1. Lynnette Apetz
1323 Hammock Shade Dr
Lakeland, Fl. 33809
(863) 815-3733 (h)
(863) 397-7138 (c)
lapetz68@gmail.com
SUMMARY
Advanced Excel user; Experienced in Access, Crystal, SMS Invision, Concuity,
Imaging; Extensive knowledge of hospital revenue cycle; Strong analytical skills;
Experienced in Managed Care contracting including negotiations and systems;
Knowledge of fee schedules, CPT/HCPCS/ Revenue/DRG codes, CDM, CARC/RARC
codes; Excellent interpersonal and time management skills; ability to meet deadlines, juggle multiple
projects and adjust priorities.
EXPERIENCE
Lakeland Regional Health 12/12 - present
Revenue Cycle Operations Analyst
Lakeland, Fl. Denials and Appeals
• Perform root cause analysis of payor denials for various key departments
• Facilitate monthly meetings with department managers to discuss denial trends
• Generate monthly denial reports for CFO and Revenue Cycle leadership
• Compile and distribute weekly work load for Revenue Cycle collections staff
• Act as contract management system support and trainer for team members
• Provide weekly productivity reports to management on 40+ staff members
• Act as lead analyst and Excel support person for department
• Assist Revenue Cycle, Finance, and Managed Care leaders with projects in effort to reduce
denials
• Ensure key internal departments are held accountable for denials reduction
• Develop and maintain denials measurement tools to provide performance data
• Identify payor denial trends to assist Director of Managed Care in contract negotiations
Lakeland Regional Health 9/04-12/12
Managed Care Contract Management
Lakeland, Fl. Analyst Lead
• Initiated and facilitated payor meetings to discuss key issues
• Loaded payor contracts and fee schedules/DRG tables into contract management system
• Held payors accountable to abide by contract terms and Florida statutes
• Built and maintained databases for reporting with Excel, Access, and Crystal

2. • Created and automated ad hoc reports for department heads
• Delegated, monitored and ensured project deliverables met deadlines
• Served as operational/administrative liaison with both internal customers and payor
organizations
• Tracked and trended issues to achieve permanent resolution
• Analyzed payor performance for payment discrepancies, timely payments, AR, volume,
charges, case mix, denials, and contract compliance
• Analyzed payor proposals and created “What If” contract scenarios for negotiations
• Generated monthly and quarterly Key Performance Indicators for VP’s
Winter Haven Hospital 9/03-9/04
Business Office Patient Account
Winter Haven, Fl. Analyst
• Responsible for interpretation and loading of managed care contracts into the Contract
Management System in a timely manner
• Monitored payor trending of Denials/Appeals via database
• Generated month end reports for Business Office Director and various department heads
• Assisted business office staff in managed care contract interpretation to ensure maximum
collection potential
• Reviewed and monitored contracts for discrepancies and termination dates
• Served as support person for Director of Managed Care
• Produced ad hoc reports as requested in a timely manner
• Provided analytical support on various AR related projects
Tenet Health System 4/02-8/03
Regional Managed Care Unit Managed Care
Lauderdale Lakes, Fl. Financial Analyst
• Created and produced query based reports for monthly reporting and special projects
• Provided analytical support for various accounts receivable related projects
• Produced specialty reports upon request of management as needed
• Served as team support person for various operational business office issues
• Prepared and distributed monthly financial reporting package to CFO's and Business Office
Directors for sixteen facilities via email
Broward Health 11/01-3/02
Financial Management Financial Analyst
Ft. Lauderdale. Fl. Clinical Cost Acctg
• Generated various month end reports for directors, management and department heads
• Performed database audits on monthly basis to ensure data integrity
• Created and executed specialized reports as needed upon request
• Maintained and updated database as needed

3. Broward Health 4/99-11/01
CBO Associate Accountant
Ft. Lauderdale, Fl. Patient Acctg Services
• Responsible for complete understanding and interpretation of managed care contracts
• Prepared biweekly financial status reports on all four medical centers for management
• Researched patient accounts for discrepancies
• Reconciled and submitted implant invoice billing
• Analyzed variances to the budget for deductions from revenue, investigated causes and
prepared monthly reports for VP of Business Operations
• Analyzed manage care accounts receivable write-offs, investigated and reconciled
discrepancies and prepared monthly report for VP of Business Operations
• Maintained excellent communication with outside vendors
• Performed and completed special projects by designated deadlines
• Selected and assigned insurance plan codes for registration
• Submitted and performed collections for reference lab bills
Broward Health 9/93-4/99
Lauderdale Medical Group Managed Care
Ft. Lauderdale, Fl Coordinator
• Indirectly managed the managed care staff of six employees and one satellite office
• Completed physician applications for managed care plan membership
• Developed filing system for physician applications and CV’s
• Maintained rapport with managed care companies
• Negotiated contracts for nine PCP’s with numerous specialists
• Educated PCP’s and specialists on insurance company regulations
• Acted as Liaison between PCP and specialist
• Understood and trained staff on capitation and fee for service arrangements
• Oversaw referral process and guided co-workers with referral issues
• Maintained Pend 20 reports and contested Medicare HMO charges
• Prepared office for quality assurance inspections
• Resolved customer service issues
• Interacted with Central Business Office to resolve contract issues