Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Lance Michael Reynolds

Eligibility Supervisor
Saint Louis

Summary

Dynamic professional with extensive expertise in eligibility determination and program management, dedicated to enhancing operational efficiency and driving impactful outcomes. Proven leader with a successful track record of guiding teams to exceed revenue goals by 21% in 2024 while ensuring compliance and fostering a culture of collaboration. Exceptional communication and problem-solving skills facilitate effective navigation of dynamic environments, promoting strong interpersonal relationships and rapid conflict resolution. Committed to reliability and adaptability, consistently focused on achieving organizational objectives through teamwork and strategic initiatives.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Eligibility Supervisor

Elevate Patient Financial Solutions
03.2022 - Current
  • Supervisor for 10 hospitals and 16 employees in Missouri and Illinois.
  • Streamlined eligibility processes by implementing new software and training staff on its usage.
  • Reduced errors in eligibility decisions by regularly reviewing caseloads, performing audits, and providing feedback to staff members.
  • Improved efficiency of application processing by developing standardized workflows for staff to follow consistently.
  • Hired, managed, developed and trained a diverse team of eligibility specialists, established and monitored goals, conducted performance reviews and administered salaries for staff.
  • Conduct bi-weekly huddles, one-on-one meetings, and annual reviews for advocates ensuring up-to-date knowledge on policy and procedure changes as well as best practices.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Evaluate employee performance fairly, providing constructive feedback for improvement while also recognizing exemplary work when appropriate.
  • Completed bi-weekly payroll for 16 employees.

Team Lead

Elevate Patient Financial Solutions
08.2021 - 03.2022
  • Team Lead for 12 hospitals and 25-30 team members.
  • Trained new team members by teaching them the necessary policies, processes, and procedures before a standard new hire training was implemented.
  • Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
  • Established open and professional relationships with team members to achieve quick resolutions for various issues.
  • Communicated with case management teams on referrals or inquiries.
  • Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.

Patient Advocate

Elevate Patient Financial Solutions
07.2020 - 08.2021


  • Educated patients on available resources and community programs such as Medicaid and Disability, increasing their access to needed services.
  • Completed applications for Medicaid, Disability, and financial assistance.
  • Collaborate with case managers and medical providers to determine Medicaid eligibility.
  • Act as ACA advisor assisting patients in signing up for Marketplace coverage.
  • Entered details into computer systems and managed database of information.

Financial Resource Coordinator

Barnes-Jewish Hospital
02.2020 - 07.2020


  • Screened patients to determine eligibility for Medicaid, financial assistance, or insurance.
  • Assisted patients in completing Illinois and Missouri Medicaid applications.
  • Act as an authorized representative for patients in dealing with state Medicaid programs.
  • Initiated appeals on behalf of patients for denied Medicaid claims.
  • Maintained accurate records of patient information and cataloged the information in the appropriate systems.

Patient Finance Associate

Prairie Cardiovascular Consultants
08.2017 - 01.2020
  • Processed and posted payments to patient accounts.
  • Answered patient questions regarding billing, insurance, and financial assistance.
  • Processed financial assistance applications utilizing appropriate documentation.
  • Contacted patients for overdue balances, incomplete demographics, and insurance.
  • Filed estate claims for charges of deceased individuals.
  • Trained new finance associates.
  • Resolved various escalated billing charges.

Abstract Team Member

Prairie Cardiovascular Consultants
11.2016 - 08.2017
  • Assisted in EHR transition from MedInformatix to EPIC.
  • Transcribed data between systems.
  • Ensured patient medical history and files were accurately transferred to EPIC prior to patient visits.

Education

MBA - Healthcare Management

Southeast Missouri State University
Cape Girardeau, MO
05.2001 -

Bachelor of Science - Biology

Southeast Missouri State University
Cape Girardeau, MO
05.2015

Skills

Electronic health record systems

Team management

Problem-solving abilities

Microsoft office

Data entry

Interpersonal skills

Interviewing

Social services

Medicaid

Eligibility procedures

Effective communication skills

Certification

Certified Application Counselor, Federally Facilitated Marketplace - 2020 - 2024

Timeline

Certified Application Counselor, Federally Facilitated Marketplace - 2020 - 2024

11-2024

Eligibility Supervisor

Elevate Patient Financial Solutions
03.2022 - Current

Team Lead

Elevate Patient Financial Solutions
08.2021 - 03.2022

Patient Advocate

Elevate Patient Financial Solutions
07.2020 - 08.2021

Financial Resource Coordinator

Barnes-Jewish Hospital
02.2020 - 07.2020

Patient Finance Associate

Prairie Cardiovascular Consultants
08.2017 - 01.2020

Abstract Team Member

Prairie Cardiovascular Consultants
11.2016 - 08.2017

MBA - Healthcare Management

Southeast Missouri State University
05.2001 -

Bachelor of Science - Biology

Southeast Missouri State University

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