Medical Manager

Kathy Vaughan

Greater Atlanta Area 678-***-**** adfnva@r.postjobfree.com www.linkedin.com/in/kathyvaughan1

Practice Administrator / Revenue Cycle Manager / Healthcare Implementation Specialist

Performance-driven, team-oriented healthcare administration professional. Skilled at building and managing relationships with customers and business partners. Outstanding critical thinking, decision-making, training, process improvement, and problem-solving skills.

Proven ability to maintain clinical quality, financial viability, patient experience, staff, and provider engagement. Highly proficient and innovative in procurement, installation, implementation, and full utilization of Practice Management (PM) and Electronic Health Record (EHR) software. Core competencies include:

Practice Administration. As Medical Practice Administrator at Women’s Medical Center, led a medical practice with 50 employees. Provided leadership during a period of rapid growth from a three-provider practice to a nine-provider practice and the addition of a 5K SF satellite office. Exceeded MGMA benchmarks in multiple areas as it relates to revenue and practice overhead. Profitability exceeded industry benchmarks by 35%.

Revenue Cycle Management. As Hospital Billing Specialist at Collection Choice Corporation, provided billing support to Wellstar Health System and Piedmont Healthcare. Discovered and corrected a billing error that had created an estimated $3.5M in lost revenue over a five-year period. At Women’s Health and Aesthetics, resolved inefficiencies that were creating a net operating loss and moved the practice into the black.

Healthcare Software Implementation. As Certified Implementation Specialist at eClinicalWorks, performed customization, troubleshooting, and training. Educated clients on best practices and workflows in both PM and EHR. Coordinated system design, led user training, and performed administrator training to ensure proper system build. Helped set up month-end and other analysis reports, both financial and clinical.

Professional Experience

September 2019 – Present POP Displays East Point, Georgia

POP Displays is an integrated manufacturer of point-of-purchase displays focused primarily on permanent displays in cosmetics and electronics for mass channel retailers. POP is owned by a private equity firm.

Business Operations Specialist

Serve as team lead on special projects to fabricate and assemble point-of-purchase displays.

Manage graphics used in displays for some of the world’s leading cosmetics brands.

Assist team in receiving shipments, tracking inventory, and training associates.

Became proficient in utilization of the ERP system.

February 2016 – September 2019 Automotive Sales Consultant

Atlanta Luxury Motors Newnan and Union City, Georgia

Earned “Top Producing Sales Consultant” (out of 15 eligible) for the year.

Audi South Atlanta Union City, Georgia

Audi Certified Product Specialist. Named “Employee of the Month.”

Mercedes-Benz of South Atlanta Atlanta, Georgia

Mercedes Benz Product Specialist.

February 2015 – January 2016 eClinicalWorks Worcester, Massachusetts

eClinicalWorks offers electronic health record (EHR), practice management, and personal health record software and services to healthcare providers in the USA.

Certified Implementation Specialist / Business Analyst

Certified eClinicalWorks Practice Management (PM) and Electronic Health Record (EHR) Implementation Specialist. Educated clients on best practices and workflows in both PM and EHR.

Coordinated system design and administrator training to ensure proper system build. This included transitioning practices from ICD-9 to ICD-10 coding system.

Assisted client in setting up electronic claims clearinghouse. Verified successful transmission by end of training.

Helped set up month end and other analysis reports, both financial and clinical.

Trained providers and clinical staff on EHR. Verified all technical problems were resolved by the completion of training. This included the setup of hardware and additional modules.

August 2009 – August 2012 Collection Choice Corporation Fayetteville, Georgia

Collection Choice was a third-party agency serving Piedmont Healthcare and Wellstar Health System.

Hospital Billing Specialist

Supported both Piedmont and Wellstar. Followed up on insurance claims, filed claims appeals, provided insurers with documentation, advised hospital billing office on coding issues, and supported patients in claims disputes.

Assessed and resolved a number of redundant billing errors. Discovered and corrected a long-term billing error that had created an estimated $3.5M in lost revenue for CCC over a five-year time span.

