Experience

• 

  Pentec health

  Mar 2010 - Jan 2024

  During this job role, my responsibilities extend to overseeing the seamless processing of all incoming documents within the Specialty Infusion department, ensuring efficiency and accuracy. I take charge of managing pending referrals and implementing effective onboarding practices to enhance overall operational effectiveness.A key aspect of my role involves negotiating and executing single-case agreements with payors, as well as service agreements with facilities and hospices. This ensures comprehensive service coverage and contributes to the overall success of the organization.Additionally, I provide oversight and collaborate with vendors to enhance operational efficiency, fostering a collaborative environment that promotes continuous improvement. My commitment to excellence and strategic vision drive the success of the Specialty Infusion team, and I am always eager to explore opportunities to contribute my skills and expertise.Key Accomplishments:  Increased operational efficiency and cost savings by maintaining strong focus on Ready to Bill (RTB) objectives. Ensured call answer rate exceeding 90% by supervising daily operations of customer service and financial call center. Verified positive customer experiences by implementing quality assurance practices and prioritizing optimal patient experiences. Built skilled and motivated team by recruiting, onboarding, evaluating, training, and mentoring both clinical and non-clinical staff. Determined payor issues and trends by collaborating with reimbursement, billing, and collections teams to reduce overall Accounts Receivable beyond 60 days to 30% in assigned areas. Show less Here, I consistently maintained intrathecal core competencies while efficiently managing field RN's with a diverse patient caseload. My commitment extends to ensuring strict compliance with individualized plans of care and upholding the highest standards of patient safety and well-being.Navigating the complex landscape of state regulatory licensures, I successfully ensured adherence to all requirements, facilitating smooth operations within the region. This includes effectively managing surveys to meet and exceed regulatory expectations.A key aspect of my responsibilities involves fostering collaboration across various stakeholders, including leadership, team members, sales, nursing, pharmacy, and providers. This collaborative effort is instrumental in verifying and achieving optimal patient outcomes. I believe in the power of teamwork and open communication to drive success in healthcare operations.Key Accomplishments: Managed regional RNs by overseeing in-home intrathecal pump refills and maintenance. Enhanced operational efficiency by participating in continuous risk assessment and initiating process improvement initiatives. Show less I took charge of managing and being accountable for the intake team's functions, overseeing the front-end activities of Revenue Cycle Management (RCM). This encompassed a spectrum of crucial tasks, including insurance verifications, authorizations, appeals, denials, and confirmation of delivery tickets.I led the intake team in executing these functions with precision and efficiency, ensuring a seamless and well-coordinated process from the initial stages of insurance verification through to the resolution of appeals and denials. By establishing robust systems, I contributed to optimizing the frontend activities of RCM, promoting accuracy and adherence to established protocols.Key Accomplishments:  Provided crucial support to the sales team by offering clinical and reimbursement assistance during on-site provider meetings as requested or needed. Show less

  • Director of Intake Operations, Specialty Infusion Division

    Jul 2018 - Jan 2024

  • Regional Nurse Manager, Specialty Infusion (DE, MD, DC, VA, WVA)

    Jan 2014 - Jul 2018

  • Manager of Intake Operations, Specialty Infusion

    Jan 2011 - Jan 2014

  • Case Manager, Specialty Infusion

    Mar 2010 - Jan 2011
• 

  Geisinger

  May 2024 - now

  Case management nurse