Stephanie Gibbons Email & Phone Number

Nashville, Tennessee, United States

Accountable for strategically building the clinical operations focused on successfully delivering high outcomes to unique clients in a fast paced, high growth organization.

Eden Prairie, MN

• Accountable for clinical operations across multiple lines of business and claims platforms. I work in partnership with our clients, upstream and downstream partners; collaborating on ways to find affordability gains.
• Becoming a Certified Just in Time Coach; July 2022
• Development and Execution of various phases of the MCR Backlog Remediation Plan; In-Progress, Target Date of 2/28/2023 for all processes
• Co-champion of the Pennsylvania Level of Care Retrospective Review, in Partnership with Payment Integrity; recovering $11M in savings against the $15M eligible amount
• Pioneer of Optum Work Router for Enterprise Clinical Services, exceeding target goals of 5% VPH increase and a 2% increase in shrinkage
• 2021 Completion of Automation Projects tied to the MCR Operational Transformation Initiative; project savings of $4.2M

Eden Prairie, Minnesota, United States

• Responsible for creating and delivering on the transformation portfolio that consisted of automated solutions and associated efficiency projects.Key accomplishments consisted of:
• Key driver in the delivery of the Non-Clinical Big Bet Program [Optimization Program] in 2020; 100% process automation through multiple projects resulting in a $7.1 billion S,G,&A savings
• Effectively supported and executed the build out of Puerto Rico as a new site in 2018 for both M&R and C&S Lines of Business, together with project involvement and execution in the areas of Claim Development, Medical.
• Business Lead for Enhanced Routing & Work Prioritization Project for release in 2021, $4.8 million in savings YOY
• Assisted in the workflow design for O360 both pre-pay and post pay
• Own and monitor the Auto-D program for FWAE

Eden Prairie, Minnesota, United States

Accountable for the performance of the Medicare and Retirement business. Daily objectives were to ensure team member and business alignment met compliance guidelines, both state and federal, payment regulations, performance and financials goals of the Fraud, Waste, Abuse & Error (FWAE) department to best serve our clients.This role oversaw leaders who had.

Eden Prairie, Minnesota, United States

Accountable for the performance of the Medicare and Retirement business. Daily objectives were to ensure team member and business alignment met compliance guidelines, both state and federal, payment regulations, performance and financials goals of the Fraud, Waste, Abuse & Error (FWAE) department to best serve our clients.This role oversaw leaders who had.

Eden Prairie, Minnesota

Accountable for the Employer and Individual business day to day operations of front line production staff. Daily objectives were to ensure team member and business alignment with compliance guidelines, both state and federal, payment regulations, performance and financials goals of the Fraud, Waste, Abuse & Error (FWAE) department to best serve our clients.

Brainerd, MN

Responsible for the thorough investigation of incidents and concerns, education for employees and physicians during orientation to the organization, and available as a resource for the entire organization on governmental, federal and state rules and regulations surrounding healthcare.

Plymouth, Minnesota

• Responsible for the daily operation of clinical services for two plastic surgeon's and two physician's assistants, as well as the supervision of the billing department and front end experience.Achievements:
• Analyzed and reviewed past policies and procedures of the office and enhanced the efficiency of them for the present.
• Executed new strategy, marketing and social networks, as well as constructed a scheduling program and incorporated an EMR from an paper based clinic operation.
• Resolved past billing and coding issues and revised claim submission to meet current ICD-9 and CPT criteria.
• Assembled job titles, job duties, and job descriptions to match the office need.
• Ongoing coordination of events, advertisement and community involvement.

WestHealth; Allina Health

• Responsibilities included, but were not limited to:
• Structured and implemented surgery scheduling, patient registration and patient access policies and procedures.
• Instructed and supervised a team of individuals responsible for meeting customer service standards.
• Maintained quality assurance, patient safety and OSHA regulations within the surgery department.
• Served as a back up to Operating Room Supervisor and Operating Room Manager.Achievements:-Training Leader-Two Time, Building Team Representative for Epic/Excellian Computer Program for the Surgery and Registration.

Unity Hospital; Fridley, MN

• Prepared patient information for admission, emergency room visits, labor and delivery, etc.
• Collected patient demographics, insurance information, and co-payments under HIPAA guidelines.
• Utilized a computer on wheels (COW) for emergency room visits to help ensure patient accuracy and privacy.

Champlin, MN And Andover, MN

Responsible for the front end flow of cashiers, courtesy team, courtesy counter employees. Engaged in the daily bookkeeping, reports and deposit creation became my main focus towards the end of my time at County Market.