Karen Wolfe

Karen Wolfe Email and Phone Number

Application Systems Specialist @ Community Health Systems
franklin, tennessee, united states
Karen Wolfe's Location
Nashville, Tennessee, United States, United States
Karen Wolfe's Contact Details
About Karen Wolfe

Accomplished senior healthcare professional offers over 20 years expertise in the management of the Healthcare Revenue Cycle. Extensive knowledge in all areas of healthcare operations with expertise in Payer Contract Management, Process Development, Process Improvement, Product Management, and Denials Management.Specialties: Team building, problem identification and resolution, project management, extensive documentation, process development,and presentation skills.

Karen Wolfe's Current Company Details
Community Health Systems

Community Health Systems

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Application Systems Specialist
franklin, tennessee, united states
Website:
chs.net
Employees:
7310
Karen Wolfe Work Experience Details
  • Community Health Systems
    Applications Analyst Specialist
    Community Health Systems Sep 2014 - Present
    Franklin Tn
    • Revenue Cycle Workflow Subject Matter Expert• Implementation of Ontario’s Artiva Workstation Product for 130 Facilities across 6 Regional Service Centers• Assisted with Artiva Product development with the Vendoro Automated Adjustments Processeso BARRT (Communicator Tool) Integrationo National Call Center (Self Pay)Integrationo Recondo Claim Statusing Processeso Payment Compliance Processeso Denials(Technical and Clinical) Processes• Testing of the workflow processes o Internal Testingo External Testing• Documentationo Technical support documentationo Process documentation• System Maintenanceo Maintained all the system tableso Maintained User tableso Maintained additional environments• System Support• Project Management for Artiva Projects
  • Xtend Healthcare, Inc
    Project Director
    Xtend Healthcare, Inc Feb 2014 - Aug 2014
    Greater Nashville Area, Tn
    Project Director for a large healthcare system in the Mid-West utilizing the Epic patient accounting system.Responsible for over 90 Days Accounts Receivables for several hospitals.Developed procedures for appealing and recovering Denials.Oversight of staff of 50 full time employees
  • Xtend Healthcare, Inc
    Revenue Cycle Consultant
    Xtend Healthcare, Inc Jun 2012 - Aug 2014
    Hendersonville, Tn
    Performing Revenue Cycle consulting on a special project to consolidate a group of faith-based non-profit hospitals in the greater Chicago area into a centralized business office to develop efficiencies and increase net revenue.Two year project specializing in the facilitation and development of the Denials and Payment Variances, Revenue Integrity, and Quality Assurance departments. Project deliverables include the development of best practice process flows, policies and procedures, education documents, guiding principles, and key performance indicators with the designated process team members. Assisting with implementation of the Ontario product Artiva as the patient accounting system.
  • Itac
    Business Analyst
    Itac Jan 2012 - Jun 2012
    Brentwood , Tn
    .• Worked on Pilot project for Wellness programs producing statistics for the engaged sites to Leadership.• Analyzed Biometric data and develop reports to show the progress of the participant’s improvements since enrolling into the programs.• Produced Executive and Monthly reports to show the progress of the Pilot project and how many participants are engaging in the Wellness programs offered.
  • Dell
    Business Systems Senior Advisor
    Dell Jan 2008 - Aug 2011
    Greater Nashville Area, Tn
    Worked on a special project Technology Roadmap to highlight the service areas we currently provide. Researched potential vendors who could assist us in the addition of technology to further improve our offerings.Currently working on the implementations of the Artiva (offered by Ontario Systems) project. Specialize in creation of testing documents , building pools, and other system administrator dutes. Work very closely with the Vendor as the system has been developed.
  • Perot Systems Government Services
    Senior Channel Manager
    Perot Systems Government Services Jan 2008 - Aug 2011
    Greater Nashville Area, Tn
    Worked with a team of Developers on the Xcelys(formerly ePrime) program. The goal of the project was to automate the processes of the Business office collections. Specilized in testing of the developed processes.worked with alpha site to further develop the processes including eCapture and eWork.
  • Hca
    Managed Care Contracting Manager
    Hca Jan 2002 - Dec 2007
    Nashville Pas
    Managed a team of 8 Contract Modelers to model the Managed Care contracts for 27 HCA facilities. Worked closely with the Managed Care Vice Presidents to resolve contract disputes and resolve issues. Provided support to the teams that followed up and resolved the disputes which resulted in the collections of millions of dollars for the Nashville PAS.
  • Hca
    Managed Care Discrepancy Manager
    Hca 2003 - 2006
    Nashville Pas
    Managed the team of 17+ analysts who were responsible for identifying the account/accounts which were paid incorrectly by the Managed Care Payers. Worked discrepancies for 27 HCA Facilities. We were often in the top 3 of the 10 PAS for having top statistics-turn around time in identifying discrepcies.
  • Hca
    Contract Modeling Advisor
    Hca Jan 2000 - 2002
    Nashsville Pas
    Modeled Managed Care Contracts for 5 HCA Facilities to enter the terms of the Contracts. Information was utilized to determine discrepancy issues with major payers. Worked with Managed Care VPs to ensure contract terms were accurate and adhered to by the payers.

Karen Wolfe Skills

Process Improvement Software Documentation Revenue Cycle Healthcare Healthcare Information Technology Hipaa Healthcare Management Business Process Improvement Managed Care Hospitals Healthcare Consulting Leadership Ehr Project Management Epic Systems Emr Medicare Management Medical Coding Medical Billing Strategic Planning Team Building Quality Assurance U.s. Health Insurance Portability And Accountability Act Cerner Health Information Exchange Cpoe Medicaid Informatics Healthcare Industry Electronic Medical Record Healthcare Information Technology Financial Analysis Contract Management Excel Word Meditech Problem Solving Documentation Process Flow Hl7 Business Analysis Visio

Karen Wolfe Education Details

Frequently Asked Questions about Karen Wolfe

What company does Karen Wolfe work for?

Karen Wolfe works for Community Health Systems

What is Karen Wolfe's role at the current company?

Karen Wolfe's current role is Application Systems Specialist.

What is Karen Wolfe's email address?

Karen Wolfe's email address is ka****@****inc.com

What is Karen Wolfe's direct phone number?

Karen Wolfe's direct phone number is +173196*****

What schools did Karen Wolfe attend?

Karen Wolfe attended Western Kentucky University.

What skills is Karen Wolfe known for?

Karen Wolfe has skills like Process Improvement, Software Documentation, Revenue Cycle, Healthcare, Healthcare Information Technology, Hipaa, Healthcare Management, Business Process Improvement, Managed Care, Hospitals, Healthcare Consulting, Leadership.

Who are Karen Wolfe's colleagues?

Karen Wolfe's colleagues are Orlondre Lawrence, Itil, Kyndra Riley, Victor Infante, Brianna Middleton, Heather Mccoy, Donna Martz, Bill Boswell.

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