Amy Reynolds

Experience

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  Home Health Plus, Inc.

  Aug 1995 - Mar 1999

  Certified Nurse's Assistant

  Assisted patients with activities of daily living in their home setting on a part-time basis.

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  University Health System

  Nov 1995 - May 1999

  Operations Manager, Organ Transplant Programs

  Provided operational support to the Organ Transplant Program in developing, producing, and analyzing financial and statistical reports, negotiating all tissue typing, ground, and air transportation contracts on the program’s behalf, aided in the submission of the annual Medicare Cost Report, and supervised the program’s Financial Counselor. Also acted as the departmental safety coordinator. Promoted from Office Manager, Medical Specialty Services and Department Secretary, Education Resource Center. Resigned to aid the University’s physicians in the development of the CHRISTUS Transplant Institute.• Analyzed and implemented operations resulting in increasing the program’s revenue by over $250,000. • Provided operational and accounts payable support to the Radiation Therapy Program between University Hospital and the Cancer Therapy and Research Center.• Developed an Access database for preauthorizations, financial and statistical data. Show less

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  CHRISTUS Santa Rosa Health Care

  May 1999 - May 2000

  Financial/Managed Care Coordinator

  Provided financial and operational support to the Director of the CHRISTUS Transplant Institute (CTI) in the development of the new solid organ transplant program. Acted as a key liaison with outside managed care payers as well as an analyst of existing contracts, proposals, and internal departmental operations. Provided support to the Director of Managed Care in negotiating all managed care contracts on the hospital’s behalf, ensuring reimbursement at the appropriate levels, and coordinating all credentialing applications and monitoring/on-site reviews. Promoted from Managed Care Specialist. • Negotiated all letters of agreement for individual patients.• Completed the Medicare and Medicaid kidney transplant applications for CTI.• Developed two Access Databases, one for Managed Care to track contracts and aid in discharge planning and one for CTI to track transplant patients’ financial clearance.• Aided in the development of the CTI charge description master and budgets. Show less

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  Georgetown University Hospital

  Jun 2000 - Feb 2001

  Administrator, Bone Marrow Acquisition

  Provided administrative direction and oversight for the operational, financial, performance improvement and support staff personnel activities of the Blood and Marrow Transplant Program. Served as a liaison to the National Marrow Donor Program, Managed Care Contracting, Accounting, Finance, Public Relations/Marketing, data management and research programs.• Established and lead monthly multidisciplinary steering committee meetings and meetings with the Department of Defense, evaluating the operational and financial performance of the program.• Developed and published a quarterly patient newsletter.• Reviewed managed care and departmental contracts, recommending modifications.• Collaborated with Washington Hospital Center's Bone Marrow Transplant Program.• Created and implemented all departmental policies, as none had been established previously. Show less

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  MedImmune

  Feb 2001 - Oct 2001

  Manager, Reimbursement Research

  Provided reimbursement and governmental research, analysis, education and support to MedImmune’s sales force, distributors, home health care groups, intermediaries, hospitals and physicians that required assistance. Resigned due to increasing out-of-state travel.• Provided support for the Synagis SECURE Plus Program (SSP), MedImmune Assistance Program (MAP), RSV Protection Program, the Hotline, and AOB Distributors.• Third party payer research and information including protocols, eligibility requirements, coding, claims information and procedures, appeals processing and troubleshooting.• Provided consultative services to hospitals and physicians within the Western and Southwestern Regions, often requiring travel to the hospitals and physician practices. Determined the current processes and aided in the recovery of unpaid claims. Recommended process improvement methods. Show less

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  Frederick Regional Health System

