Bethany Jamison Email & Phone Number

• Assumes responsibility for directing all day-to-day activities related to revenue cycle.• Provides leadership and direction to supervisory and manager level staff to meet or exceed business objectives.• Analyze and trend claims related data to identify inefficiencies and implement process improvement.• Lead work groups with the ability to identify problems and propose systematic solutions and develop/maintain necessary work plans.• Maintain a positive work environment for direct management reporting staff, ranging from 2-4, with line staff of up to 100.• Maintain designated standards established for handling incoming work.• Maintains compliance accountability specific to claims administrations in accordance with applicable state and federal laws.• Manage and direct all activities and special projects.• Manages and directs staff, supporting professional growth by providing education, training, and appropriate resources.• Provide central coordination and control for implementation of new/changed applications and systems.• Provide leadership and direction through developing and updating policy and procedures, programs, determining appropriate standards and procedures, determining staffing requirements, and training opportunities.• Recruit and discharge employees when necessary.

• Managed day to day operations of credentialing and audits.• Managed quality audit program for revenue cycle.• Communicated changes in policy or forms to sitereviewers effectively. • Maintained confidentiality and security standards throughout all departmental processes.• Maintained positive, professional attitude with providers and internal customers 100% of thetime.• Notified senior leadership of major problems or concerns within 24 hours concerningprovider data.• Lead the development of performance standards and complete monitoring of thecredentialing function.• Lead training sessions for credentialing staff, operations/revenue cycle staff, and outsidecustomers regarding credentialing and re-credentialing.• Prepared and organized data, reports, and follow-up as indicated within qualitymanagement work plan.• Prepared for state, payer, and accrediting body site visits.• Reviewed all provider site visits and medical record reviews.• Prepared monthly, quarterly, and annual reports as needed concerning credentialing andre-credentialing.• Prioritized work assignments to ensure timely completion with satisfactory results, utilizingand facilitating attention to the Provider-At-Risk list.• Recruited and trained supervisor staff as needed.• Managed the day-to-day tasks performed by audits, credentialing/audit team and sitereviewers.

• Managed the staff, work flows and operations of the enrollment and credentialing staff in completing, submitting and tracking of enrollment and credentialing applications while ensuring timely payor follow-up• Created and distributed reports to educate and inform department contacts. • Ensured obligations of delegated payors are met. • Monitorws the tracking and trending reports to identify issues, take appropriate action to resolve the issues and implement processes to minimize future issues• Reviewed and/or prepared agenda and materials for monthly credentialing committee meetings. • Ensured site reviews are completed appropriately• Oversaw the credentialing functions required for the delegated payors and continued to develop and enhance communication processes with appropriate payors• Maintained a knowledge base of current payor requirements for enrollment and credentialing, including but not limited to Medicare, Medical Assistance, Highmark, Health America, and UPMC Health Plan• Assisted with the development of productivity standards for the staff. • Established the use of standard forms and applications and provide automation where appropriate. • Maximized workflow efficiencies through computer system applications. • Responsible for maintenance and integrity of department databases

• Acted as Super user for system training and upgrades• Assisted with establishing and implementing processes to ensure staff is maintaining highest level of productivity• Coordinated monthly scheduling and daily assignments to ensure adequate resources are available to perform daily department activities• Assisted with coordination of staff meetings and attends monthly inter-departmental meetings• Developed departmental training references and update accordingly• Planned and participated in training of all new staff and orientation• Provided on-going mentoring and support to staff throughout the department• Responded to customer (social workers, case managers, physician offices, hospital liaisons) inquiries and requests in a timely and accurate manner• Utilized appropriate communication lines when relaying problems, concerns, questions, ideas• When called upon, supervises Onboarding Specialists & Intake Assistants • Assumed the tasks and responsibilities of Onboarding Specialist & Intake Assistant

United States

• Acted as a conduit of information between clinical staff, reimbursement department and referral sources• Demonstrated the ability to communicate effectively, express ideas clearly and utilize appropriate communication lines to resolve issues. Took initiative to present ideas/suggestions to management• Ensured workflow processes are timely and accurate• Assumed the tasks and responsibilities of Intake Assistant

•Began developing a current knowledge of Human Resources laws and regulations•Developed working knowledge of Human Resources information such as databases and searchable resources•Reviewed and logged resumes•Maintained personnel files•Maintained confidentiality and content of personnel files in relation to wages, salary information, and other confidential employee information•Assisted with employee requests and delivered quality solutions