Tina Darden
Wilmington
Summary
Dynamic revenue cycle management expert with extensive experience at Crozer Health System. Demonstrated success in workflow analysis and system implementation, optimizing cash collections and minimizing claim rejections. Skilled in innovative problem-solving and promoting cross-departmental collaboration to achieve operational excellence and enhance financial performance.
Overview
23
23
years of professional experience
Work History
Manager of Revenue Cycle
Crozer Health System
01.2018 - Current
- Implement clear initiatives to the Practice Support team and Billing team to improve front-end workflows, including preprocessing, charge lag, and front end denials
- Conduct and lead weekly meetings with staff to improve performance surrounding communication to 30 plus departments
- Partner with Practice Mangers and Administrative Directors to assist with implementing and improving revenue cycle related topics
- Collaborate with CBO Managers related to AR, credentialing, billing, and cash improvement
- Analyze various revenue cycle reports to identify trends and patterns in data
- Manage change management processes and communications- coordinate with appropriate Revenue Cycle team as well as Physician Network Management
- Support improvement of training related to Revenue Cycle processes
Interim Manager of Preprocessing/Charge Reconciliation
Crozer Health System
01.2017 - 01.2018
- Implemented clear initiatives for two separate workflows and incorporated an additional method to report patient balances and increase cash collections
- Expedite correspondence between offices and the billing office to guarantee a manageable patient encounter for 30 departments and increase clean claim rate
- Incorporated missing charge report to review and determine appropriate charge entry
- Identified and resolved over two thousand incomplete charges in a 3-month period
- Streamlined coordination and communication between Charge Reconciliation and Charge Entry departments, resulting in decrease of missed charges
- Review performance on a bi-weekly basis by pulling various reports and tracking progress
- Organize and direct meetings to review results and focus on accountability for below average outcomes
- Analyze suspended charge report for all departments on a weekly basis to decrease claim delay, facilitate Cerner Fee Schedule updates, and provide resolution to billing office directors
Training & Practice Support Services
Crozer Health System
01.2016 - 01.2018
- Facilitate communication with the goal of reducing claim rejections and increasing cash collection between practices and the billing office
- Educate practice managers and staff on standardized workflows in an effort to decrease revenue and clinical errors
- Support practice management and EMR end users with day to day operations, including system errors, functionality, and processes
- Assess and analyze practice financial and operational performance, providing evidence-based recommendations on improving revenue and clinical outcomes
Practice Coordinator/Manager for Neurology Department
Crozer Health System
01.2014 - 01.2016
- Provided thorough supervision for day-to-day operations and managed difficult situations on a daily basis with staff members, physicians, and patients
- Analyzed billing workflow, identifying reimbursement errors; conducted an internal project which resulted in additional insurance reimbursement
- Organized reports to track physician RVU’S and revenue while keeping expenses to a minimum
- Maintained a six-month call schedule for physicians on rotation
- Redesigned provider schedules to increase patient access, maintaining a focus on decreasing same day cancellations and no-shows
- Restructured the Botox workflow to decrease patient balances and improve cash collections
- Trained Emergency Department and Neurology physicians on Reach Tele-stroke system functionality
Primary Care Practice Manager, Lisa Kenis, DO
Crozer Health System
01.2003 - 01.2014
- Evaluated patient care procedural changes for effectiveness
- Maintained up-to-date knowledge of applicable state and federal laws and regulations
- Managed the operations of facility in accordance with set policies and guidelines
- Minimized staff turnover through appropriate selection, orientation, training, staff education and development
Medical Assistant/Receptionist
Prime Health Network
01.2002 - 01.2003
- Evaluated patient care procedural changes for effectiveness and aided in treatment
- Assisted patients with obtaining appointments, managed referrals, test preparations, prior authorizations pre-certifications
Education
Associates - Medical Assistant/Microsoft Word
CHI
Broomall, PA01.2002
Skills
- Revenue cycle management
- Cerner project management
- Workflow analysis
- Electronic medical records training
- System implementation
- Tele-stroke training
- Task and rule development
- Creative problem-solving
Accomplishments
- Organized and managed a central billing team. Streamlined the process of capturing and recording patient services, codes, and charges. Decreased practice denials and edits by 50 percent and increased cash flow.
- Supported the implementation of Cerner Millennium practice management and Power chart in 01/2021, including reviewing system build, evaluating workflow and assisting go live for all physician practices.
- Successfully organized a queue initiative which decreased Edits and Denials by 80% across the network.
- Supported the implementation of Cerner practice management system (CPM) in 01/2017, including evaluating workflow and assisting go live for all physician practices.
- Provided CPM, RCx, MDTech and GE Centricity EMR training to include scheduling, registration, insurance, charge entry, clinical workflows, patient accounting and customer service education.
- Designed standard preprocessing workflow for capturing accurate eligibility for 30 departments, including streamlining communication and coordination between billing office and practices, resulting in an increase of eligibility verifications and decreased claim rejections.
- Conducted comprehensive front end operations assessments, providing staffing reorganizations and workflow recommendations.
Timeline
Manager of Revenue Cycle
Crozer Health System
01.2018 - Current
Interim Manager of Preprocessing/Charge Reconciliation
Crozer Health System
01.2017 - 01.2018
Training & Practice Support Services
Crozer Health System
01.2016 - 01.2018
Practice Coordinator/Manager for Neurology Department
Crozer Health System
01.2014 - 01.2016
Primary Care Practice Manager, Lisa Kenis, DO
Crozer Health System
01.2003 - 01.2014
Medical Assistant/Receptionist
Prime Health Network
01.2002 - 01.2003
Associates - Medical Assistant/Microsoft Word
CHI
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