Stacey Gregory Email & Phone Number

Pittsburgh, Pa, Us

Greater Pittsburgh Region

Greater Pittsburgh Region

Greater Pittsburgh Area

 Engaged to improve profitability, efficiency and compliance, through improved medical documentation collection, reporting to executive leadership team.  Successfully identified multiple opportunities to increase efficiency, improve cash acceleration through quicker billing opportunity, improve revenue cycle profitability through reduced unbilled claims and write-offs, and ultimately improved compliance. Through processes of discovery, planning, and implementation, worked with cross functional teams including Revenue Cycle, Operational Effectiveness, Consumer Technology, Finance, Medical Documentation, and Customer Service Departments.  Developed clear methods of execution/implementation of initiatives, sought and obtained buy-in from key stakeholders, and presented recommendations to executive team, presenting regularly on progress of initiatives.  Discovered and sought correction to existing campaigns that were resulting in over 60% of orders as unbillable claims due to lack of required documentation. Identified root cause of data inaccuracies and instrumental in correcting logic used by the API responsible. Further, identified and created plan to restore and improve integrity of said data, ultimately leading to labor efficiencies and a reduction of unbilled claims.  Developed campaign to inform patients on status of orders in regards to documentation collection and potential disruption of refill orders to elicit patient involvement and understanding. Ultimately resulting in improved patient experience, reductions to interruption in service, cash acceleration, and mitigation of risk of write offs due to timely filing. Instituted scripting and SOP changes in Customer Service and Documentation Departments to inform and improve patient awareness and involvement in the documentation process/status surrounding their orders.

Greater Pittsburgh Area

 Oversite of complete revenue cycle for DME provider and manufacturer with 40 field representatives ensuring full compliance with all regulatory entities. Monitor KPIs/business analytics to ensure timely and accurate fulfillment of orders, claim submission, and collections. Medicare/Medicaid/Private Insurance - Responsible for all appeal processes including preparation of Medicare Administrative Law Judge (ALJ) briefs and representation of company in telephonic hearings with a success rate of 100% favorable decisions two years in a row.  Commercial Insurance Contracting – Spearheaded a successful national insurance contracting effort including marketing, sales effort, and negotiating contracts. Worked closely with field sales leaders to focus on optimal return on investment (ROI) adding 38 new contracts in 1½ years - highly unusual in a closed DME market.  Full oversite of Federal Government Contracting and Compliance, including the Federal Supply Schedule (FSS) Contract and Veterans Administration Relations. Negotiated contracts, and modifications, insuring compliance with the Federal Acquisition Regulations (FARs).  Licensing Management - Ensured companies compliance in all 50 states, obtaining secretary of state and DME Licensing where necessary, ensuring timely filing and maintenance of licensing requirements in all states. Compliance Officer – Oversee compliance for Joint Commission (TJC) accredited and FDA regulated DME manufacturer/provider reporting directly to national Corporate Compliance Officer.

Greater Pittsburgh Area

 Responsible for all aspects of Accounts Receivable management, including Medicare, private insurance, patient billing and collections, processing of payments, payment disputes, reconciliations and adjustments, management of hardship program, and ad hoc financial reporting. Solely responsible for reconciliation between systems (CPR+, Sage) between Accounting and Reimbursement Departments ensuring accuracy of revenue reporting. Review of claims prior to billing to ensure accuracy and completeness and that all documentation requirements and standards have been met including compliance with regulatory entities. Medicare specialist responsible for billing of claims and filing of appeals through ALJ level.

Greater Pittsburgh Area

 Managed full accounting cycle for an international metals brokerage firm with average annual sales of $35M+. Responsible for financial reporting, including currency conversions, used by directors for both Pennsylvania office and satellite office in Ontario, Canada.  Managed and administered Letters of Credit (LC) and Cash Against Documents (CAD) financing ensuring payment from international trade. Solely responsible for cash flow management and liaison with financial institutions. Managed administrative employees, computer network, and custom accounting package.