Morgan Vander Wall, MHA, CRCR

Experience

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  Margaret’s Billing Service

  Jun 2010 - Oct 2016

  Office Manager

  •Organized, officiated, and attended meetings with employees, physicians, executives, and prospective clients.•Created comprehensive training guides for new hires and provided ongoing training for established employees.•Managed schedules, completed payroll, and monitored the work of 5 administrative support staff. •Effectively delegated tasks to ensure smooth business operations.

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  Sharp HealthCare

  Oct 2016 - Jan 2019

  Business Service Representative

  •Confidently implemented business strategies that developed a better workflow at several sites and departments.•Created comprehensive training guides in revenue cycle management operations that improved training environments.•Provided mentorship to peers on revenue cycle processes and business systems.•Obtained detailed benefits and authorizations to create accurate liability estimates for patients. •Successful advocate for patients' billing concerns.•Understanding and utilization of CPT, ICD-10, and HCPCS coding.•Obtained prior balances and utilized proper payment posting.•Understanding and implementation of productive business operation tactics. Show less

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  Conifer Health Solutions

  Aug 2019 - Feb 2021

  •Performed manual and electronic posting functions to all Managed Care, Commerical, and Government payors for all patient accounts.•Maintained knowledge of insurance rejection/denial processing and appropriately attained information for collection and follow-up activity.•Researched and cleared unapplied accounts utilizing established identification processes. •Posted payment corrections, payment transfers, NSFs, and inter-facility transfers.•Reconciled bank and special accounts utilizing research, payment transfer, or payment refund processes. Show less •Led a team that consistently collected at 120% or more of the company collection goal. •Formally recognized with a “Stop the Line” patient safety award for preventing patient harm.•Demonstrated knowledge of patient financial services and patient access leadership skills. •Performed accurate insurance verification, benefits, coverage, and eligibility. •Collaborated with department leaders to ensure operational excellence.•Provided comprehensive revenue cycle training to all new and established hires. Show less

  • Payment and Research Representative

    Jun 2020 - Feb 2021

  • Lead Patient Access Representative

    Aug 2019 - Jun 2020
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  Ensemble Health Partners

  Feb 2021 - now

  •Successfully drove the Revenue Cycle project management of a $100 million annual net revenue acquisition for a $1.2 billion annual net revenue health system.•Identified a payor underpayment opportunity and drove solution with the payor that resulted in a $1.4 million annual net revenue lift for a health system.•Coordinates with client management on initiatives related to AR aging, denial management and self-pay and POS collections / patient experience improvement.•Defines and establishes strategic direction, priorities, accountabilities, and ongoing quality improvement related to Revenue Cycle operations.•Monitors cash flow to ensure achievement of client goals as well as closely manage to SLA requirements.•Creates and maintains operational strategic integration plans with clearly defined objectives, desired outcomes, and timelines of implementation.•Participates and leads program level meetings with program stakeholders.•Provides overall direction for successful completion of client and/or revenue cycle projects.•Monitors bad debt and identifies process issues/improvements in areas such as registration, upfront collections, billing, and payor follow-up/accounts receivable.•Reviews performance to ensure timeliness, accuracy, compliance and standards fulfillment as defined in Service Level Agreements.•Informs client leadership of any significant issues in the Patient Access and Back Office areas (e.g., Pre-registration delays, pre-authorization backlogs, cash posting backlogs, cash delays etc.) and monitors progress to resolution.•Participates in weekly client calls with client C Suite leadership, highlighting key revenue cycle challenges and/or successes.•Nominated and selected for the 2023 Director of the Year award. Show less •Devised action plans to reduce high dollar and aged accounts receivable through automation and staff training.•Directed root cause and unbilled edit resolution within patient registration.•Analyzed data contributing to revenue leakage and proposed a solution that contributed to a 9% reduction in patient statement operating costs.•Constructed and presented patient access staff training material that assisted in reducing nonproductive associate downtime.•Introduced and executed an action plan that reduced patient wait times and manual staff labor, and increased productivity and quality of care at patient registration. •Piloted training material expressing the key importance of unbilled management and each revenue cycle sector’s key role in reducing unbilled to accelerate cash in for clients.•Promptly escalated operational and/or client concerns for resolution. •Supported project oversight and management of revenue cycle operations.•Actively monitored client KPIs and organized meetings with key internal stakeholders to ensure KPI targets are met. Show less

  • Senior Director, Client Delivery

    Jul 2024 - now

  • Client Delivery Director

    Mar 2022 - Jul 2024

  • Leader in Training (LIT)

    Feb 2021 - Mar 2022