Michele L. Becknell

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

McKinney, TX 75070

214-***-****

ad0zdl@r.postjobfree.com

Profile

An accomplished senior manager and healthcare consultant who has held increasingly responsible managerial positions in healthcare, revenue cycle management, business development, and customer service environments. Proficient in process improvement and compliance audits. Solid background in business consultation, including operations, workflow analysis, and statistical reporting. Excels at establishing and building customer relationships and exceptional customer service. Interpersonal consultant skills, with an emphasis on managing business issues. Analytical thinker with proven ability to achieve and maintain operational results.

Accomplishments/Skills

•Top ten healthcare leaders at Allergy Partners.

•Developed audit checklist to guide outage resolution.

•Investigated and researched ways to improve internal SLA metrics.

•Took on expanded duties as the gatekeeper for software purchases.

•Audited hardware inventories and reconciled record exceptions

•Improved workflows and procedures to increase operational efficiencies in medical & dental offices.

•Designed systems and solutions to improve the teamwork and professional operations of medical & dental practices.

•Exceptional skills in providing excellent customer service.

•EPIC super user.

•Served as an educator and expert on Face-to-Face knowledge at various nationwide facilities.

Proficient in: HCHB, Atlas, Centricity, EMR, CPS, Data Track, EPIC (Superuser), Fusion, IDX Billing, Kronos, Medisoft Advanced, Medi touch/Health, Microsoft Office, Oracle, Share Point, Track-It Ticket, Visio, Adobe

Expert Knowledge w/ EMRs (Centricity, EPIC, Cerner)

Professional Experience

AccentCare

Senior Manager of Face-to-Face Shared Services – 11/2020 to 4/2022

Responsible for the daily oversight of centralized and regionalized operational processes impacting company-wide business and clinical operations. Made recommendations to the director of Shared Services regarding streamlining operational processes to maximize operational, clinical, and financial efficiencies. Responsible for a team of twenty-two direct reports, including supervisors, Face to Face specialists, and team lead. Accountable for the daily oversight of functional processes conducted by team members and supervisors to ensure that they performed timely and accurately.

Partnered with direct reports and organizational and departmental leaders to brainstorm potential clinical and operational innovation areas to meet customer expectations. Measured performance results of assigned team members to determine strengths and performance and implemented recommendations to the director and VP of shared services regarding service, improved the service center business function and staffing matrix by maximizing functionality within the EMR software solution.

●Decreased 1.8 million AR to 640K over six months

●Implemented a new phase of one-touch resolution by streamlining the workflow process and adjusting common statuses used to identify needs to clear face-to-face accounts

●Improved employee morale and engagement from a metric of 11% to 96% overall in seven months

●Assisted in managerial coverage of other start-of-care departments (PCR and RBS)

Assisted the Director in planning and executing projects and business initiatives as identified and assigned by the director and VP of shared services.

Maintained strict enforcement of working within CMS guidelines and F2F requirements in processing home health accounts. Implemented an internal department auditing program with side-by-side observation to identify and improve processing time, quality, and quantity of production output.

Allergy Partners

Practice Manager 9/2017 to 10/2020

Managed multiple facilities, including office operations, physicians, and clinical staff. Executive leader in providing “best-in-class” patient experience. Implemented buy and bill biologics for the hub, maintained the quality-of-care standard for practice amongst all staff and physicians, maintained all OSHA, HIPAA, and clinical guidelines for all facilities, and dealt with all levels of employees across the corporation to maintain and improve upon the facilities building maintenance. Monitored all billing metrics and implemented policies and procedures that optimized financial growth and success.

Served as the regional Face to Face expert concerning buy and bill. Responsible for the day-to-day oversight of functional processes conducted by Patient Access and Revenue Cycle Management.

Successfully implemented training and KPIs that created a “best-in-class” patient experience.

●Successfully managed one of the largest mergers and acquisitions within Allergy Partners.

●Successfully improved facility financials by over 100%.

●Responsible for all billing processes, including claims processing, claims research, and adjustment for Commercial, Tricare, Medicare, Medicaid, and Medicare Advantage plans.

●Increased upfront collections by over 100%.

●Strategically organized the successful buy and bill program.

●Increased growth and development by 150% within the DFW market.

●Successfully created out-of-the-box approaches to improving the overall functionality of all facilities.

●Optimized workflow between the local and corporate levels by implementing teamwork.

●Identified as a top ten healthcare leader within the region.

●Continually asked by leaders to lead various projects within the region.

●Trained staff on new policies and procedures.

●Recognized as a leader in staff development.

●Reduced turnover rates by implementing various employee engagement and recognition opportunities.

Lumin Health

Practice Manager 1/2017 to 9/2017

Managed multiple practice sites. Directed, coordinated, and integrated practice resources to meet short- and long-term practice goals. Reported issues and recommended solutions. Collaborated closely with staff and physicians to ensure location compliance with applicable regulatory agency standards (e.g., OSHA, DOH, DOL, HIPAA, etc.)

●Maintained and monitored accurate revenue cycles and collections for multiple sites.

●Implemented and enforced policies and procedures in the clinic and front office for an improved patient workflow.

●Trained staff on new policies and processes to ensure compliance.

●Served as the lead Face to Face educator on the orthopedic side of the company.

The Heart Group 2/2016-12/2016

Billing Coordinator (Contracted)

Maintained a current aging ARU comprised of three components: resubmission of medical claims, appealing for reimbursements, and correcting components of denied claims to include CPT codes, modifiers, and diagnosis codes. Controlled and implemented payment plans for aging patients’ accounts. Assisted in interviewing potential candidates for opportunities within Heart Group, assigned work, and evaluated, counseled, and directed staff. Served as collections resource to staff. Controlled and presented quarterly and monthly reports of revenues due, revenues collected, and other required fiscal and staff performance reports. Responded to inquiries from HTPN dept. Directors, insurers, and patients. Communicated with several departments (registration, medical records, and emergency services) to maintain the flow of correct patient data required to process collections and worked on the Accts. Rec. Utility (13 ques), predisposition, and disposition account for maintaining current date status.