Developed training material and instructed billing staff on transition to new MMIS web portal with special emphasis placed on changes to claims entry process and the uploading of all required documentation.

Prepared detailed analyses and reports of billing and accounts receivable activity and results, including performance matrixes, bad debt expense, and AR days outstanding.

Followed up with commercial insurance companies, Medicare, and Medicaid.

Managed A/R, as well as insurance verification and pre-authorizations.

August 2002 – August 2009 Women’s Health and Aesthetic Center Peachtree City, Georgia

Women’s Health and Aesthetic Center was a clinic that specialized in obstetric and gynecological services.

Practice Administrator

Managed all aspects of OB/GYN and aesthetic practice. Duties included all accounting functions as well as provider recruitment and credentialing, negotiation of vendor contracts, coordinating physician and nurse midwife credentialing, staff training / development, and Current Procedural Terminology (CPT) and ICD9 coding.

Successfully converted the practice management system from a Unix-based system to a Windows-based system, including the addition of an EMR system. There is a normal implementation period of 90 days, but it was completed in 30 days to accommodate a practice merger.

Identified inefficiencies in billing protocols that had created a net operating loss in 2003. New billing procedures created an increase in revenue, allowing for retirement of office build out loan at the end of the first year and the first retirement plan contribution in four years.

Discovered incorrect administration of capitation contract that resulted in a 60% underpayment for each OB patient by a major insurance carrier. Met with the CFO and CEO of the facility to negotiate a resolution.

April 1996 – August 2002 Women’s Medical Center Fayetteville, Georgia

Medical Practice Administrator

Led medical practice with 50 employees. Provided leadership during a period of rapid growth from a three-provider practice to a nine-provider practice and the addition of a 5K SF satellite office.

In second week of employment, discovered major flaw in original setup of PMS, resulting in a $42K payment that would have gone unrealized from a third-party administrator that was closing out bankruptcy proceedings.

Implemented and upgraded all technical areas of the practice including phone system installation and upgrades, practice management system expansion and upgrade, set up of office wide intranet, utilizing a T-1 voice and data connection. Recruited physicians and nurse midwifes, as well as office staff.

Oversaw day-to-day practice operations, direct oversight of the business office, production of monthly financial and utilization reports, administration of physician compensation plan. Responsible for all practice accounting functions including production of year-end Profit & Loss statement and Balance Sheet for CPA review and tax preparation. Administered 401(k) and profit-sharing plan.

Oversaw build out of new 5K SF office at Piedmont Fayette Hospital. Project included working with architect in space design, interior designer, constant interaction with the General Contractor to ensure accuracy in implementation of all instructions. Focus was placed on computer connectivity, appropriate pre-wiring, as well as seamless telecommunications between offices. Project was completed on time and without major incident.

In final year of employment, the three FTE OB/GYN’s were achieving compensation well above MGMA benchmarks. Physician salaries were approximately 35% higher than physicians of same specialty and like demographic. This was the result of the practice exceeding MGMA benchmarks in multiple areas.

Selected by Senior Vice President of Sales at Medical Manager SE as a “Star Site” to provide site demonstrations for potential clients in a Tri-state area.

Education and Professional Development

Bachelor of Science, Accounting Georgia State University Atlanta, Georgia

Completed 90% of bachelor’s degree

Tau Alpha Chi (TAX) Honor Fraternity

Dean’s List

Certifications

eClinicalWorks Certified Implementation Specialist 2015

Greenway Certified Implementation Specialist 2014

American Academy of Procedural Coders 2011 – 2015

Georgia MGMA 1998 – 2013

Medical Group Management Association (MGMA) 1998 – 2008

Software

Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, OneNote)

QuickBooks

Salesforce

Practice Management (PM) and Electronic Health Record (EHR) Systems

eClinicalWorks

Greenway

Medical Manager (Intergy)

Medisoft

NextGen

Nextech

Promed

Wallaby

Hospital Systems

McKesson STAR Software

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