Mandy Burrows Email & Phone Number

King Of Prussia, Pennsylvania, United States

Support value-based care, BPCIA, care management, transitions of care, and informatics initiatives to support clinical revenue operations for the acute care division. Collaborate with ACO, Ambulatory and Multi-Specialty Physician group partners to facilitate high-quality integrated patient care. Lead, monitor, align processes and report regarding Readmission Prevention initiatives, Length of Stay management, Care Management initiatives, Value Based Care programs including commercial payers and CMS programs such as BPCIA and CJR. Collaborate closely with the IS Clinical Systems teams to develop solutions within the EMR to support these initiatives.

King Of Prussia, Pennsylvania

Lead Care Management teams including utilization review, discharge planning and transitions of care processes and documentation. Design and implement denial management applications and standardized processes. tools and process. Reduce clinical variations while creating structured documentation and systems integration with Cerner, NaviHealth, and Midas. Support Value Based Care, Pay for Performance, BPCI-A programs and ACO initiatives.

Richmond, Virginia

Lead and support management teams responsible for centralized scheduling, pre-admit verification services, insurance collections, coding edits, denial management, clinical and technical appeals, and billing for ten acute care facilities. Assist with current and future state design of Cerner Patient Accounting to optimize revenue cycle operations.

Atlantic Region Cbo

Supported and designed key clinical and business solutions in Cerner. Supported Data Integrity and Analytics council, Rules council and high priority roadmap projects. Developed solutions for Solid Organ Transplant documentation utilizing mPage, iview and specialty views. Designed custom documentation for Apheresis documentation in Cerner. Completed initial project work for Bone Marrow transplant coordination between Cerner and CIBMTR. Worked in collaboration with quality and performance improvement to design initiatives in Cerner to reduce hospital acquired conditions such as VTE.

Administer at the elbow clinical application support to Physicians, Nurse Practioners, Physician Assistants, Nurses, Care Partners, and Administrative Specialists. Offer support to clinicians and support staff for Meaningful Use requirements.

Oversee Revenue Integrity Analysts (Nurse Auditors), Technical Appeals Specialist, APC / CCI RHIT coding reviewers. Manage A/R related to clinical appeals, technical appeals or coding edits.

Atlantic Region Cbo

Manage departments responsible for Commercial, Medicare, Medicaid, Hospital Based Physician and Joint Venture Physician billing. Analyze outstanding A/R, net collections, cash flow, net revenue, expenses quality and production. Effectively screening, hiring, training, motivating and evaluation for team leads and billing specialists.

Manage the department responsible for billing and collections of Medicaid AR for Acute care facilities within seven states. Analyze AR trends, cash, and billing process. Effectively screen, hire, train, motivate and evaluate a supervisor and twelve associates.• Transitioned from Premis software to SSI for billing services.• Transitioned hospitals in the Missouri region into the RPAS environment.• Established communications for compliance and late charge with facility client liaisons’.

Richmond, Virginia, United States

Manage three departments responsible for Radiology, Hem/Onc and Laboratory Services. Analyze outstanding AR, gross collections, gross revenue, expenses, and productivity. Assisted in development of IPA for Multi-Specialty Physician practices. Partnered with pharmaceutical suppliers to develop Hem/Onc drug rebate programs.

Richmond, Virginia, United States

Managed all cash receivables including insurance, physician, non-AR, capitation, and management fees. Lead three departments responsible for refunds, cash posting, and treasury services for 107 multi-specialty physician practices and centralized billing office. Standardized daily cash reconciliation process and implemented across all Central Atlantic Division physician practices. Designed and implemented procedures to balance G/L and AR billing systems with cash accounts daily and monthly.

Bachelor Of Science In Health Sciences, Health/Health Care Administration/Management, 3.8

Associate Of Science (As), Registered Nursing/Registered Nurse

Activities and Societies: • Valedictorian • 3.87 GPA • Honor Society, President