Mary Bea Gallagher Email & Phone Number

Renton, Washington, Usa

Provide IT management to service lines across the enterprise, specializing in partnering with services lines to consolidate data centers, centralize applications for ease of support and cost reduction. Examples of services include: Senior and Community Services: Partner with the Senior and Community Services division to build, deliver, and maintain information technology and technology advocacy in delivery of community-based patient care as sustainable businesses in Home Health, Hospice and Palliative Care; Skilled Nursing and transitional care; Assisted Living; Infusion and Oral Dose pharmacy; PACE all-inclusive care of the elderly; low-income housing; community services such as food and clothing banks, women's shelters; foundations. Includes EMR and business implementations, connectivity and remote access for clinicians, support and change management for more than 75 applications, and IT support for mergers and acquisitions. Ancillary Applications: Lead teams supporting ancillary applications such as Lab, Radiology, and radiation oncology, including the integration with hospital, ambulatory and specialty EMRs. Research: Provide IT support for Cancer and bench research across the organization, including two major research centers, genomics, and clinical trials in multiple clinical areas and genomics. IT transition for mergers and acquisitions in cancer research, radiation oncology, skilled nursing, pharmacy, home health; included network, domain change, assess applications and consolidation, data center moves, policy and procedure standardization, and development of remote support. Site manager for Health Services NW, a Providence company providing billing and collection services for 8 hospitals and ambulatory services in Washington and Montana; application support, liaison services into Providence IT, call center implementation, IT design for space planning, integration with enterprise EMRs, vendor selection, and project management.

Healthcare consulting services in EMR and ancillary system implementation, interim management, project management, call center implementation, and health plan services. Examples of client projects include:• Stevens Hospital, Edmonds, WA (now Swedish Edmonds): Director of clinical case management and discharge planning for community hospital with broad scope of services including inpatient psychiatry. Created support positions to facilitate top-of-license work within the RN case managers and MSW discharge planners; expanded utilization review, identification of key diagnoses and benchmarking for targeted improvement efforts, protocol development with clinical team, insurance and Medicare reviews and appeals, concurrent coding implementation, and utilization reporting design. Initiated assessment and implementation of Curaspan and Allscripts outplacement software, reducing discharge planning time. Rallied foundation and community funding for safe discharges of low income patients into post-acute care.• Alaska Native Medical Center, Anchorage: Patient Access re-design project involving over 100 project participants in building new processes, implementing new systems, training all users in the hospital, specialty and family clinics; develop audits and dashboards for quality tracking and feedback to staff.• Health Services NW, Renton WA: Call Center implementation, including space planning, vendor selection and implementation, internet payment and EDI claims transmission and payment aspects.• Bay Medical Center, Panama City FL: Manager of Patient Access across inpatient and outpatient services. Improve data quality at patient access points: institute data quality audit for admissions and registrations, with improvement from 45% to 98.5% correct within 120 days – developed employee training, dashboards, daily production and quality feedback; reimbursement and AR days improved. Reduced registration wait time from 50 minutes to 96% in less than 10 minutes.

Healthcare consulting, project management, and implementation services in EMR and ancillary systems implementations, document repositories, in-person and computer-based training, and patient accounting. Examples of client projects include: Rehab Hospital of the Pacific, Honolulu HI: Project Manager for Quadramed’s Affinity suite of products at Rehabilitation of the Pacific in Honolulu, installing Order Entry, financial applications, multiple interfaces, conversions, MPI clean-up, plus MediServe scheduling and clinical documentation products, and inpatient and outpatient pharmacy applications.  Veterans Administration, Cleveland OH: project manager in implementation of a standardized billing system to be used across the VA with the goal of improving revenue recognition of non-service related services with primary coverage through another payor. Quadramed’s Quantim HIM coding product – vendor project management installing healthcare coding software for up to 17 clients at one time across the US; scheduling and status monitoring, task management and reporting, liaise between IT and client HIM user teams, quality customer service. Northeast Medical Center (Memorial Hermann Northeast) Houston: Revenue Cycle Management implementation and optimization; Implemented Quadramed Affinity suite of products with emphasis on Revenue Cycle Management processes from patient access to collections. Charge master build; process development and standardization for data collection and insurance verification; tailor systems fields and rules; create processes for ongoing maintenance of bill "scrub" edits and audits based on clearinghouse edits, payor rejections, and denials; document processes and train staff. Quadramed Implementation Analyst: Software and project management implementation support for EMR, patient accounting, and medical coding in hospitals across the US. Provided on-site implementation and software tailoring, staff training, and process re-design.

Manager of claims processing staff, enrollment, and creation of customer service call center for 120 member physician group with large managed care populations in Tricare and Medicaid. Claims processing and enrollment population as third party administrator in addition to PacMed managed care, with enrollment, benefit plan builds, provider contracting, and Medicare administration. Developed automation tools, expanded electronic claims processing, established audit processes and data-based quality projects, created remote claims processing to support employee engagement within space limitations due to growth, and provided daily metrics toward compliance and contract management.