Robin Mclendon Email & Phone Number

Blairsville, Ga, Us

United States

Murphy Nc

Oversight of Billing Operations and Coding Compliance for 8 multi-specialty clinics owned and operated by Enlarger Health Systems in Western Carolina. Provide leadership to the Coding and A/R team, provide education to staff and providers on matters related to coding and billing. Preform quarterly and annual audits on coding for both provider and staff. Tracking to determine root cause of denials and create plans to prevent them in order to improve the overall revenue cycle. Provide consulting and operational solutions to the operations team when needed. Oversight of provider credentialing.

Blairsville, Ga

Operational oversight of the 13 multi-specialty clinics owned by Union General Hospital and Chatuge Regional Hospital. Responsible for all administrative, financial, clinical and operational aspects of the outpatient clinics within the health system. This includes both RHC and FFS clinics. Manage daily practice operations including scheduling, billing, patient relations, and coordination of testing. Responsible for regulatory compliance and facilities management and development. Direct management responsibility for approximately 82 support and clinical staff including NP/PA, physicians, nurses, medical assistants, medical records and other clerical staff. Assist with developing strategic, financial and marketing plans to ensure the highest levels of efficiencies, productivity and patient care. Use acquired knowledge to ensure efficient and effective clinical and clerical processes and best practices. Promotes a team environment that values employee satisfaction, professional growth and the development of staff. As a direct report to the Hospital CEO, attends executive board meetings and participates in advisory committee meetings. Opened 8 clinics and on boarded 25 providers in 2 years.

Atlanta, Georgia, United States

Provide Coding and Compliance Education and training for coders, office staff and providers. Education includes E&M, Procedural Coding, Incident to and Shared Visit guidelines. Ensure coding compliance. Follow OIG and RAC yearly target lists and preform coding risk assessments and bell curve monitoring. Responsible for yearly internal coding audits for 117 providers and 12 coders. Audits include E&M, Procedures, Hospital, Diagnoses, Medical Necessity and ICD-10 crosswalk training. Implemented electronic charge capture and charge posting system. Responsible for tracking and improving charge lag times for office and hospital charges. Address and respond to patient complaints and provide operational suggestions to improve overall patient satisfaction and prevent risk. PQRS implementation and attestation. Liaison between CBO, hospital, and clinics on billing and coding compliance. Responsible for managing and trending claims denials and insuring timely and accurate communications between CBO and clinics. Maintain charge master, fee schedules and setting self pay rates for all services. Oversight of Centralized Pre-certification department.

Villa Rica, Georgia, United States

Manage day to day operations of multiple clinics including GI, Pulmonary, Infectious Diseases, OBGYN, Surgical, Vascular, Family Practice and Internal Medicine. Manage provider schedule templates to insure productivity and effective use of provider time. Marketing Practices to create growth and maintain positive relationships with referral sources. Manage Clinic Staff including recruiting, retention, team building, cross training, discipline, and time card management. Hold staff and provider meetings to insure effective and consistent communication. Create, maintain and implement consistent and effective standard operating procedures and policies and procedures. Create daily, weekly and monthly productivity and financial reports and report to providers and senior management. Oversee build out of new clinic space. Implement Practice Management, EHR and telephone systems. Assist with mentoring and development of new managers.

Austell, Georgia, United States

Manage Day to Day operations for multi-site practice including front office, back office and scheduling. Created and implemented effective marketing plan and branding that insured growth of overall practice. Implementation of Practice Management, EHR and telephone systems. Management of staff including team building, recruiting, staff retention, and discipline. Responsible for build out of several clinics and ASC’s. Responsible for complete oversight of Billing Department and Revenue Cycle Management. Create and implement compliance plan and risk management.

Atlanta, Georgia, United States

Responsible for all aspects of billing for the practice and the ASC. Payment and charge posting for practice and ASC. Reviewing and working denials for practice and ASC . Training front office staff on reducing demographics errors and reducing denials.

Marietta, Georgia, United States

Responsible for payment posting, charge audits and A/R Clean up as well as special projects as assigned related to billing and revenue cycle. Responsible for provider credentialing. Responsible for training for Front office and Billing Team. Responsible for supporting Practice Manager and performing duties as assigned.