Emily Dougherty Email & Phone Number

Nashville Metropolitan Area

Nashville Metropolitan Area

Greater Nashville Area, TN

Greater Nashville Area, TN

• Research and prepare comprehensive recommendations for hospitals participating in CMS Bundled Payments for Care Improvement (BPCI).
• Develop utilization and physician practice pattern reports that lead to changes in physician utilization.
• Introduce and develop reports designed to make complex Medicare data understandable with use of Tableau, Excel, SQL
• Responsible for implementing a process to track and reconcile CMS errors.
• Create strategy for senior executives at client regarding which episode groups to target or drop in order help clients optimize performance in the BPCI program.
• Expert knowledge of BPCI program rules, regulations and strategies. Expert level knowledge of Inpatient and Outpatient Prospective Payment systems.

Greater Atlanta Area

• Manage revenue cycle review for a multi-hospital health system with a focus on government payers such as Medicare and TRICARE
• Serve as point of contact for client for both account-specific and contract questions as well as other needs
• Prepare and present revenue enhancement solutions, implementation suggestions and contract recommendations to client
• Coordinate with internal manager and principal to set and manage target goals and budget
• Responsible for managing a rotating team of two to four associates as well as their career development
• Lead and prepare internal trainings for new associates on technical functions and processes in Microsoft Access and Excel

Greater Atlanta Area

• Identified underpayments and errors in the revenue cycle for over 50 hospitals in 10 different states through audits of managed care, Medicare and Medicaid data
• Analyzed contracts through use of Microsoft Access, Excel and proprietary software
• Worked as liaison between hospitals and insurance companies to resolve any incorrect payments
• Prepared recommendations and process improvements based on revenue cycle errors
• Performed contract modeling for clients to aid in managed care contract negotiations
• Presented payment review results, recommendations and trainings to CFOs and managed care staff

Allentown, Pennsylvania Area

• Worked with Allentown Promise Neighborhood to gather and prepare health data
• Prepared sections of Community Health Profile for the local Health Care Council
• Participated in Trust’s interviewing of 80 local leaders for Trust’s strategic plan
• Hired as consultant after official internship ended

Birmingham, Alabama

Provided guidance, tutoring, life and study skills to student athletes.

Cincinnati, Ohio Area

• Help on Trading Floor with Bloomberg, Morningstar and SAS
• Performed research with professors and planned integration of Bloomberg into curriculum

Cincinnati, Ohio Area

Cincinnati, Ohio Area

• Generated over $15,000 revenue for brokers on the team
• Recognized as a “Most Valuable Team Member” 3 out of 10 weeks
• Doubled a broker’s average sales from $2000 to $4000 per week

Cincinnati, Ohio Area

• Managed 30 students on the Board and a budget of $118,000
• One of five senior leadership positions on Student Government

Bachelor Of Science In Business Administration, Bachelor Of Arts, Economics, Spanish, Cum Laude

Activities and Societies: Study Abroad in Spain, Alternative Breaks-Jamaica, India and El Salvador, Mission trip to South Africa, GetAway.

Master Of Public Health (M.P.H.), Health Care Organization With A Global Health Certificate

Activities and Societies: Birmingham Aids Outreach, Public Health Student Association

Education record