Spa Manager
NANCY McCLELLAN
100 Cassette Ct | Greer, SC 29650
|------------ | ------------
------------/in/nancy-mcclellan-a247542a
PHYSICIAN PRACTICE MANAGEMENT | MEDICAL BUSINESS OFFICE MANAGEMENT
Dedicated, resourceful professional delivering financial improvements in medical offices, increasing productivity and patient satisfaction. Coach and mentor, collaborating with staff on personal and professional development goals to maintain high engagement. Thoroughly understands health care legal environment and regulatory compliance. High energy, client centric and experienced in making critical decisions. Core competencies:
Staff Leadership | Customer Service | New Business Development | Patient Communications
Negotiation | Revenue Cycle Management | Human Resource Management | Medical Billing and Coding
PROFESSIONAL EXPERIENCE
Greenville Pediatrics, Dr. Brian Washburn, Greenville,Jan 2007 to 2016
Practice Consultant (Contract)
Challenged to address major billing and practice issues. Assessed current practices and developed a plan to maximize collections and increase revenues. Hired a temporary staff to address immediate concerns and execute the plan to improve financials.
Identified, selected, and trained new employees on Revenue Cycle Management. Developed and coached staff on behaviors and work ethic necessary to maintain a successful practice.
Launched training on insurance fee negotiations and monitoring of fee schedules to maximize reimbursement.
Coached on HR issues and employee benefits to optimize staff retention.
New Horizon Dental
March 2018-Feb 2019
Dental Practice Manager, Greenville,SC
New Horizon Is A Community Health Center FQHC
Managed Dental Practice with 4 Dentist and 4 Hygienist. Approx. 100 patients per Day
Reorganized, rehired and trained all front office and billing staff.
responsible for monthly financials, monthly management Reports, and Payroll Processing
Developed and implemented processes necessary for efficient patient care
Managed day to day operations
Help serve the community by giving access to all of those needing dental Care.
Participated in New Horizon Compliance and CQI committees.
Acadia Allergy and Immunology, Greenville, SC
Jun 2015 to Jun 2016
Practice Manager II
Directed daily operations for physician practice including provision of quality services to patients, promotion of teamwork among the staff, maintenance of the building and equipment, compliance with all applicable policies and procedures, and driving operations to maintain approved budget.
Identified missed opportunities to service patients for vaccines then educated staff on reimbursement policies for insurance carriers which generated 100% of allowable collectable income of these procedures increasing revenue. Recommended operational changes to improve efficiency and effectiveness and build additional revenue.
Conducted training during implementation of Epic software which improved accuracy of claim submission. Partnered directly with the Epic Team to setup specific needs; identified and proactively implemented changes to ensure charges and coding were correct.
Coordinated and directed the daily operations of the practice including the development, implementation, and maintenance of department policies and procedures.
Managed Human Resources including hiring, orientation, training, discipline, and dismissal of staff; monitored staffing levels. Assisted staff in developing individual growth goals, and demonstrated effective leadership skills to enhance productivity and employee morale.
Participated in preparation of the annual capital and operational budgets and maintained expenses within the approved budget. Provided input on financial strengths, explaining variances to budget.
Ensured financial stability through management of registration, charge capture, and consulting with billing department to improve collections.
Carolina Continence Center, LLC, Greenville, SC
Jan 2006 to Sep 2013
Practice Manager
Launched new Physician Practice and managed all operations. Handled all monthly and year-end financial reporting.
Created marketing plan which successfully increased New Patient Visits and Procedures by ~20%. Startup loans for this Practice were completely paid in approximately three years.
Reviewed and negotiated insurance company fee schedules increasing fee schedule allowable by 2-10%.
Developed policies and procedures to ensure timely filing of insurance claims, collection of copay and deductible resulting in a consistent 98% collection rate.
Performed revenue cycle management to meet financial goals. Negotiated Managed Care contracts including fee schedules optimizing maximum reimbursement.
New Office Project Management
Found temporary office space and the following year moved the Practice to new permanent location, then planned a Grand Re-Opening.
Negotiated purchases of office furniture, clinical equipment, and supplies.