●Established and worked on financial and charity applications for patients. Responsible for keying medical charges and procedures for two facilities and eight physicians. Oversee the accurate and timely collections of monies owed to HTPN. Responsible for Accts. Revenue

●Responsible for auditing the work of the administration team and counseling them in the collections process and procedure.

●Trained staff in policies and procedures for collecting accts; performed the duties of a patient services representative.

●Performed random audits of collectors. Verify front desk receipts for deposit accuracy.

Vanessa Woolridge, MD, PA – 4/2010 – 1/2016

Office Manager/Biller

Managed office services and team by organizing operations and procedures, preparing payroll, and controlling physician and office correspondence. Maintained physician credentialing, certifications, and licenses—instituted policies for retention, protection, retrieval, transfer, and disposal of medical records.

•Sustain best practices by exceeding internal insurance vendor medical standard audits.

•Maintain all medical offices, insurance, and patient billing.

•Established and collected OB contracts and financial arrangements for patients.

•Recouped and restored insurance aging from $250k to under $70k.

•Manage all collections and unpaid patient accounts by establishing payment arrangements.

•Established Medicaid panel specifically for OB with Medicaid, Molina, and Parkland

•Maintain a 25% collection average through professional relations with a collection agency.

•Strong knowledge of commercial, Medicaid, and Medicare insurance guidelines and ICD 9 and ICD 10.

Clinic for Family Health and Wellness – 1/2009 -2/2010

Biller (Contracted)

Managed and oversaw all patient accounts. Implemented financial policy and protocols for collecting co-pays, past patient balances, financial arrangements, and cash pay patients. Keyed and applied reimbursements for commercial insurance as well as Medicaid and Medicare.

•Maintained 30-day insurance aging.

•Recouped approximately 50% ($245k) of aging established in the office in 2006.

•Recouped over $10k in Medicaid aging.

•Successfully implanted and managed Medicaid Face to Face forms.

•Keyed medical billing transactions utilizing internal medicine, pediatric CPT, and ICD 9 coding.

•Ran monthly AR and AP reports, aging, production, and analysis reports.

•Trained front office lead as billing assistant and front and back-office assistants in collecting patient portions and demographics.

•Updated insurance loops within Medisoft to correct the inaccurate insurance reimbursement denials.

•Re-established insurance provider representative relationships with the doctor and assisted the front office staff as needed for business transactions and scheduling overflow.

American Lung Association of Central States – 3/2008 -1/2009

Office Manager (Contracted)

Responsible for handling heavy daily customer communications via office visits or phone calls. Resolved multiple customer requests and inquiries, managed day-to-day business operations, including administrative and office maintenance, training fresh staff, and coordinating repairs or replacement of all office equipment and supplies.

•Inputted all customer donations, bequests, and grants.

•Prepared customer list sources and queries.

•Ran weekly and monthly AP/AR reports and daily deposits for Texas, Oklahoma, Missouri, Arkansas, and Kansas.

•Escalated monetary donations exceeding $100k to Controller or CEO.

ATC Logistics & Electronics – 3/2007 – 3/2008

IS QA – Continuous Improvements and Controls

Responsible for coordinating, auditing, escalating, and executing quality plans for IS projects and ongoing operations. Performed monthly audits to ensure compliance with policies and procedures. Escalated documentation, reporting, and task issues to appropriate managers for immediate resolution. Documented, escalated, and recorded monthly, weekly, and quarterly audit results for the corporate office.

•Coordinated and performed quarterly Sarbanes-Oxley (SOX) reviews and audits.

•Updated IT SOX narratives.

•Maintained in-depth knowledge of quality requirements and critical process areas based on ITIL, CMM, and CMMI

•Utilized Visio to create a model workflow analysis of ATCs and sub-companies showing the project production and completion process.

•Assisted with expanding the ITIL methodology into the remaining operations while continuing to achieve improvement on KPIs.

•Assisted with implementing and rolling out new service support tools to ATCIS teams.

•Improved and maintained the unidentified root cause spreadsheet to track items until identified, documented, and resolved.

•Facilitated IS checklist and narrative update meetings with IS Directors and Managers across IS.

Ameripath North Texas – 1/2006 -2/2007

Client Billing Specialist

Responsible for maintaining and reconciling client, customer, and patient accounts.

•Generated reports after collecting and auditing data for financial reports.

•Facilitated fee corrections

•Escalated communications of account issues to sales team representatives and managers as needed.

•Negotiated and escalated AP solutions based on business relationships with clients.

Assistant to Medical Director and Director of Laboratory

•Prepared regional and local financial reports.

•Calendaring and scheduling of sales meetings, facility managers, and directors.

•Reviewed, escalated, and reconciled expenses and production reports from sales teams to directors and corporate.

•Utilized Visio to record the workflow and processing of specimens from the point of entry to exit, into the lab, and in the billing department.

Certifications

Notary – TX Commission # B2001-61641m License #12579721-7

National Provider Compliance Corporation – Certificate of Approval – Local Medicare Changes Seminar

State Board of Medical Examiners – Radiology Certificate

People Care - Certified Nursing Assistant

HCA Medical Center – Medical Terminology

Education

Collin Community College

Associates of Arts

Cooperative Work Experience Program

Ashford University

BA, Healthcare Administration

Ashford University (In progress)

Master of Healthcare Administration

REFERENCES AVAILABLE UPON REQUEST

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