Lee Chapman Email & Phone Number

Eldersburg, Md

Serves as lead coding and billing and lead operations subject matter expert for fiscal and contract management support of 4-year, $6M (annually) cooperative agreement to the Federal Office of Rural Health Policy, Health Resources and Services Administration.• Provides coding and billing technical assistance to grantees to maximize reimbursement for the delivery of Substance Use Disorder (SUD) and Opioid Use Disorder (OUD) prevention, treatment, and recovery services.• Provides… Show more Serves as lead coding and billing and lead operations subject matter expert for fiscal and contract management support of 4-year, $6M (annually) cooperative agreement to the Federal Office of Rural Health Policy, Health Resources and Services Administration.• Provides coding and billing technical assistance to grantees to maximize reimbursement for the delivery of Substance Use Disorder (SUD) and Opioid Use Disorder (OUD) prevention, treatment, and recovery services.• Provides fiscal and contract management support, including policy and procedure development, budget development and oversight, and contract monitoring. Show less

Eldersburg, Md

• Negotiated and executed 10 contracts with payors in 6 states and the District of Columbia in CYs 2018 and 2019.• Renegotiated contracts with the 5 largest Massachusetts payors in CYs 2018 and 2019- resulting in reimbursement increases of approximately 24% per payor.• Liaised with IT team on the development and launch of a Single Case Agreement system to track and monitor the progress towards completion and execution of Single Case Agreements with payors not currently… Show more • Negotiated and executed 10 contracts with payors in 6 states and the District of Columbia in CYs 2018 and 2019.• Renegotiated contracts with the 5 largest Massachusetts payors in CYs 2018 and 2019- resulting in reimbursement increases of approximately 24% per payor.• Liaised with IT team on the development and launch of a Single Case Agreement system to track and monitor the progress towards completion and execution of Single Case Agreements with payors not currently contracted.• Provide ad-hoc training and education to center operational staff on managed care trends and health insurance operations. Show less

Eldersburg, Md

• Contribute to Health Plan proposals regarding solicitation of new or renewal of Medicaid Managed Care contracts.• Create effective strategies for value-based provider network operations in areas of provider network development, contracting, and provider relations.

North Bethesda, Md

• Held authority over 800+ separate consultants and organizations representing 1,600+ distinct statements of work. • Effectively managed individual program budgets and reconciliations against forecasted expenditures. • Designed and launched first reporting tool used to track approval and execution of consultant agreements. • Approved and reconciled consultant/vendor invoices, saving average of 10% annually from billed… Show more • Held authority over 800+ separate consultants and organizations representing 1,600+ distinct statements of work. • Effectively managed individual program budgets and reconciliations against forecasted expenditures. • Designed and launched first reporting tool used to track approval and execution of consultant agreements. • Approved and reconciled consultant/vendor invoices, saving average of 10% annually from billed charges of nearly $1.85M and paid charges of $1.6M through stringent audit process. • Played key role in company receiving award fee of approximately $387K annually by managing overall contract and individual program budgets. Show less

North Bethesda, Md

• Responded expediently to client requests for information and clarification of project issues, improving client relations. • Led revision of project technical assistance cost worksheet, providing improved transparency and consistency of estimated projected technical assistance costs. • Successfully led completion of project milestones by leading operations team meetings and ensuring alignment and monitoring of project objectives.

North Bethesda, Md

• Submitted 100% of all business proposals on time. • Created company’s first user’s manual for development and updating of project budgets, ensuring 100% accuracy and attainment of system’s fiscal and data requirements. • Trained 10+ Project Directors and Managers on budgetary and contractual regulations, improving decision-making. • Guided 15+ subcontractor partners on formats and budget requirements for business proposal submissions.… Show more • Submitted 100% of all business proposals on time. • Created company’s first user’s manual for development and updating of project budgets, ensuring 100% accuracy and attainment of system’s fiscal and data requirements. • Trained 10+ Project Directors and Managers on budgetary and contractual regulations, improving decision-making. • Guided 15+ subcontractor partners on formats and budget requirements for business proposal submissions. Show less

North Bethesda, Md

• Drafted and drove plans for recruiting 200 child welfare consultant peer reviewers augmenting Federal teams. • Created first interactive client training initiative, earning recognition as best training conducted by contractor. • Developed criteria for consultant reviewer selection, increasing quality of consultants selected. • Compiled review findings for more than 15 states determining compliance against Federal regulations and… Show more • Drafted and drove plans for recruiting 200 child welfare consultant peer reviewers augmenting Federal teams. • Created first interactive client training initiative, earning recognition as best training conducted by contractor. • Developed criteria for consultant reviewer selection, increasing quality of consultants selected. • Compiled review findings for more than 15 states determining compliance against Federal regulations and calculation of potential financial penalties for non-compliance. Show less

Gaithersburg, Md

• Designed company’s automated tool to capture, track, and report commissions of approximately $500K monthly. • Negotiated clients’ employees balanced billed amounts with insurance carriers resulting in savings of 10% to 100% per client bill. • Resolved backlog of up to 100 unresolved claims issues with insurance carriers in 60 days, boosting client satisfaction. • Educated client employees on their benefit plans’ deductible… Show more • Designed company’s automated tool to capture, track, and report commissions of approximately $500K monthly. • Negotiated clients’ employees balanced billed amounts with insurance carriers resulting in savings of 10% to 100% per client bill. • Resolved backlog of up to 100 unresolved claims issues with insurance carriers in 60 days, boosting client satisfaction. • Educated client employees on their benefit plans’ deductible, coinsurance, and copayment provisions. Show less

Rockville, Md

• Reduced clinical staff turnover by 50% in first year by partnering with Clinical Operations Director to develop company’s first monthly bonus incentive program. • Slashed outstanding credit line balance by 100% in 90 days. • Drafted and implemented HIPPA compliance policy. • Improved customer service operational control measures and administrative procedures to enhance patient care delivery.

Baltimore, Md

• Grew organization from start-up to annual sales revenue of $25K per month in less than 1 year in collaboration with CEO. • Reduced client revenue payment cycle by 44% from 44 to 25 days through development of streamlined client reporting. • Reviewed and edited up to 30 client reports per month improving report quality and capturing missed/missing billing opportunities.

Baltimore, Md

• Achieved 100% of service level commitments and steadied employee morale while company was being dissolved. • Single-handedly developed and implemented a statewide provider network of 500+ providers in six months, mitigating the loss of $7M.• Oversaw processing of claims payments in excess of $70M annually.• Reduced claims backlog by 83% in 90 days.• Slashed processing of duplicate claims by 100% and claims processing time by 50%… Show more • Achieved 100% of service level commitments and steadied employee morale while company was being dissolved. • Single-handedly developed and implemented a statewide provider network of 500+ providers in six months, mitigating the loss of $7M.• Oversaw processing of claims payments in excess of $70M annually.• Reduced claims backlog by 83% in 90 days.• Slashed processing of duplicate claims by 100% and claims processing time by 50% through the identification of programming flaws and failed and missing edit checks in the client's claims processing system. Show less

Herndon, Va

Mhsa, Healthcare Finance

Bachelor Of Science (Bs), Public Administration

Activities and Societies: Sigma Nu Fraternity; Campus Police