Crystal K. Nunnally
Practice Manager
Wichita, KS · (316) 555 0124 · name@example.com · linkedin.com/in/crystalknunnally
Key Qualifications
EXPERIENCE
Seventeen years in physician practice operations, eight as practice manager of a single specialty orthopedic group.
SETTINGS
Twenty two physicians, nine advanced practice providers, three clinic sites, one ambulatory surgery center, 96 staff.
SPECIALTIES
Revenue cycle, surgical coding review, payer contracting support, credentialing, and clinic access design.
SYSTEMS
Epic Cadence and Epic Resolute Professional Billing, a clearinghouse denial workqueue, and a productivity report built on work relative value units.
LICENSURE
Certified Medical Practice Executive through the American College of Medical Practice Executives, and a Certified Professional Coder credential held since 2012.
EDUCATION
Bachelor of Science in Health Care Administration from Wichita State University, with a Master of Business Administration from Emporia State University.
Results at a Glance
52
Across two years
$1.9m
Three years
11%
Percent by adding
Executive Summary
Practice manager for a twenty two physician orthopedic group with three clinic sites and an affiliated ambulatory surgery center. Seventeen years in physician practice operations, most of it in surgical specialty care. Runs revenue cycle, credentialing and clinic access for a group that bills 41 million dollars a year.
Signature Achievements
- Cut days in accounts receivable from 52 to 31 across two years by rebuilding charge entry and bringing surgical coding in house.
- Raised the clean claim rate from 87 percent to 96 percent, which removed roughly 1,400 rework touches a month from the billing team.
- Recovered 1.9 million dollars over three years through a structured appeals process for denied joint replacement and spine authorizations.
- Lowered the denial rate on surgical claims from 11 percent to 4 percent by adding a prior authorization check two weeks ahead of every scheduled case.
- Brought third next available appointment for new patients down from nineteen days to six by opening two evening injection clinics.
- Lifted the group score under the Merit Based Incentive Payment System from 71 to 94, which protected 380,000 dollars of Medicare payment.
Professional Experience
Practice Manager
Arkansas River Orthopedic Specialists, Wichita, KS 2018 to present
Twenty two physicians and nine advanced practice providers across three clinics and an affiliated ambulatory surgery center.
- Owns the revenue cycle end to end, from registration and eligibility through coding, claim submission, denial appeal and patient balance collection.
- Runs credentialing and payer enrollment for thirty one providers across nine commercial plans plus Medicare and Kansas Medicaid.
- Reviews provider productivity monthly in work relative value units and works with each surgeon on template and case mix changes.
- Chairs the compliance committee covering the Health Insurance Portability and Accountability Act, bloodborne pathogen training and Occupational Safety and Health Administration hazard reporting.
Business Office Manager
Flint Hills Surgical Partners, Wichita, KS 2013 to 2018
Billing office of fourteen staff serving a surgical group and a two room ambulatory surgery center.
- Supervised coders, billers and patient account representatives handling about 4,800 claims a month.
- Built the denial tracking file that sorted every rejection by payer, by reason and by the step in the process that caused it.
- Trained clinical staff on the documentation needed to support the procedure codes billed under current procedural terminology.
Front Office Supervisor
Ninnescah Valley Medical Clinic, Winfield, KS 2009 to 2013
Four provider rural clinic where the supervisor role covered scheduling, registration and referral coordination.
- Managed scheduling templates, referral tracking and the daily patient arrival process for about 120 visits a day.
- Cut the no show rate from 14 percent to 8 percent with a two step reminder call and a same day waiting list.
- Prepared the clinic for its first electronic health record conversion, onto athenahealth, with no lost billing days.
Licensure and Certification
Certified Medical Practice Executive, American College of Medical Practice Executives
Certified Professional Coder, active since 2012
Member, Medical Group Management Association
Education
Master of Business Administration, Emporia State University, Emporia, Kansas
Bachelor of Science in Health Care Administration, Wichita State University, Wichita, Kansas
Core Skills
Revenue cycle management · Days in accounts receivable · Denial management and appeals · Surgical coding review · Credentialing and payer enrollment · Provider productivity analysis · Patient access and scheduling · Epic Cadence · Epic Resolute Professional Billing · Merit Based Incentive Payment System reporting · Staff hiring and supervision · Compliance training