Sharron Alderman, Bsb, Cham, Crcr Email & Phone Number

Lucedale, Ms, Us

Works as a Team Member with Internal and External Clients to ensure Authorization Manager, Order Manager, and AccuPRE tools are working properly for clients utilizing Authorization Services and ensure Authorization Manager is implemented and updated in a timely manner for clients. Oversee and manage Authorization Research Analysts and Business Analysts who are responsible for researching payer requirements and updating authorization rules for clients utilizing the Authorization Tool. Oversee payer build tasks for Implementation of new clients on Authorization Manager tool. Responsible for monitoring payer requirements for any changes to authorization rules and maintain an up to date repository of authorization requirements and forms by payer.

Mobile, Alabama Area

Responsible for analysis of client 835/837 data for Pain Points and analysis of client Bill Scrubber Edits for recommendation of QA edits to ensure a clean claim. Conduct Medicaid research for each client, which includes regulations, billing requirements, AID Categories, and prior authorization requirements. Recommend Medicaid edits to client based on research. Review payer contracts for client to determine reimbursement methodology for Payment Estimation Tool. Review payer contracts and prior authorization requirements for Authorization Manager Tool. Create Authorization rules for Programmer to incorporate into client’s User Interface. Create customized Medicare Secondary Payer edit build for each client. Edit Build includes edit logic and problem statement. Manage multiple priorities utilizing the department project time management board. Conduct weekly calls and QA sessions with client to ensure project is implemented within established timeline. Conduct onsite training for client. • Served as Authorization Manager Tool Initiative Chair• Created workflow and edit table for Authorization Manager Tool• Updated all Training material for Implementation Department• Consistently meet metrics of Analyst Duties so that department meets KPI• Effectively implement and train Patient Access staff on new revenue cycle tools• Effectively communicate with facility and Implementation Programmer during implementation phase

Mobile, Alabama Area

Oversee and manage Authorization Coordinators in their daily performance of authorization screening, submittal to payers, and retrieval of the approved/denied authorization for clients. Oversee and manage Authorization Research Analysts regarding authorization requirements per payer for clients and oversee payer build tasks for implementation of new clients utilizing the AccuReg Authorization Tool. Provide daily/weekly/monthly reporting on productivity to Authorization Coordinators, AccuReg management, and Billing, ensuring that productivity and quality levels are being met. Plan and execute implementation project plan for new Authorization Services clients, working with both the EDI team and Support Programmers. Maintain up-to-date repository of authorization requirements and forms by payer by procedure code by client, including all payer web site logins by client facility.

Responsible for all Patient Access registration at Singing River Hospital, which includes Outpatient, Emergency Room, and Singing River Medical Park. Effectively manage 1 Supervisor and 19 employees. * Ensure accurate and complete registration. * Ensure Up-front collection goals are met. * Ensure HB Claim Edit WQ goals are met

Revenue Integrity Department

Responsible for implementing and monitoring the overall quality assurance efforts for all registrations within Singing River Health System, including both hospital and professional billing. Work closely with ADT and Cadence Epic teams to resolve issues affecting registration quality and develops effective quality assurance reporting.* Consistently achieved weekly metrics for Epic ADT Hospital and Professional Billing Claim Edit Work Queues. Reduced DNB's from a goal of $500k per week to zero* Developed Education Modules/Training for Revenue Cycle staff* Conducted effective Training sessions for end users* Reduced Medicare Hospice Denials by 50% after developing and conducting effective training* Serve as Revenue Cycle Focus Group Chair* Co-Chair ABN Task Force* Serve on Denials Committee

Responsible for all Patient Access registration for Ocean Springs Hospital and Outlying Facilities; which included 3 free-standing clinics and 2 Imaging Centers. Effectively managed 3 Supervisors and 27 employees.* Served on Patient Satisfaction Leadership Team to identify concerns and shortcomings with regards to Patient Satisfaction* Pre-registration rate = 90% of scheduled appointments that were ready 24-48 hours prior to patient arrival. Achieved 90+% monthly* Consistently achieved Registration Accuracy rate of 90% for the department* Reduced patient average wait time from 20 minutes per patient to less than 5 minutes

Regional Cancer Center

Responsible for supervising clerical staff at the Regional Cancer Center. Staff included Patient Representative clerks, Medical Records clerk, and Transcriptionists. Ensured that the clinic was staffed to meet the needs of the 3 Medical Oncologists and the 2 Radiation Oncologists, as well as the needs of the patients.* Served as Team Captain for Relay for Life for 5 consecutive years. Helped raise over $10,000 during one campaign* Served as a Liaison for the implementation of Varian Medical Oncology EMR system* Worked closely with clinical staff to ensure precertification of cancer therapy drugs and radiation treatments

Responsible for ensuring all Medicare Professional Billing claims passed Medical Necessity checks and passed claim edits. Ensured that all secondary claims were filed correctly. Responsible for follow-up on any outstanding claims. Filed appeals to Medicare as deemed necessary.

B.S.B, Business Administration And Management, General, 3.8

Activities and Societies: Sigma Beta Delta International Honor Society Who's Who Among Students in American Universities and Colleges

Associate'S Degree, Business Administration, 3.9 Gpa