PamDavis Resume

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Transcript of PamDavis Resume

Page 1: PamDavis Resume

Pamela A Davis 8707 River Park Rd Cell: (904) 568-1316

St. Augustine, Florida 32092 [email protected]

Objective

Seeking a manager or leadership position utilizing 20 years of healthcare experience focusing on improving

business operations, streamlining services using innovation to facilitate cost savings while eliminating processes that do not add value.

Revenue Cycle Operations & Systems Accomplishments

Leading and orchestrating the Centers of Excellence initiatives for Oracle Document Capture, Virtual

Merchant, and Retail Lockbox Mayo Clinic Florida, as well as collaborating and working with other Mayo

Clinic sites during their implementation with their Centers of Excellences initiatives.

Implemented and led several Revenue Cycle projects at Mayo Clinic Health Systems of Waycross, Inc.

within an 18-month timeframe. Projects implemented include Lockbox, Virtual Merchant (credit card

processing), Centralized balancing and Cerner remittance posting.

Ongoing and continuously evaluation of processes in remit in both Mayo Clinic Florida and MCHS

Waycross in an effort to reduce costs while creating efficiencies using Mayo Clinic Florida resources, Lean

principles and automation in enterprise correspondence and remittance functions across all three Mayo

Clinic sites.

Developing relationships with accounting, systems services, Information Technology, and Revenue Cycle

departments with Mayo Group Practices and Mayo Clinic Health Systems.

Tested and implemented several 835 (electronic remittances) payers between 2006-2011, while multi-

tasking system testing and operational support for Mayo Clinic Florida.

Managed and implemented the transition Waycross Health System’s Remittances functions and Credit

Balances to Mayo Clinic Arizona and Mayo Clinic Rochester within 2 months. Continuous improvements

are ongoing including: Institutional Balancing, Suspense Account Posting and balancing, creating

procedures and ongoing training on two patient account systems: Meditech and Cerner Practice

Management.

Employment History

2016-2015 Manager, Revenue Cycle Remit/Collections & Credit Resolution

Managing operations in 3 locations at an Enterprise level.

Projecting and strategizing using industry standards data, patient accounting system data (cash collection, bad debit, controllable/non-controllable adjustments, and

reimbursement reporting) and days revenue outstanding (DRO).

Utilized lean process concepts while collaborating and partnering with Billing and Accounts Receivable, Patient Accounts Services, Systems, IT, and non-revenue cycle

areas to improve processes and the patient experience. Engaging as an Epic system Subject Matter Expert (SME) for our new future state

patient accounting system for the enterprise 2014-2018. Preparing for future state

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structure using stabilization methods, patient accounting system cleanup initiatives, and

development of workflows.

2015-2014 Senior Operational Analyst, Mayo Clinic Florida

Supervising Enterprise Correspondence team in Florida. Analyzing processes and

seeking continuous improvements opportunities for the teams we support in the revenue cycle (Credit Review, Billing and Accounts Receivable, Patient Accounts

Services, and non-revenue cycle areas). Educate and assist in aligning document imaging requirements on Oracle IPM and its replacement by working with the systems and revenue cycle teams while leading Oracle Oversight Committee.

Supporting and training other operational analysts across all three Mayo Sites in remit and Waycross on various Mayo Clinic practices regarding interfaces, applications,

testing, and overall remittance and correspondence functions.

Projects actively involved in: Hyland Onbase project, Waycross Process Improvements

align remittance practices with Mayo Clinic, Institutional Balancing testing with Rochester Systems on new payers, and leading the Healthquest form function testing

team across all Mayo Clinic sites.

2014-2011 Operational Analyst III, Mayo Clinic Florida

Evaluates current processes while collaborating with business partners in accounting,

billing and follow, compliance, systems services, and Information Technology

throughout the Mayo Group Practice.

Project Implementation using project applications, education, and Mayo Clinic

certification programs to improve processes.

Analyzes and interprets remittances and correspondence data to share with colleagues

reduce waste and create value added processes that are cost effective and meaningful.

Creates workflows and reporting to better understand cash management processes in

order to identify gaps in process and incorporate process improvements and efficiencies

in areas of banking, remit operations, correspondence, and patient accounting system

functionality.

Composes new procedures for project and annually evaluates current procedures for

updates.

2011-2006 Systems Analyst II-Revenue Cycle, Mayo Clinic Florida

Plans, manages, tests, and facilitates installation of medium sized software programs

or other technical projects to support systems, processes, or project teams across the

Enterprise Revenue Cycle.

Leads team for electronic remittance implementation on a continuous, ongoing project.

Provides support for internal customers regarding system and processes and report

creation throughout the Revenue Cycle.

Works with external customers to accomplish system-related tasks for projects.

2006-2004 Patient Financial Representative II, Mayo Clinic Florida

Collects, reviews, discusses, and documents demographic, insurance, and financial

information with patients and payers.

Responsible for management and collection of Mayo Clinic Account Receivables

through the use of automated systems and revenue cycle processes.

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Responds to and resolves a variety of account, billing and payment issue from patients

and customers.

Interprets, applies and communicates policies regarding medical and financial aspects

of patient care to assure reimbursement for organization.

2004-2002 Charge and Cash Posting Supervisor, Franciscan Skemp, Lacrosse, Wisconsin

Managed departmental functions, budget, and overall departmental processes.

Participation on multiple process improvement and upgrade teams.

Implementation of ongoing (HIPAA 835) electronic posting opportunities to increase

posting efficiencies and decrease departmental cost.

Preparation and training for upgrades, departmental processes, and organizational

changes.

Familiarity with open item, line item, and AS400 accounting hospital system.

2002-1999 Program Coordinator/Director, REM Council Bluffs, Inc. Council Bluffs, IA

Managing a cost effective and efficient program for people with disabilities.

Budgeting and maintaining overhead expenses in areas of human resource, vendor

contracts, and facility maintenance.

Partnering with case managers, families, and staff to build a cohesive relationship

with the client with the goal of consumer independence.

Complying with state and federal regulations to maintain a residential care facility.

Creating and implementing programs for clients to increase daily living skills and

promote dignity and independence.

1999-1998 Claims Auditor, Blue Cross Blue Shield of Nebraska

Accountability for adjusting claims while following policy protocol.

Obtaining and maintaining a high-level of accuracy and speed of claims processing.

Processing inquiries using decentralized resources such as utilization management

and member services within the company to process claims

1997-1996 Beneficiary Representative, Tricare Health Care Alliance

Using excellence in customer service to obtain new policyholders and maintain current

policyholders.

Trouble-shooting billing inquiries.

Educating beneficiaries in all aspects of their health care plans

1991-1993 Motor Transport Operator, United States Army

Education, Certifications & Memberships

o PMP –Pursuing Project Management Certification-In Progress (2015)

o Masters of Healthcare Administration (2010)

o Mayo Quality Academies: Fellows Bronze (2012) & Silver Certified (2013)

o Bachelors of Science: Business (2001)

o Certified Nursing Assistant (2003)

o HIMSS Membership since 2012