With over 25 years of expertise in healthcare billing and collections, I am a seasoned leader with a strategic mindset, dedicated to delivering innovative solutions for process improvements and fostering robust payor relations. As a Lean Six Sigma Master Black Belt, I have successfully spearheaded numerous continuous improvement initiatives, elevating operational efficiency and effectiveness within high-profile healthcare organizations.Currently serving as the Founder and Owner of Opulence Medical Management, LLC, a consulting firm specializing in revenue cycle management for healthcare providers, I bring a wealth of experience in steering best-in-class operations. My proficiency spans revenue-cycle operations, accounting, finance, claims and billing processes, and adept staff management. Holding certifications as a Strategic Thinking and Strategic Planning Professional, I have consistently made sound business decisions, yielding optimal outcomes.I am passionate about expanding my professional network and sharing my extensive knowledge with individuals interested in the dynamic field of healthcare.
Opulence Medical Management
-
FounderOpulence Medical Management Jan 2022 - Present- Spearheaded revenue-cycle operations in prominent healthcare organizations, driving best-in-class - strategies and achieving measurable results.- Applied Lean Six Sigma methodologies as a Black Belt, leading to innovative solutions and substantial process improvements, resulting in enhanced operational efficiency.- Demonstrated a servant leadership style as a trusted advisor, fostering team engagement and motivation, and consistently delivering on critical business decisions.- Proven track record in establishing and maintaining impactful payor relations, contributing to the overall financial health of the organizations.- Received recognition as a dynamic industry leader with strong critical-thinking skills, consistently translating into successful business outcomes and positioning as a strategic partner in high-visibility settings.
-
Director Of Payer Relations And Revenue Cycle ManagementGrandcare Health Services Jun 2020 - Dec 2021Pasadena, California, Us- Directed comprehensive responsibilities for revenue cycle management, accounting, finance, and team leadership in a prominent home health services provider specializing in orthopedic rehabilitation.- Identified and improved critical AR and billing processes, delivering key metrics and recommendations to enhance business drivers for executive leadership.- Orchestrated optimization of accounting and financial processes, reducing the month-end close finance process by 50% from 18 to 9 days.- Led a swift transition from QuickBooks to Sage Intacct within a six-week timeframe, achieving an efficient system implementation.- Achieved operational efficiency by decreasing DSO from 95 to 39 days (a 59% reduction), streamlining accounts payable processing to a two-day timeframe, and significantly impacting payor relations through securing eight new health plan contracts and amending two existing contracts. -
Claims/Billing ManagerUnitedhealth Group Mar 2019 - Jul 2020Us- Administered accurate billing processes in compliance with regulations and organizational standards.- Resolved billing discrepancies through detailed analysis, minimizing financial impact.- Collaborated cross-functionally to streamline billing procedures for enhanced efficiency.- Managed billing software implementation and maintenance, optimizing workflow- Provided exceptional customer service, addressing inquiries and concerns professionally. -
Post Bill Accounts Receivable SupervisorCare Ambulance Services, Inc. Jan 2019 - Mar 2019Orange, Ca, Us- Led a 15-member team in overseeing claims and billing processes for a specialty company focused on hearing aid service reimbursement.- Managed comprehensive operations, ensuring strict adherence to contracts, policies, and proficient revenue reporting.- Implemented and enforced policies and procedures, optimizing service quality through streamlined efforts.- Offered expert guidance on Medicaid regulations, medical group claims risk, DOFR, and HMO Matrix to the team and peers.- Conducted a thorough process assessment, resulting in the resolution of open issues and the successful collection of $1.5M in outstanding claims over two years. -
Billing SpecialistLewis Brisbois Jun 2018 - Jan 2019Los Angeles, Ca, Us- Led the Post-Bill Accounts Receivable team, ensuring accurate and timely processing of claims and invoices.- Implemented streamlined processes, resulting in reduced billing errors and improved claim approval rates.- Conducted regular audits to identify discrepancies, implementing corrective actions for enhanced billing accuracy.-Collaborated with cross-functional teams to resolve complex billing issues and improve revenue cycle efficiency.-Trained and mentored team members, fostering a culture of continuous improvement and accountability. -
Accounts Receivable Claims ManagerAccentcare, Inc. Oct 2011 - Apr 2018Dallas, Texas, Us- Rapidly ascended from supervisor to manager at Accent Care, leading a 30-member team in supporting a rapidly expanding, multi-state home care organization.- Spearheaded integration strategies for high-volume acquisition activities, overseeing data conversions, processing transitions, comprehensive training, and staff management.- Initiated and executed multiple continuous improvement initiatives, including system conversions from AS400 to ContinuLink and HomeCare HomeBase (HCHB), enhancing operational efficiency.- Implemented 835 and 837 electronic submission of claims, optimizing the process of retrieving Explanation of Benefits (EOB) from payors.- Achieved and maintained 98% accuracy in annual audits, ensuring billing compliance and documentation adherence to accurate coding standards. -
Insurance Accounts Receivable SupervisorSt. Jude Heritage Healthcare Oct 2010 - Oct 2011- Managed daily billing and collections for HMO, PPO, Managed Care, and IPA insurance payers, ensuring efficient communication for timely claims payment.- Handled billing and claims for specialty providers, identifying and resolving trends in delayed or denied payments.- Analyzed trends to achieve such as specific outcome, percentage improvement in the resolution of payment delays.- Successfully collaborated with provider relations to escalate projects with major payors, such as Blue Cross Blue Shield, yielding positive outcomes.- Ensured effective communication with insurance companies, resulting in improved claims outstanding management and timely payments.
-
Government Accounts Receivable SupervisorAir Methods Jan 2008 - Jan 2010Greenwood Village, Colorado, Us -
Call Center SupervisorTenet Healthcare Jul 2006 - Dec 2007Dallas, Texas, Us -
Ar SupervisorSher Institute For Reproductive Medicine Oct 2004 - Jul 2006
Lynette G. Skills
Lynette G. Education Details
-
Nova Institute Of HealthMedical/Clinical Assistant -
Montclair High SchoolHigh School Diploma
Frequently Asked Questions about Lynette G.
What company does Lynette G. work for?
Lynette G. works for Opulence Medical Management
What is Lynette G.'s role at the current company?
Lynette G.'s current role is Healthcare Innovator | Strategic Founder @ Opulence Medical Management | Driving Efficiency & Profitability in Healthcare Operations | Transforming Patient Care with Lean Six Sigma Methodologies ππππ₯.
What schools did Lynette G. attend?
Lynette G. attended Nova Institute Of Health, Montclair High School.
What skills is Lynette G. known for?
Lynette G. has skills like Leadership, Auditing, Team Building, Variance Analysis, Public Speaking, Peoplesoft, Medicaid, Ub04, Insurance, Hcfa, U.s. Health Insurance Portability And Accountability Act, Medicare.
Free Chrome Extension
Find emails, phones & company data instantly
Aero Online
Your AI prospecting assistant
Select data to include:
0 records Γ $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial