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Summary of QualificationsHealthcare Practice Management professional with 20 years of claims, practice management, insurance, technical, supervisory and leadership experience. Proven ability to lead project management teams, patient accounting teams and training groups. A self-starter and quick learner with a versatile skill set experienced in Patient Accounting, Project Management, Training, Front office and Admissions, Back Office, billing and collections, IT help desk, Custom report creation from multiple software applications, Provider Service, Customer Service, possessing excellent written and oral communication skills.Areas of Expertise Project Planning and Control Clinic Revenue Cycle Management. Software Implementation Managed Care Practices Medical Claims Processing Medical Collections Medical Terminology Medical Collections Supervision Insurance Verification Medical Admissions Patient Data Mapping File and Table Conversion Provider Service Decision Support Training Sales IT Help Desk Operational Reporting
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Executive DirectorAlpines Gallery Night Inc Jan 2024 - PresentAlpine, Texas, United StatesCollaborate with the board of Directors to identify, create and implement strategic plans to actualize business objectives.Monitor company operations and ensure employees and business practices comply with regulatory and legal requirements.Develop the organizational culture and promote transparency and collaboration throughout the organization.Develop partnerships with company stakeholders, shareholders, industry regulators and other relevant parties.Identify potential risks and opportunities within the organization and its environment to protect business interests.Identify potential sources of investment and organize fundraising efforts.Represent the company at social and corporate events in ways that strengthen the brand and communicate the company’s message. -
Network Management ConsultantBlue Cross Blue Shield Of Texas Feb 2017 - Jan 2024Houston, Texas, United StatesResponsible for contracting large and complex groups/facilities (large independent hospital systems, integrated & non-integrated systems, value-based contracting, etc.). Develop and negotiate contracts to include language and financial terms. Develop and maintain relationships with providers. Ensure strategic coverage for assigned territory, provider recruitment. Responsible for education of providers and for ongoing provider service. Provide subject matter expertise to improve efficiencies and results. -
Operations ManagerCurtis Lawson Homes Jan 2016 - Jul 2016Houston, Texas Area• Purchasing manager responsible for determining project scope, fixture selection, fixture count, ordering precise number of fixtures and building materials utilizing JIT process. • Obtains quotes from vendors and contractors. Reconcile invoices to confirm price, quantity and product selection was accurate.• Tracking and inventory of ordered fixtures and materials.• Responsible for vendor relationships. Working with vendors to confirm product selection, billing, AR and AP are detailed and correct. • Translates complex data and information, designing custom reports to deliver to internal and external stakeholders.• Project Management responsible for scheduling trades to complete construction milestones concentrating on efficiency and cost reduction. Establish short and long range plans by analyzing resources and backlog of trades.• Managed 9 employees (6 plumbers, 3 helpers). -
Operations ManagerAdvantage Plumbing Contractors Sep 2012 - Jan 2016Houston, TxAccount Manager• Responsible for vendor relationships. Working with vendors to confirm billing, AR and AP are detailed and correct. Business Operations Management• Office Management responsible for recording financial transactions, managing accounts payable and receivable; reconciling bank statements; managing payroll; invoicing clients; making federal and state tax deposits; and completing annual tax forms, such as W-2s and 1099s. • Translates complex data and information, designing custom reports to deliver to internal and external stakeholders, insurance providers and government agents.• IT Support for 6 computers and numerous handheld devices.Human Resources Management• Managed 2 office employees and Supervised 5 plumbers/helpers.
