Lexi Allembaugh, Ms, Cpc Email & Phone Number

Oklahoma City Metropolitan Area

 Guided workgroup to restructure Pre-Doctoral Clinical Scheduling. o Project resulted in 30% increase in patients scheduled, while chair availability was cut in half due to COVID restrictions.  Collaborate and led teams that encompass Deans, Chairs, Directors, Managers, and front-line staff to identify current Revenue Cycle processes that are currently inefficient, and lead project teams to design and implement processes that are more efficient.o Project has resulted in a 60% decrease in Outstanding AR, and maintained.  Strategically worked with IT, Dental Informatics, Data Analyst, and Data Warehouse team to identify data needed to create and implement Power BI Dashboards for accountability matrixes across the college. o Project resulted in the implementation of Power BI dashboard for Department Leadership the ability to track revenue, expenses, and HR related data.

Oklahoma City, Oklahoma Area

 Manage staff; including hiring, training, performance reviews and disciplinary action. Led workgroup to strategize, analyze, plan, budget, ROI and create processes to consolidate referral and authorization for 72 primary care and specialty clinics.  Successfully worked with Section Chief of Maternal Fetal Medicine, Director of Revenue Cycle, and Department Billing Manager to identify areas of improvement in coding, charge entry, and follow up.o Project resulted in an increase in monthly charges of $300,000, and increase in monthly payments of $100,000.  Collaborated with Patient Accounts Assistant Director, Department Billing Managers, and IT to consolidate all Indian Health Billing functions.o Provided leadership to staff to reduce outstanding AR by $880,000 within four months. Work directly with Section Chief, Clinic Administrator, Clinic Manager, and Patient Services Representative to identify efficient process to obtain Oklahoma Health Care Authority (State Medicaid) High Risk OB Ultrasound authorization. o Developed and presented training material to cover all steps required to complete process.o Provided tools to track volumes and workload. o Project resulted in an increase of approved authorizations by 50%. Develop, analyze, and present revenue cycle related reports to Chair, Section Chief, Executive Leadership, Business Administrators, Billing Managers, and Clinic Administration. Provide knowledge and training to Billing Managers, Clinic Managers, and staff to identify areas of improvement to optimize revenue cycle practices.  Plan and facilitate monthly staff development meetings. Created, analyzed, and presented reports for budget consideration.

 Implemented platform to reduce accounts receivable over 60 days from 29 percent to 13 percent by providing leadership through my knowledge and experience to staff, and coordinating timely revenue with payers.o Within six months, we decreased the accounts receivable over 60 days to less than one percent. Identified errors in billing, created review process of Physician coding and staff data entry to maximize revenue.  Acquired new physicians, precisely over saw credentialing, contracting and billing to ensure trust in our organization and implementation.

Tulsa, Oklahoma Area

 Collaborated with Chief Financial Officer, Clinic Finance Manager, Patient Account Representative Supervisor, and Data Analyst to identify and create processes and procedures to decrease the number of days in accounts receivables.o Within two months, average days in accounts receivables went from 53 to 22 days.  Diligently collaborated with Nurse Managers, Program Administrators, and Health Information Technology to train front office staff on the proper process of checking in and out patients.o Immediately, data entry and insurance policy information became more accurately collected, and input to the Patient Management System.o Within two months, this training reduced claim submission errors by 60 percent.  Successfully worked with front office staff to obtain missing referrals and/or prior authorizations for specialist visit and procedures.o Developed and implemented processes to decrease the number of missing referrals and prior authorizations.o Within one week, amount of missing referrals and prior authorizations went from 50 to 5. Precisely managed accounts receivable process, insurance billing and collections that resulted in an overall decrease of 70 percent, and maintained.  Evaluated areas of the clinic workflow responsibilities. Utilized my findings to implement Patient Financial Counseling (PFC) and Referral Nurse training.  Developed and implemented a flexible process for three facilities to ensure accurate obtainment of SoonerCare referrals and prior authorizations for sleep studies.

A/R consulting

Tulsa, Oklahoma Area

 Obtained and evaluated patient health benefits, and counseled patients regarding procedures and cost.  Established and maintained successful professional working relationships with physicians, management, residents, staff and outside organizations.  Created policies and implemented procedures to increase revenue through patient balance collections from 50 to 80 percent.  Effectively ensured professional business relationships with Medicare, Medicaid, OHCA, Oklahoma State Disability, and Commercial Insurance carriers.  My knowledge, skills, and abilities in the Healthcare field allow me to ensure the effective management of patient and employee concerns to achieve positive outcomes.

Master'S Degree, Health/Health Care Administration/Management

Bachelor'S Degree, Health/Health Care Administration/Management