Jane Porter Email & Phone Number

Onamia, MN

• Responsible for developing and implementing clinical best practices, policies, and procedures
• Reviews policies and procedures for compliance with state licensure standards and regulations
• Develops and maintains quality assurance standards and procedures
• Conducts audits of medical records to ensure compliance with accreditation requirements
• Documents new policies and procedures according to ensure compliance
• Identifies opportunities for improving the quality of care

Brooklyn Park, MN

• Works with individuals and groups to clarify and develop a plan to work towards attaining goals and objectives with an emphasis on life-work balance
• Provides telephonic coaching to clients on a range of wellness topics including stress management, smoking cessation, and life changes (divorce, illness, job loss)
• Works with clients one on one to develop a personal plan of action including baby steps, finding support and behavior modification to reach realistic set goals
• Follows up with clients to fine tune action plans and to set new goals and objectives

Isle, MN

Baxter, Minnesota, United States

Brooklyn Park, MN

Nashville, TN

Greater Minneapolis-St. Paul Area

• Completed NextGen billing and claims configuration for a large public health system
• Build of charge definition master (CDM)
• Determined correct CPT and HCPCS codes for the services to be performed
• Educated providers on changes/updates to billing regulations
• Trained practice end users on patient registration, electronic health record documentation, billing and claims within the NextGen EHR
• Supported billing staff during Go-Live implementation

Greater Minneapolis-St. Paul Area

• Supported 28 cost centers/departments including: Inpatient, behavioral health, chemical dependency, transplant, dialysis, home health, hospice, internal medicine and rheumatology to maximize revenue capture
• Built performables, professional and technical (facility) charge codes in the Epic billing system for assigned cost centers
• Worked with departments to evaluate existing charges and to discover opportunities to maximum reimbursement
• Created billing workflows and charging methodologies pursuant to regulatory requirements
• Educated billers, coders, department managers and providers on regulatory changes and updates
• Trained providers and other staff on how to complete documentation, charge capture and new charge implementation

Robbinsdale, MN

• Developed and maintained the Charge Description Master (CDM) for all departments and cost centers
• Completed build of EAP charge codes in the Epic billing system
• Facilitated the coding and charge master build for all new services and determined the appropriate pricing for each new/updated charge code
• Reviewed charging activities of each department to ensure that all activities are accounted for in the CDM and were priced appropriately
• Routinely evaluated and documented the revenue capture process for each department and identified process improvements
• Conducted routine claims analysis to verify charge master compliance and to identify revenue improvements

• Maintained the Charge Description Master (CDM) for Pharmacy, Lab, Substance Abuse, Homecare/hospice, Chronic Pain, Neuroscience & Spine, Respiratory Therapy and Sleep Center clinical areas
• Assessed how new/changing regulatory/contractual issues impact the CDM and determined what changes/updates needed to be made to accommodate these updates
• Implemented necessary updates/changes to the CDM, charge tickets and educated the appropriate staff to ensure that charges are billing correctly. Completed troubleshooting charges that are not dropping correctly
• Developed and documented policies, procedures and methodologies. Conducted training of department staff on any changes to existing or new methodologies
• Facilitated “Go-Live” projects for EPIC implementation for assigned clinical areas. Worked with Affiliate clinics and hospitals on their CDM to ensure a smooth transition to Epic
• Created CDM line items with CPT/HPCS codes and the appropriate billing units embedded to ensure that the amount administered is converted into the correct billing units

Minneapolis, MN

• Supervised a billing, customer service and support staff of 18 that were responsible for getting an average of $7.5M per month in claims to the payers using 3 different billing systems
• Actively participated on several revenue cycle improvement committees with a primary focus on getting clean claims to the payers in order to have a positive impact on our A/R. Included working with the front end to.
• Monitored billing metrics to ensure that claims were being billed by our department and processed by the payers in a timely manner
• Completed review of employee’s work to ensure that quality and productivity standards were being met
• Developed, documented and implemented processes, policies and procedures that resulted in a more efficient workload and improved our ability to get claims processed quickly
• Empowered team members to find, grow and apply their strengths to their day to day workload.

• As the manager of the revenue cycle, I designed and implemented A/R policy and procedures that resulted in reducing the average days in A/R from 43 to 37 and reduced the daily average outstanding A/R balance from $1.8.
• Served on EMR committee and was the Project Manager for set up and design of new GE medical record and billing systems for a large multi-specialty clinic
• Responsible for negotiation and oversight of an $835,000 department operational budget including completion of RFP’S and contracting of vendors
• Managed a staff of 15 full time and 3 part-time billing representatives
• Lead a quarterly team building event/workshop with staff members
• Trained and worked with registration and scheduling staff to ensure that patients were set up correctly

• Investigated and responded to patient inquiries by telephone, correspondence and e-mail regarding billing questions, claim and account status to ensure customer satisfaction
• Resolved coding issues
• Researched and processed adjustments from various insurance carriers for incorrectly processed charges which resulted in increased revenue
• Assisted with staff development by training new staff on policy/procedures and training existing staff on ways to improve our revenue cycle
• Responsible for auditing claims for accuracy to ensure that maximum reimbursement had occurred

Certified Life Coach, Life Coaching

Activities and Societies: Member of Certified Coaches Alliance

Bachelor Of Business Administration, Business Administration, Cost Accounting

Nursing

Nursing Program

Education record

Certification, Arcr: Resolute Hospital Billing Revenue Intergrity