Q u a l i f i c a t i o n s

Over twenty years of experience in health care information systems:

• Independent Consultant specializing in transformation of public health IT systems including RFP’s, system requirements/selection, integrated implementation, project management, and revenue cycle processes.
• Experienced Educator in Behavioral Healthcare including design and delivery of provider training, HIPAA Privacy and EDI seminars and numerous technical training workshops and IT conferences throughout the United States.
• Director Information Services for large regional, Integrated, multi-site health system managing software installation and new program startup along with day- to- day operations.
• Skilled implementation support manager including vendor based implementation with broad knowledge of HIS products and physician/provider architecture.
• HIPAA Privacy/EDI specialist for several large statewide systems providing awareness, assessment, training and implementation to behavioral health providers along with managing transitions of electronic billing systems to become HIPAA compliant.
• Managed Care Specialist with multi-system experience in Implementation support of behavioral health managed care system at the state and provider level from enrollment to rebilling to provider electronic claims.
• Interim MIS Director responsible for developing MIS capabilities to support regional managed care of behavioral health services.

E x a m p l e s   o f   C o n s u l t i n g   E x p e r i e n c e

Alabama Department of Mental Health/Mental Retardation, Montgomery, Alabama
Consultant – implementation of Robert Wood Johnson Foundation Resources for Recovery dual substance abuse/mental retardation system selection and implementation project. Provided implementation support for information system including provider enrollment, contract management, prior authorizations, claims processing, Medicaid rebilling, clinical EDI and NOMS reporting. Provided technical assistance to providers to support transition. Designed provider training manuals and delivered statewide training.

Department of Mental Health, Washington, District of Columbia
Consultant – Project management and implementation support of large contract management system including enrollment, authorizations, claims processing, Medicaid rebilling and provider electronic claims.

HIPAA-Multi-sites (Ohio, New Mexico, Washington, DC)
Consultant – 9 Hospitals, 17 Outpatient Centers - Performed information technology assessments: developed technical baseline assessment, performed system reviews, made recommendations and developed project plans and educational presentations for management and staff.

Led transition of electronic billing system to HIPAA compliant standards. Included 837 and 835 transactions for provider claims adjudicated by state departments as well as claims re-billed to Medicaid. Directed the development of specifications for system changes and testing processes. Conducted provider technical and billing rule-training sessions.

Region 2 Behavioral Health Providers of Santa Fe, Santa Fe, New Mexico
Consultant – Responsible for developing MIS capabilities including preparation of response to request for proposal, development of operational policies and procedures for start-up organization, project manager for system selection and implementation.

Ohio Department of Mental Health/Alcohol & Drug Addiction Services, Columbus, Ohio
Consultant – Implementation support of statewide behavioral health managed care system, 9 hospitals and 400 providers. Responsible for technical documentation, implementation of help desk process and redesign of new website.

Piedmont Behavioral Health, Concord, NC
Consultant – Project management and implementation support for implementation of eCura information system to support new LME functions in HIPAA compliant environment. Development of detailed testing plans, provider training materials, presentations and functional/technical specifications.

Alabama Department of Mental Health, Montgomery, AL
Divisions of Mental Retardation and Substance Abuse
Consultant – Provided implementation support for information system including provider enrollment, contract management, prior authorizations, claims processing, Medicaid rebilling, clinical EDI and NOMS reporting. Provided technical assistance to providers to support transition.

Pitt County Behavioral Health, Greenville, NC
Consultant – Performed assessment of information system capabilities related to implementation of business plan to operate as a local management entity (LME) rather than a provider. This included a detailed evaluation of the Askesis PsychConsult provider and MCO products and recommendations. 

R e l a t e d   W o r k   E x p e r i e n c e

Mount Carmel Health System, Columbus, OH
Director – Physician Information Systems-Project Manager responsible for software implementation, multi-site behavioral health selection and installation to hospital-wide medical staff implementations. Directed program startup for department responsible for installation and ongoing support of financial and operational systems and providing remote access to hospital network from physician offices and homes. Served as liaison to medical staff regarding selection, implementation, and support activities.

Millhon/Jaeger and Associates, Toledo, OH
Director – Medical Systems group responsible for training and technical support staff. Implemented and provided on-going technical support for office management/billing systems in medical offices, mental health agencies and ambulance companies.

E d u c a t i o n

Franklin University, Columbus, OH
Bachelor of Science Business Management 1999

University of Toledo, Toledo, OH
Information Systems and Operations Management, 1987

 
Contact Information:

E-mail
rebecca@hcpllc.com

Telephone
(614) 496-4214

Facsimile
(614) 844-6722

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