PamDavis Resume
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Transcript of 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
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.
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