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Implementation Specialist/Trainer/Account ManagerGlobal Healthcare Alliance Jan 2011 - Jul 2012Houston, Texas AreaImplementation Management / Account Manager• Data Migration specialist responsible for collecting Patient Demographic, Patient Insurance, and Appointment Data, primary processing and data element conversion and validation of converted client data in an accurate, timely and complete manner. In most cases requiring a one to three business day turn-around time.• Implementation Specialist responsible for confirming that all customized client and demographic data and converted data (patient demographic, patient insurance and appointment data) is collected from the client in an accurate, timely and complete manner, validating all customized client data including Practice Demographics, Practice Locations, Practice Location hours, Service Facilities, Provider Hours, Provider Demographics utilizing multiple online resources including but not limited to NPPES.• Responsible for enterprise level Corporate Software Training, trained up to 14 users in each class. Classes comprised of new client sites, new employees and refresher courses on an as needed basis.Software QA and Build Testing• Build Testing – Software Tester responsible for working closely with the IT Project Manager to ensure that all new element of Emergency and Quarterly builds are completely and accurately tested in 4 environments, Beta, Pre-Prod, Production 1 (off-site servers) and Production 2 (onsite servers)• Lead responsibility for collecting, converting and validating Medicare Fee Schedules across multiple states and localities, collecting, converting and validating Insurance Fee Schedules across dozens of client environments, IPA multiple payer matrix and commercial payer documentation. Requiring PDF, text editing and CSV file conversion into a manageable format. -
Senior Account ManagerChorus Inc. Jun 2007 - Aug 2010Houston, Texas AreaAccount Management• Diagnose patient flow problems from Admissions through Payment posting including but not limited to insurance setup, admissions, sliding scale, billing, claims production, collections, charge posting, patient statements, accounts receivable, EOB and Remittance Advice posting.• Responsible for Revenue Cycle Management and collecting documentation of essential or unique billing processes to FQHCs and CHCs that may be national, state or locality specific.• Actively identifies ways in which clients may improve their practice performance and communicates successes to improve the overall performance of the organizationIT Help Desk• Chorus University Website Administrator: 800+ user profiles for online end-user training website.• Active Directory Structure and Maintenance / Active Directory Trainer: Responsible for periodic ongoing training of Chorus Staff in the usage and structure of Active Directory for 800+ end-users• Tier 3 desktop technical support diagnosing Citrix connectivity, Active Directory Security management, printing problems, software installation and networking, as well as, server efficiency on a daily basis.• Acts as the "single point of contact" for client support issues and, as needed, oversees the progress of issues that may be referred to Production Management, Quality Assurance, DBA, Technical and or Development Staff.• Diagnose patient flow problems from Admissions through Payment posting including but not limited to insurance setup, admissions, sliding scale, billing, claims production, collections, charge posting, patient statements, accounts receivable, EOB and Remittance Advice posting.• Responsible for Revenue Cycle Management and collecting documentation of essential or unique billing processes to FQHCs and CHCs that may be national, state or locality specific. -
Reimbursement AnalystTexas Children'S Hospital Jan 1999 - Feb 2002• Design and Administration of Appeals Database in Microsoft Access and Excel. Advanced training in each program.• Contracts Committee Member.• Contract Performance Improvement Committee Member.• Implemented and Supervised Embassy billing and collections process including database design, informal supervision and training of collectors while working closely with Embassy contacts.• Implemented and Supervised Managed Care Appeals Unit including training, database design, database administration, custom and monthly report creation, informal supervision and training of Appeals Coordinators and Clerks (3).• Initiated Contract Compliance Analysis Unit working with Decision Support to administer the TSI/RMS database. Producing custom reports from TSI/RMS for presentation to the Director.• Informal supervision and training of all collectors (14); Commercial Managed Care, Self Pay, International, Government, Medicaid, Medicare, and Medicaid Managed Care. -
Senior Provider Service RepresentativeAetna Us Healthcare Aug 1995 - Jan 1999• Senior Provider Service Representative / Team Leader – Houston Medical Center• Responsible for training Physician, Outpatient and Hospital staff on the function of NYLCare HMO and PPO products from Admission/Precertification to Billing
Lance Johnson Skills
Lance Johnson Education Details
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Healthcare Administration -
Health/Health Care Administration/Management
Frequently Asked Questions about Lance Johnson
What company does Lance Johnson work for?
Lance Johnson works for Alpines Gallery Night Inc
What is Lance Johnson's role at the current company?
Lance Johnson's current role is Executive Director Non Profit.
What is Lance Johnson's email address?
Lance Johnson's email address is la****@****hoo.com
What is Lance Johnson's direct phone number?
Lance Johnson's direct phone number is +171386*****
What schools did Lance Johnson attend?
Lance Johnson attended Texas State University-San Marcos, Texas State University-San Marcos.
What skills is Lance Johnson known for?
Lance Johnson has skills like Access, Training, Healthcare, Healthcare Information Technology, Management, Analysis, Strategic Planning, Budgets, Hospitals, System Administration, Databases, Managed Care.
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Lance Johnson
Payson, Ut3jacobs.com, patri.com.br, gopatri.com -
Lance Johnson
Boulder, Co4recurrent.io, lgraham.com, gmail.com, napster.com9 +141593XXXXX
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Lance Johnson
New York, Ny1morganstanley.com -
Lance Johnson
New York City Metropolitan Area1atlanticpictures.com -
Lance Johnson
Partner Alliances | Strategic Sales | Business Development | Cybersecurity | Cloud | Network | ServicesTampa, Fl1zscaler.com
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