million

per month to $12 million per month.

Managed Human Resources, Benefits, Training,

Physician Practice Manager (Dec 2001 - May 2002)

Corporate Compliance, Bank Account Transfers, Accounts

Payable, Accounts Receivable, Payroll and Purchasing.

Managed all aspects of operations for a high patient

Responsible for Staff and Management meetings,

volume Internal Medicine practice supporting 4

maintenance and repairs as well as maintaining internal Lab

physicians and 35 staff members. Developed and

and X-Ray Departments.

implemented policies and procedures for all

Analyzed accounts receivable trends and directed staff to

operational areas of the practice while improving staff

better resolve claims

morale and providing guidance and leadership for all

support staff.

Identified staff deficiencies and designed and led training

Assistant Financial Director (Apr 1998 - Dec 2001) and team building exercises increasing staff knowledge.

Reduced Days Sales Outstanding from 94 days to 39

Directed a staff of 55 employees for a 48 multi- days in the first 6 months.

specialty physician group while instilling accountability, Streamlined electronic transmissions, verifications and

improving performance, developing and implementing reports to ensure 100% accountability for billed claims.

compliance policies and procedures, business plans, Reduced FTE’s while improving overall financial

departmental budgets, goals and operational policies performance.

and procedures. Managed provider credentialing for contracted payers.

Analyzed fee schedule proposals resulting in negotiating

better reimbursement rates for providers.

Education and Credentials

Professional Associations:

Bachelor of Business Administration • Mississippi

Metro Atlanta Association of Professionals (MAAP)

State University • Starkville, Mississippi

Medical Group Management Association (MGMA)

Healthcare Financial Management Association (HFMA)

A.A. Business Administration • East Central Jr. College

• Decatur, Mississippi

Skills:

Proficient in Power Point, Excel and Word

Certified Billing and Coding Specialist (CBCS) from

Easily Adapt To New System Software

National Healthcare Association

References:

Certified Patient Account Representative (CPAR) from

Available Upon Request

Healthcare Financial Management Association

Contact this candidate