  Oct 2001 - Jul 2005

  Reimbursement Analyst, Financial Planning & Compliance

  Coordinate, monitor, research and approve all changes to the standard Charge Description Master (CDM). Confer with facility personnel to analyze billing procedures, identify problems and learn specific payer requirements. Review, distribute and hold departments accountable for all federal regulations as they pertain to the facilities. Plan and prepare reports, memoranda and instructional data to educate facilities of coding, billing or system changes due to regulatory and federal guidelines. Prepare and submit monthly financial and statistical reports as required by the Health Services Cost Review Commission (HSCRC). Aid in the coordination of compliance audits and the submission of the annual HSCRC and Medicare cost reports. Investigate all other compliance issues as necessary.• Analyzed operations in accordance with Medicare regulations that resulted in the release of $500,000 of Medicare claims for payment.• Designed and instituted annual educational CDM clinics. Show less

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  Lehigh Valley Health Network

  Aug 2005 - Sept 2007

  Practice Manager, Organ Transplant

  Oversee daily administrative and operational functions for both the hospital and physician practice. Ensure managed care and third party payor compliance, monitor billing and collections, and develop the practice’s budgets. Aid in the preparation of the Medicare cost report. Responsible for site planning, personnel management, practice development and marketing. • Restructured the Practice resulting in more efficient and effective workloads and patient flow.• Developed a business and marketing strategy that doubled the number of annual referrals and transplants.• Aided in the development of the annual Transplant Symposium, reinstituted the annual Patient Picnic, and developed several ongoing outreach programs.• Implemented pre-transplant patient cards and a tracking system .• Became a Center of Excellence in 2007, allowing the program to contract with several managed care contractors the program was previously not eligible for. Show less

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  Center of Reproductive Medicine

  Mar 2008 - Aug 2008

  Sr. Practice Administrator

  Oversee daily administrative and operational functions for the main physician practice and the two satellite offices. Ensure managed care and third party payor compliance, monitor accounts payable, billing and collections, and develop the practice’s budgets. Aid in the development and management of the practice’s Ambulatory Surgery Center. Responsible for site planning, personnel management, practice development and marketing.

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  Liver Specialists of Texas

  Aug 2008 - Nov 2010

  Assistant Practice Administrator

  Assisted the Practice Administrator with the overall management and development of the Liver Specialists of Texas, the Research Specialists of Texas, Your Health First Foundation, and physician-led new business developments.• Aided in transitioning new providers into the practice.• Responsible for all credentialing and contracting. Identified multiple opportunities to improve reimbursement rates and renegotiated existing contracts resulting in higher reimbursement rates.• Created and provided on-going financial analyses including reimbursement, productivity, and collections. • Led a collection process for unpaid, outstanding balances, resulting in increased reimbursement.• Analyzed and restructured the practice’s human resource files and benefits, resulting in a 10% reduction in costs to the practice and increased staff benefits. Show less

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  Methodist Family Medicine Group

  Oct 2009 - Apr 2013

  Operations Manager II

  Manage the daily operations of this newly created, eight family physician practice with a nurse pratitioner and cosmetic service line. Manage daily business operations, budget and financial controls, staff management, human resource functions including recruiting and management of staff and payroll, physician and staff credentialing, management of inventory and ordering processes, business maintenance, quality assurance and coordinate multiple marketing and public relations opportunities. Identify and implement new revenue sources when possible. Work closely with on-site LabCorp, Quest and a dedicated scheduler to ensure an optimal patient experience. Promoted from Office Manager. • Integrated eight physicians from two independent practices to The Methodist Health System.• Planned and participated in the practice’s move in June 2010 to a new location.• Participated in multiple NextGen EPM and EMR committees and assisted in the transition from Athena to NextGen. Led the transition to Televox for all patient call reminders.• Led the physicians in meeting the meaningful use criteria and in their attestations.• Participated in the PeopleSoft (MARS) committee for supply chain management and provided input during the transition.• Led the planning, implementation and marketing of the medical practice and the practice’s cosmetic service line including laser hair removal, massage, Botox, facials, etc. in 2012.• Led four physicians in becoming BTE IPRO Diabetes Certified in 2012 – 2013.• Identified correct coding and billing resulting in system-wide changes.• Created and implemented policies and processes resulting in significantly improved financial and employee performance. In addition, created policies which were used across multiple clinical locations. Show less