Purchased a Practice Management Billing System with capacity to continually meet billing requirements in the future.
Established accounting system to drive accuracy and management of all monthly and yearly reporting.
Implemented GE Centricity Practice Management as well as the EMR software Ucubed.
Human Resources
Created an employee handbook; performed the hiring, discipline, and dismissal of staff.
Obtained a health plan and administered employee benefits.
Designed individual development goals for staff and provided education, training, and coaching.
Prevailed in credentialing physicians for Hospital Privileges and Insurance Companies as well as maintaining necessary requirements.
Travelers Rest Family Practice Greenville sc
Mar 2004 to Oct 2004
Practice Manager
Coordinated and directed the daily operations of a four physician practice including development, implementation and maintenance. Identified problems, offered recommendations and operational changes to improve practice efficiency and effectiveness.
Identified corporate expenses that had been misallocated to accounts resulting in a decrease of physician income. Participated in preparation of annual capital and operational budgets and maintained expenses. Presented monthly financial results to physicians.
Streamlined work practices for Medical Assistant and developed a plan to distribute work load among other personnel to reduce overtime.
Manage all human resources activities including hiring, orientation, training, discipline, and dismissal of staff. Assisted staff in professional growth and development
Carolina Dermatology of Greenville, P.A. (Formally CMA Dermatology), Greenville, SC
Feb 1997 to Nov 2003
Practice Administrator
Directed the administration and managed the day to day operational functions of a 4 Provider Practice with 18 employees seeing approximately 125-150 patients daily.
Human Resources
Selected and orientated new staff members; handled development, education, and training of administrative and clinical staff. Encouraged and promoted individual staff development and administered any staff discipline. Educated staff on Employee Benefits and employee policies; administered the 401K retirement plan. Implemented current requirements to maintain Credentialing.
Financial/Legal Operations
Controlled all accounting functions and managed the revenue cycle. Handled all monthly and year-end financial reporting. Acted as liaison in coordinating and facilitating all dealings with legal counsel, accountants, financial advisors, consultants. Negotiated Managed Care Contracts and fee schedules to protect practice and ensure the highest reimbursement.
Practice Reorganization
Reopened the day following a sudden dissolution of the practice and serviced 100% of scheduled patients without interruption. Successfully brought the practice to $2M+ profitability within months after new reimbursements were received.
Created a project plan to identify a new name, new tax ID, new insurance contracts, and licenses. Secured funding and hired new billing and support staff.
Met goal to file claims before 90 day deadlines and secured a 97%+ collection rate. Motivated staff to work evenings and weekends after 60-day delay in purchase of new billing software. Charges entered on approximately 5000 encounter forms.
Negotiated expected purchase of assets from dissolved corporation by 50%, saving thousands of dollars.
Created template to meet Federal HIPAA compliance guidelines which eliminated need to purchase expensive software. Template continues to be used by Greenville Medical Manager Group.
EDUCATION and PROFESSIONAL DEVELOPMENT
LaGuardia Community College, Long Island City, NY
Leadership and Management Training: Process Improvement; Budgets; Coding; Branding; Staff Development; Revenue Cycle; Interviewing; Leading During Change; Risk Management; Service Recovery; UMG Greenville Hospital Systems
Medical Record Keeping for Physicians; Medical College of Georgia
Medical Office Management and Human Resource Seminars
Medicare Billing and various Medical Coding Seminars
Monthly Managed Care Task Force Meetings; GMH’s Managed Care Department
Certified Medical Office Manager
Monthly Educational Seminars presented by South Carolina Medical Management Association
Yearly Conferences with South Carolina Medical Management Association (Now SCHMA)
AFFILIATIONS
South Carolina Medical Management Association (SCMMA)
(Newly named for 2004 the “South Carolina Healthcare Managers Association”- SCHMA)
President, Greenville Chapter of SCMMA 2004?Vice President, Greenville Chapter of SCMMA 2003?Chair of the Education Committee, Greenville Chapter of SCMMA 2002
Advisory Board EPC College of Technology, 2010 to 2013
Advisory Board for Brown Mackie College, 2011 to 2013
NANCY McCLELLAN
100 Cassette Ct | Greer, SC 29650
|------------ | ------------
------------/in/nancy-mcclellan-a247542a
PHYSICIAN PRACTICE MANAGEMENT | MEDICAL BUSINESS OFFICE MANAGEMENT
Dedicated, resourceful professional delivering financial improvements in medical offices, increasing productivity and patient satisfaction. Coach and mentor, collaborating with staff on personal and professional development goals to maintain high engagement. Thoroughly understands health care legal environment and regulatory compliance. High energy, client centric and experienced in making critical decisions. Core competencies:
Staff Leadership | Customer Service | New Business Development | Patient Communications
Negotiation | Revenue Cycle Management | Human Resource Management | Medical Billing and Coding
PROFESSIONAL EXPERIENCE
Greenville Pediatrics, Dr. Brian Washburn, Greenville,Jan 2007 to 2016
Practice Consultant (Contract)
Challenged to address major billing and practice issues. Assessed current practices and developed a plan to maximize collections and increase revenues. Hired a temporary staff to address immediate concerns and execute the plan to improve financials.
