Lanie C. Email & Phone Number

Franklin, Tennessee, United States

Franklin, Tennessee, United States

Due to Covid-19, myself and 15 of my employees have been laid off. Any opportunities would be welcomed.

Responsible for management of 11 direct employees and 70 indirect employees located at Maury Regional Medical Center, Wayne Medical Center, Marshall Medical Center and 30 Physician offices.Responsible for overseeing payer credentialing function on the acute side.Responsible for all overseeing all Patient Account functions including: Financial Counseling, Billing, Cash Posting, Collections, Denials, Contract Compliance, Over/Under Payments, Refunds, State Reporting, Scanning, Industrial Accounts, Vendor Relations, 855 Submission, Credentialing, Customer Service. Leader of the MRHS Billing and Coding Compliance Team that reports to the MRHS Compliance Committee.Team Lead for Cerner implementation for Patient Account Services for MRHS.Responsible for reviewing monthly stats and creating action plans to ensure goals are met if needed and reporting to Senior Leadership. Subject matter expert and resource for all Acute and Ambulatory department directors regarding reimbursement.Key player on team to assist in reorganizing the Care Management department. Leading the creation of a CBO environment for MRHS.

Franklin, Tn

Responsible for preparing and conducting via conference call and/or onsite monthly AR reviews for eight Service Centers located throughout the United States. Financial classes include all Medicare, Medicaid and Commercial plans. AR includes active and denial.Responsible for monitoring Service Center AR performance on a regular basis by completing an analysis of completion factors, delinquent follow up, productivity and cash deficits. Provide guidance on ways to meet assigned goals.Key member for the patient statement redesign team. Responsibilities include successful implementation to all Service Centers as well as assist Service Centers with patient concerns and/or questions with the new design.Perform onsite reviews with the Vendor Collection Management team to ensure performance of contracted Vendors is meeting all contractual obligations. Responsible for acting as a liaison with Corporate contracted Vendors and Service Centers. Vendors include bankruptcy, estate and collection.Responsible for managing the Corporate Financial Assistance Process for eight Service Centers as well as client individual requirements.Active participant in joint Corporate, COO, Collection and Vendor Collection Directors process improvement meetings to ensure the best demonstrated practices are in place for clients as well as patients.Responsible for completion of the quarterly SOX review to ensure Vendor access to Parallon systems is appropriate.Core team member tasked to evaluate and determine productivity by financial class and geographic location for eight Service Centers and developing a standard QA process for eight centers.Responsible for maintaining Corporate policy and procedures and prepare education materials as needed for new processes.

Greater Nashville Area, Tn

Responsible for directing the daily collection and customer/patient support activities of 25 Collection Specialists and two Team Leads.Responsible for creating and guiding the patient collection processes for those payers that pay directly to the patient.Ensure monthly AR cash collection and AR days goals are met for all Commercial contracted and non-contracted insurance plans as well as Medicare/Medicaid and self-pay patients for 100 clinics located in 21 states.Responsible for creating and maintaining excellent working relationships with peers, clinic staff, physicians and payers along with Corporate departments.Responsible for researching, reporting and assisting in resolving billing and collection issues related to billing guidelines, claim rejections and credentialing issues.Responsible for training collection staff to identify and resolve denied accounts.Worked with clinic Case Managers and Financial Counselors to identify and resolve denial trends.Review and approve all Medicare Bad Debt write off’s on a monthly basis. Responsible for reviewing AR to identify problematic payers to create and implement plans to improve overall AR performance by partnering with those payers.Perform a monthly review of credit balances to determine true credits and ensure refunds are processed timely.Review aged claims for assignment to external collection agency along with monitoring agency performance.AccomplishmentsReduction in overall AR days – January 2013 91.78 to June 2014 44.40June 2013 highest collection month in company history - $43,478,843, June 2013 goal $24,953,123 2014 cash collection goal exceeded by 107%Redesign of collection department employee workload to ensure goals were met Successful implementation of the clinic and Corporate office processes to handle self-pay patientsSuccessful implementation of an external collection agency to handle non-compliant self-pay patients

Brentwood, Tennessee

Responsible for the daily identification and invoicing of 200 clients and managing 16 employees and one Team Lead.Ensure monthly invoices generated for clients are generated timely and accurately and discrepancies resolved in a timely manner.Responsible for creating and maintaining excellent working relationships with client Business Office contacts as well as MRA contacts within the field.Responsible for ensuring monthly revenue goals are achieved and working closely with Operations to develop action plans when monthly goals are not achieved.AccomplishmentsReduction in external vendor processing costs to save an average of 33% savings from 2011 to 2012.In-house productivity increase of 18% from 2011 to 2012.

Nashville, Tn

Responsible for managing the daily collection and customer support activities of 20 Collection Specialists and two Team Leads. Ensure monthly AR goals are met for all Blue Cross Blue Shield and Medicare HMO insurance plans for 29 facilities located in Arkansas, Idaho, Indiana, Kentucky, Oklahoma, Tennessee, Utah and Washington. Responsible for creating and maintaining excellent working relationships with insurance carrier provider representatives. Perform monthly Operation Review reports for HCA AR as well as non-HCA AR that is managed within the Shared Service Center and present to Shared Service Center COO as well as to facility CFO’s as requested.

Nashville, Tn

Responsible for providing support for the Charity Review Tool for all Patient Account Service Centers. Responsible for granting security access and terminating access for the HCA Shared Services Group Financial Services Division and Corporate Vendors as well as maintain excellent working relationships. Perform Sarbanes Oxley quarterly reviews. Assist Corporate Director’s, Manager’s and AVP of Billing, Collections, Support Services and Patient Access functional areas.

Richmond, Va

Responsible for the review and approval of patient accounts which meet the Federal Poverty Guidelines as well as within the HCA Healthcare Charity policy. Responsible for meeting an 11 million-dollar Charity Budget for 30 hospitals located in Virginia, West Virginia, New Hampshire, Kansas and Missouri. Ensure all logs including Charity, Medicare Bad Debt and Cross Over logs are balanced to facility GL’s monthly and delivered on or before monthly deadlines as well as balancing for HCA Corporate deadlines. Complete audit requests for both internal and external audits, including Medicare

Richmond, Va

Responsible for developing and creating the Workers’ Comp Department within the PAS including g developing policies and procedures for 30 hospitals. Hire and train 6 employees on daily collection processes. Ensure monthly collection goals as well as performance standards are met within the department. Average total collected per month 4.0 million. Ensure rules and regulations for multiple states including Virginia, West Virginia, Ohio, New Hampshire, Maine, Kansas and Missouri are followed and work with each state to develop excellent working relationships.

Richmond, Va

Oversaw various projects within the PAS including successful build out projects and implementation of new tools. Business Continuity Coordinator for the PAS. Responsible for developing and implementing a successful Continuity Plan for three key operational departments. Developed relationships with corporate contacts as well as Business Continuity Coordinators across the company. Participant on the PAS Process Improvement Team. Responsible for reviewing various positions and their duties along with presenting the findings to the PAS Management and Administrative teams.

Richmond, Va

Develop policies and procedures for the Supply Chain Services Customer Service Department. Oversee the daily activities of five Customer Service Representatives. Responsible for implementation of the HCA Tivoli Problem Management System. Superb customer service to the Central Atlantic Division Mangers, Directors, Administrators/Vendor Representatives. Responsible for the Sherwood Avenue expansion project and the re-location of the Supply Chain Services Accounting and Purchasing Departments

Adminstrative Assistant

Education record