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Manager Medical

Location:
Huntsville, AL, 35806
Posted:
November 04, 2016

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Resume:

A. DINA GRIFFITH

**** ******* *** #****, **********, AL 35806

C.260-***-****

acxdoh@r.postjobfree.com

SENIOR LEADER IN REVENUE MANAGEMENT

Proven leadership of managing teams of multi-mullion dollar facilities across multiple states.

Demonstrated capabilities that include:

oStrategic planning and operational performance, best practices supporting clinical practices.

oRevenue cycle, optimized reimbursement, patient experience and business office process redesign,

oA/R reduction and workflow from 150 days to 85 days.

oInpatient screening percentages from 80% to 90%

Expertise interfacing with information technology in facilitating system implementations, workflow and work process refinement.

Skilled in program, project, business and client relationship management, staff training, and mentoring of personnel.

SOFTWARE EXPERTISE

HMS, PULSE/DAR, SMS, McKesson, Epic, GE Centricity, HBOC, Star, HPF, Navinet, Medifax, Siemens, Soarian, OMR/DI, Unity, SmsNet, Easy ID, Lawson, Kronos, Concur, Emtrack, Bedboard, BIPAS, Sovera, Artiva, HotKey, Envision, Passport, Emdeon Office, Medicaid web-portals.

PROFESSIONAL EXPERIENCE

CHS/COMMUNITY HEALTH SYSTEMS/REGIONAL OFFICE, AL/MS

Manager Client Services, Eligibility Screening Services, LLC, 07/2014 to present.

Manage day-to-day operations for 20 teams comprising of 5 regional supervisors and 52 team members in the states of Alabama and Mississippi.

Responsible for taking hospitals’ AR days from 150 days to 85 days and resulting in a million plus per month cash remits.

Served as Interim Regional Director during periods of absences of the Regional Director.

Active member of Leadership Committee for improving the processes and improvements of enterprise wide disability application program.

PROFESSIONAL PRESENTATIONS FOR CHS

Understanding Disability and the Income Stream from Disability

Completing the Disability Process

How to Complete a Disability Online Application

CHAMBERLIN EDMONDS AND ASSOCIATES, Nashville, TN

Leading provider of comprehensive patient eligibility and enrollment services for hospitals, and secures government and community reimbursement for uncompensated medical care expenses, helping to recover cash that would otherwise be lost to hospitals and their patients. 2009 – 2014

Assistant District Manager for Greenville Health Systems, Greenville, SC. 02/2013 to 07/2014

Managed day-to-day operations and met weekly with hospital administration regarding self- pay referrals, conversation rate and cash remits.

Consistently achieved hospital goals and expectations by producing cleaner applications and driving in cash quicker resulting in over $10M during my tenure.

Health Care Representative. Suffolk, VA, Charleston, WV and Salt Lake City UT, 2009 to 2013

ST. MARY’S MEDICAL CENTER, Huntington, WV

393 bed acute care medical surgical hospital among the largest healthcare facilities in WV

Patient Access, Patient Accounts, Financial Counselor, 3/2006 to 7/2009.

Patient Access – Responsible for the accurate and timely registration for in-patient admissions and ER/outpatients; performed compliance checks, explained hospital regulations, i.e., visiting hours, payment of accounts, and schedule of charges, escorted patient or made arrangements for an escort to assigned room or ward, entered patient admitting information into the computer, obtained signed statements from patient to protect hospital’s interests.

Financial Counselor – Responsible for collections of co-pays, entering accurate demographics, financial and basic medical information in the computer and collections from patient and/or their designee. Verified and obtained insurance coverage and/or authorizations/notification for outpatient procedures.

Patient Accounts – Reviewed patient bill for accuracy and completeness and obtained any missing information. Followed up on unpaid claims within standard billing cycle timeframe. Called insurance companies regarding any discrepancy in payment, and billed secondary and/or tertiary insurance companies.

Unit Clerk – Maintained the accuracy and completeness of patient’s chart at all times. Performed general clerical duties at nurses’ stations. Served as secretary to physicians, visitors, and ancillary staff members. Completed requisition forms for tests and studies for patients as ordered by the physicians.

Intern – Mentored by Vice President of Human Resources. Attended staff meetings, worked on special projects, and attended meetings with hospital administration. In the Foundation Department assisted Vice President with St. Mary’s Medical Center’s Third Annual Gala raising money for the hospital.

SUNSET NURSING CENTER, Coal Grove, OH

For-profit, nursing home with 60 beds, located in Southeast Ohio.

Administrator in Training Internship 09/2005 to 1/2006.

Planned and directed operations of all aspects of care provided to residents.

Directed the hiring and training of employees that increased employee morale.

Directed the activities of the medical, nursing, technical, clerical, laundry, housekeeping, maintenance, social services, and volunteer staff.

Prepared state and federal reports

Participated in meetings with the staff, families and the governing body.

Interviewed families of persons seeking admittance to the nursing home.

EDUCATION/LICENSURE/CERTIFICATION

Ohio University – Athens, OH

BS Health Care Administration, 2006

BS Long-Term Care Administration, 2006

BSS Psychology/Sociology 2003

State License for Indiana Navigator/and teacher 2014

National Certification in Gerontology, 2006

PROFESSIONAL ASSOCIATIONS

Gamma Pi Delta Honor Society – Lifetime member

National Association of Professional Women

Women of Emdeon 2013 – 2014

Who’s Who Among America’s Universities and American Colleges, June 2003

North Carolina Paralegal Association, Inc.

References:

Andrew Colvin

Asst. CFO

St. Mary Medical Center

1500 South Lake Park Ave

Hobart, IN 46342

acxdoh@r.postjobfree.com

219-***-****

Anita Gaskins

Vice President

A Better Grade

3901 Meadow Haven Road

Louisville, KY 40218

acxdoh@r.postjobfree.com

502-***-****

Shirley IrbyRaddcliffe

Client Services Regional Director

4000 Meridian Blvd

acxdoh@r.postjobfree.com

614-***-****

Milton Velazquez

Assistant District Manager

2165 Reedy Fork Road

Pelzer, SC 29669

acxdoh@r.postjobfree.com

864-***-****



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