Identified, selected, and trained new employees on Revenue Cycle Management. Developed and coached staff on behaviors and work ethic necessary to maintain a successful practice.
Launched training on insurance fee negotiations and monitoring of fee schedules to maximize reimbursement.
Coached on HR issues and employee benefits to optimize staff retention.
New Horizon Dental
March 2018-Feb 2019
Dental Practice Manager, Greenville,SC
New Horizon Is A Community Health Center FQHC
Managed Dental Practice with 4 Dentist and 4 Hygienist. Approx. 100 patients per Day
Reorganized, rehired and trained all front office and billing staff.
responsible for monthly financials, monthly management Reports, and Payroll Processing
Developed and implemented processes necessary for efficient patient care
Managed day to day operations
Help serve the community by giving access to all of those needing dental Care.
Participated in New Horizon Compliance and CQI committees.
Acadia Allergy and Immunology, Greenville, SC
Jun 2015 to Jun 2016
Practice Manager II
Directed daily operations for physician practice including provision of quality services to patients, promotion of teamwork among the staff, maintenance of the building and equipment, compliance with all applicable policies and procedures, and driving operations to maintain approved budget.
Identified missed opportunities to service patients for vaccines then educated staff on reimbursement policies for insurance carriers which generated 100% of allowable collectable income of these procedures increasing revenue. Recommended operational changes to improve efficiency and effectiveness and build additional revenue.
Conducted training during implementation of Epic software which improved accuracy of claim submission. Partnered directly with the Epic Team to setup specific needs; identified and proactively implemented changes to ensure charges and coding were correct.
Coordinated and directed the daily operations of the practice including the development, implementation, and maintenance of department policies and procedures.
Managed Human Resources including hiring, orientation, training, discipline, and dismissal of staff; monitored staffing levels. Assisted staff in developing individual growth goals, and demonstrated effective leadership skills to enhance productivity and employee morale.
Participated in preparation of the annual capital and operational budgets and maintained expenses within the approved budget. Provided input on financial strengths, explaining variances to budget.
Ensured financial stability through management of registration, charge capture, and consulting with billing department to improve collections.
Carolina Continence Center, LLC, Greenville, SC
Jan 2006 to Sep 2013
Practice Manager
Launched new Physician Practice and managed all operations. Handled all monthly and year-end financial reporting.
Created marketing plan which successfully increased New Patient Visits and Procedures by ~20%. Startup loans for this Practice were completely paid in approximately three years.
Reviewed and negotiated insurance company fee schedules increasing fee schedule allowable by 2-10%.
Developed policies and procedures to ensure timely filing of insurance claims, collection of copay and deductible resulting in a consistent 98% collection rate.
Performed revenue cycle management to meet financial goals. Negotiated Managed Care contracts including fee schedules optimizing maximum reimbursement.
New Office Project Management
Found temporary office space and the following year moved the Practice to new permanent location, then planned a Grand Re-Opening.
Negotiated purchases of office furniture, clinical equipment, and supplies.
