Lisa R. Mitcham, BBA, MA

Phone 469-***-**** . E-mail: acymaf@r.postjobfree.com

Executive Management Professional with 20+ year's experience in Operations

Management, Supervisory and leadership experience in Managed Health Care,

Insurance, Hospital Revenue Cycle Management, Home Health and Hospice.

SUMMARY OF QUALIFICATIONS

. 12 + years experience working with Managed Health Care provider of

utilization review, managed care and provider bill review.

. Skillfully managed partnership/relationship with client and senior

management.

. Solid experience in all phases of management; vendor maintenance;

people management; process management and human resource management.

. Exceptional problem solver, driven to succeed with strong

interpersonal skills.

. Excellent communication and presentation skills.

. Inquisitive and adaptable, result driven; embrace change readily.

. Assumes both authoritative and democratic leadership.

. An inspirational leader who inspires employees to maintain peak

performance and productivity levels while maintaining high morale.

. Capable of multitasking with conceptual thinking and vision.

. 10-key by touch; typing 50+ wpm; experience in cpt/icd9 terminology

and coding.

. Management of 60+, supervision of 20+ and budgeting.

PROFESSIONAL EXPERIENCE

Addison Group (Contract) May 2016 - Nov 2016

Bethany Healthcare - Revenue Cycle Nov 2016 -

Present

Hospice/Episodic/Government Billing

Addison Group (Contract) May 2015 - Aug 2015

Intrepid Health - Revenue Cycle Aug 2015 - May 2016

Medicare Advantage Billing Coordinator

Revenue Cycle Billing Project Manager July 2013 - April

2015

Job Description: Assist Director of Revenue Cycle with documentation of

new departmental policies and procedures. Oversee the Medical Billing

department and act as a liaison between the staff and the Revenue Cycle

Director to ensure that the staff operates at the highest level of

accuracy and timeliness of work assignments and projects. Follow up of

projects within the department to ensure deadlines are met. Ensure that

the department is highly organized and efficient through monitoring and

revisiting necessary policies and procedures and work systems to optimize

accounts receivables reimbursement. Work very closely with Medical

Director and providers to ensure credentialing updates are completed to

include submitting re-credentialing documentation and follow up with

clinicians to ensure compliance with yearly licensing update. Provide

training to Health Centers and Management on billing and charge entry

corrections and procedures. Additionally, responsible for escalating and

following up on the resolution of complex billing matters, i.e. billing

insurance, A/R follow-up, payment posting; handling of patient data is

performed in accordance with all applicable government and insurance

regulations. Ensures productivity expectations, customer service, and

compliance standards are maintained.

Operations Manager (Lay-off) August 2011 - July 2013

Trilogi, Inc. Revenue Cycle Billing/Hospital Claims Recovery

Irving, TX (Las Colinas)

Job Description: Effectively manage an office of 40 + employees to

recover patient accounts receivable for various Hospital clients. The

office consists of denial management specialists who are trained and

skilled at recovering patient accounts for a variety of services to

include MVA, WC, day 1 denials, AR cleanup, and clinical denial programs.

In addition to recovery, we also perform AR billing and posting

responsibilities to many of our hospital clients. As operations manager,

I was responsible for ensuring our team's financial goals; both

organizational as well as individual are met monthly, by monitoring daily

productivity. I've had up to 4 supervisors, 2 team leads, 1 trainer and

6 staff attorneys reporting directly to me, with dotted lines to other

senior professionals. In addition to operations, other

duties/responsibilities include heavy client contact, assisting our

hospitals with strategies, including procedures, which will improve cash

collections and help meet liquidity goals. Finally, I was responsible

for coaching/development of direct reports, hiring, training, and some HR

responsibilities to include recruiting and client implementation.

Billing Specialist May 2011 - August 2011

ESHA, Inc. Re-entry into work force

Fort Worth, TX

Lay off from Coventry Healthcare November 2009

- May 2011

Used time off to work towards completion of

Masters Degree

Operations Manager (Lay-Off) July 2003 -November 2009

Coventry Healthcare/formerly Concentra Integrated Svc.

Carrollton, TX

Supervisor - Provider Bill Review Mar

1998 -July 2003

National Health Care Resources/ Acquired by Concentra Integrated Svc.

Carrollton, TX

EDUCATION AND TRAINING

Bachelor of Business Administration, BBA

Northwood University, May 2009

Cedar Hill, TX

Master of Arts in Management, Healthcare Management, MAM

Dallas Baptist University, December 2013

Dallas, TX GPA 3.47

TECHNICAL PROGRAMS

. PeopleSoft; Microsoft Project Planner; Ms Office Suite: Word,

Excel, PowerPoint; Windows Vista, 95 / 2003 / XP; Scanning

Technology (Kodak i810) OCR, KE, KFI scanning applications.

. Hospital Revenue Cycle; Epic, DDE, Quadax, HPF, Siemens Provision

Gold, Midas, Allscript, Star Navigator, VPN client, Citrix

(portal), Accupost, ADT/IDX, Chartmaxx, Xactimed xclaim, IDXWeb,

Siemens MedSeries 4 (MS4), Meditech Magic, McKesson, Paragon,

Kinnser, NextGen EPM, HospiceSoft and HealthTrust.

. Hospital Clients; Munroe Regional Medical Center, Ocala, FL, Citrus

Memorial Hospital, Inverness, FL, North Adams Regional Hospital,

North Adams Massachusetts, Self Regional Healthcare, Greenwood, SC,

University Medical Center, Tucson, AZ, St. Elizabeth Healthcare,

Kentucky and OH, NIX Healthcare System, San Antonio, TX and Texas

Healthcare Resources, DFW.

. Experience with all financial groups: Medicare/Medicare secondary,

Medicaid to include MCO's, Commercial Ins., Home Health Episodic,

Workers Compensation, MVA (liability), Credentialing, Home Healh

and Hospice.

. Clearing houses: Esolutions, ZirMed, Gateway, Emdeon Vision,

Nextgen and Navicure.

. ICD9/ICD10, CPT, Medical terminology, Payroll and Human Resource

Management, Accounts receivable and payables.

Contact this candidate