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  Houston Methodist

  Apr 2013 - Apr 2024

  Manage the daily inpatient, outpatient, ambulatory and surgical operations of Neurophysiology including the Epilepsy Monitoring Unit (EMU), EEG, Evoked Potentials and Intraoperative Neuromonitoring (IONM).*Earned Level 4 EMU certification - National Association of Epilepsy Centers 2015 - 2024.*Earned EEG Laboratory accreditation - Laboratory Accreditation Board of ABRET 2015 - 2025.*Created a successful, internal IONM tech training program (2016) and international symposium (2020).*Led EPIC (EMR) training; designed a system-wide training manual.*Developed IT support for NATUS and Cadwell equipment.*Collaborated with staff to overhaul equipment, supplies, staffing, policies and processes. Improved efficiency, patient care and met increasing demand for 24/7 services. Reduced 1040 overtime hours, 18% reduction in supply costs and a 55% reduction in contractual services. *Significantly improved patient, surgeon and staff safety and satisfaction.*Created and Chair the Neurophysiology System Council to aid Houston Methodist’s sister hospitals, 2018 - present.*Successfully resourced and managed outside IONM vendor contracts for techs and reading physicians.*Negotiated and maintained lowest prices for equipment and supplies across the system.*Collaborated with multiple physicians on EEG and IONM research studies.*Participant in 2023 National Association of Epilepsy Center’s Specialized Guideline Panel.*Chaired and expanded 2015, 2016 & 2017 AHA Heart & Stoke Walk for Houston Methodist. Awarded 3rd place by AHA in highest % YOY growth in 2016.*Administrator Underwood Center for Digestive Disorders and Inflammatory Bowel Disease Program Nov 2013 - Dec 2017. Led the Underwood Center's teams on its first annual symposium in 2015 with subsequent symposiums 2016 - 2018.*Led a team to create the business plan and build out of a new Andrology practice and Men's Health Center Nov 2013 - Dec 2017.*Interim Director, Sterile Processing (7 areas) Sept 2015 - Jan 2016. Show less Assist the Vice President of Surgical Services in the management of multiple departments including perioperative, general surgery, otolaryngology, ophthalmology, plastic surgery, oral/max, bio med, perfusion, urology surgery, neurosensory, anesthesiology, SICU and the Anesthesia Pre-op Center (APEC). Promoted to Manager of Neurophysiology.• Provided direction in the creation, marketing, budgeting, funding and website development of the Underwood Digestive Disease Center, the Inflammatory Bowel Disease (IBD) Program and in the development of the Men’s Health Center. Created a proforma resulting in $1 million dollars in funding for the creation of the IBD Program.• Assisted in the review and implementation of formal policies for operating room block scheduling.• Identified scheduling and operating room discrepancies and led a select group in addressing the concerns.• Led the Press Ganey patient satisfaction survey meetings and collaborated with multiple departments to provide training and enact lasting physical, process and behavioral changes.• Assisted in the implementation of Service Line Analytics within select service lines and physicians.• Successfully led multiple family room and lounge refreshes while under budget and timeline constraints.• Participated in the design and construction meetings for multiple operating rooms and OPC 18.• Developed and lead a team to create a new, first of its kind, online form designed to simultaneously increase patient volume into the APEC, increase physician and patient satisfaction and financially clear patients for surgery.• Increased APEC patient volume from 34% of surgical patients to 49% Show less

  • Manager, Neurophysiology, Chair Neurophysiology System Council

    Jun 2014 - Apr 2024

  • Project Manager II, Surgical Services

    Apr 2013 - May 2014
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  Texas Children's Hospital

  Apr 2024 - now

  Practice Administrator III - Neurology

  Plan, organize, staff and direct activities in Texas Children's Physician Service Organization's (TCPSO) Neurology clinical sections in collaboration with designated physician leaders. Activities include planning and performance management, performance improvement, coaching, staffing, budgeting, policies and procedures and collaboration with Baylor College of Medicine on the section's research and academic pursuits.