Stephanie Ramsey Email & Phone Number

Greater Atlanta Area

• Establish and maintain strong business relationships with health plans• Serve as the primary contact for assigned health plans and act as the liaison between the payor and all financial and clinical departments within Children’s, including, but not limited to, Managed Care, Credentialing, Patient Accounting, Utilization Management, Utilization Review, Legal, Health Information Services, and Physician Practices• Manage contracting activities for commercial and managed governmental insurance plans on behalf Children's facilities, 500+ physicians, including primary and multispecialty physician groups, and several ancillary facilities (including rehab, imaging, surgical, and behavioral health) • Coordinate financial analyses to determine cost coverage and advantageous payment methodologies for contract negotiations• Negotiate contractual reimbursement rates, language, and regulatory terms for managed care agreements, amendments, and annual renewals with assigned payors • Provide support to patient accounting by researching operational, administrative, and claim payment issues to pinpoint a root cause, and collaborate with the appropriate parties to derive a solution• Organize and lead quarterly joint operation committee meetings between the health plan and Children’s leadership teams to escalate and resolve trending and outstanding operational, administrative, and claim-related issues• Identify adverse health plan policy updates, quantify the negative financial impact for Children’s, and formally protest such policies with health plan• Educate and train appropriate parties within Children’s on Managed Care Agreement and health plan policy changes prior to implementation

Greater Atlanta Area

- Manage comprehensive payment review projects for hospital systems in Texas, Alabama, and Oklahoma - Serve as primary client contact and generate project-end analysis of team's findings, including deliverables that offer recommendations for recovering lost revenue and maximizing future reimbursements through managed care contracting - Execute detailed analytical reports to quantify underpayment patterns and present all findings to client CFOs, managed care staffs, business office directors, and patient accounting staffs- Create projections of financial results, staffing needs, and project completion dates to communicate the overall project status to Triage principals and managers through weekly meetings and reports- Oversee, train and evaluate a team of up to five Associate staff with the goal of advancing both the project and the Associate's development - Lead recruiter for UNC Chapel Hill campus. Responsible for event planning, facilitating information sessions, candidate correspondence, and assisting in candidate interviews

Atlanta, Ga

- Analyzed managed care contracts and government payor fee schedules and audited patient accounts to identify contractual underpayments for hospitals - Identified underpayments based on revenue cycle error classifications to help hospitals pinpoint areas of weakness and implement process improvements - Contacted insurance companies to secure payments for hospital clients - Worked on team-based managed care, Medicare and Medicaid payment review projects for hospitals in Texas, Alabama, Indiana, Arkansas, Georgia, California and Nevada - Compiled and co-presented results, recommendations, and trainings to CFOs, managed care staff, business office directors, and patient accounting staff

Chapel Hill, Nc

- Developed and implemented a new program component within Campus Recreation that plans, organizes, and runs special events related to physical health and well-being for the entire student body - Identified trends in special event attendance and use evaluations to revamp and design more desirable events for students with all levels of physical activity, which resulted in a significant increase in participation in one year - Promoted and market events effectively to create enthusiasm for all levels of physical activity, which has resulted in an increase of student and faculty participants with no sport club or intramural affiliation

Chapel Hill, Nc

- Researched healthy living and financial literacy information and developed the curriculum for a research project called HOPE Accounts for Women, which aims to reduce obesity for low-income women in eastern North Carolina - Created a journal that allows the participants in the research project to have supplemental information for each session in the curriculum and enable them to further reflect on what they learn - Assisted in the preparation, randomization, and administration of the baseline survey by adhering to the project protocol - Worked effectively with the HOPE Accounts team to prepare and organize details for the start of the research project - Collaborated to problem-solve recruiting, compliance, and communication issues with the project

Durham, Nc

- Promoted the Duke Farmer’s Market to Duke employees and helped increase the participation numbers from the previous summer - Developed a detailed procedure for setting up, running, and cleaning up the Duke Farmer’s Market, which resulted in a more efficient process that is now used every week

Bsph, Health Policy And Management

Activities and Societies: Alpha Phi Omega Service Fraternity Worked for UNC Campus Recreation Intramural soccer, tennis and volleyball

Minor, Entrepreneurship/Entrepreneurial Studies