Purchased a Practice Management Billing System with capacity to continually meet billing requirements in the future.
Established accounting system to drive accuracy and management of all monthly and yearly reporting.
Implemented GE Centricity Practice Management as well as the EMR software Ucubed.
Human Resources
Created an employee handbook; performed the hiring, discipline, and dismissal of staff.
Obtained a health plan and administered employee benefits.
Designed individual development goals for staff and provided education, training, and coaching.
Prevailed in credentialing physicians for Hospital Privileges and Insurance Companies as well as maintaining necessary requirements.
Travelers Rest Family Practice Greenville sc
Mar 2004 to Oct 2004
Practice Manager
Coordinated and directed the daily operations of a four physician practice including development, implementation and maintenance. Identified problems, offered recommendations and operational changes to improve practice efficiency and effectiveness.
Identified corporate expenses that had been misallocated to accounts resulting in a decrease of physician income. Participated in preparation of annual capital and operational budgets and maintained expenses. Presented monthly financial results to physicians.
Streamlined work practices for Medical Assistant and developed a plan to distribute work load among other personnel to reduce overtime.
Manage all human resources activities including hiring, orientation, training, discipline, and dismissal of staff. Assisted staff in professional growth and development
Carolina Dermatology of Greenville, P.A. (Formally CMA Dermatology), Greenville, SC
Feb 1997 to Nov 2003
Practice Administrator
Directed the administration and managed the day to day operational functions of a 4 Provider Practice with 18 employees seeing approximately 125-150 patients daily.
Human Resources
Selected and orientated new staff members; handled development, education, and training of administrative and clinical staff. Encouraged and promoted individual staff development and administered any staff discipline. Educated staff on Employee Benefits and employee policies; administered the 401K retirement plan. Implemented current requirements to maintain Credentialing.
Financial/Legal Operations
Controlled all accounting functions and managed the revenue cycle. Handled all monthly and year-end financial reporting. Acted as liaison in coordinating and facilitating all dealings with legal counsel, accountants, financial advisors, consultants. Negotiated Managed Care Contracts and fee schedules to protect practice and ensure the highest reimbursement.
Practice Reorganization
Reopened the day following a sudden dissolution of the practice and serviced 100% of scheduled patients without interruption. Successfully brought the practice to $2M+ profitability within months after new reimbursements were received.
Created a project plan to identify a new name, new tax ID, new insurance contracts, and licenses. Secured funding and hired new billing and support staff.
Met goal to file claims before 90 day deadlines and secured a 97%+ collection rate. Motivated staff to work evenings and weekends after 60-day delay in purchase of new billing software. Charges entered on approximately 5000 encounter forms.
Negotiated expected purchase of assets from dissolved corporation by 50%, saving thousands of dollars.
Created template to meet Federal HIPAA compliance guidelines which eliminated need to purchase expensive software. Template continues to be used by Greenville Medical Manager Group.
EDUCATION and PROFESSIONAL DEVELOPMENT
LaGuardia Community College, Long Island City, NY
Leadership and Management Training: Process Improvement; Budgets; Coding; Branding; Staff Development; Revenue Cycle; Interviewing; Leading During Change; Risk Management; Service Recovery; UMG Greenville Hospital Systems
Medical Record Keeping for Physicians; Medical College of Georgia
Medical Office Management and Human Resource Seminars
Medicare Billing and various Medical Coding Seminars
Monthly Managed Care Task Force Meetings; GMH’s Managed Care Department
Certified Medical Office Manager
Monthly Educational Seminars presented by South Carolina Medical Management Association
Yearly Conferences with South Carolina Medical Management Association (Now SCHMA)
AFFILIATIONS
South Carolina Medical Management Association (SCMMA)
(Newly named for 2004 the “South Carolina Healthcare Managers Association”- SCHMA)
President, Greenville Chapter of SCMMA 2004?Vice President, Greenville Chapter of SCMMA 2003?Chair of the Education Committee, Greenville Chapter of SCMMA 2002
Advisory Board EPC College of Technology, 2010 to 2013
Advisory Board for Brown Mackie College, 2011 to 2013