Faye Cummins has over 14 years of experience in revenue management, third party billing, and Nextgen EPM specialization. She has worked as a manager of third party billing at SpecialtyCare since 2012 where she oversees billing, intake, and collections. Prior to this, she was a Nextgen EPM specialist at Saint Thomas Physician Services from 2009-2011 and a sales tax accountant at Terex Utilities from 2005-2009. She holds an MBA and a bachelor's degree in management from the University of Phoenix.
1. FAYE CUMMINS
1321 Winthorne Drive • NASHVILLE, TN 37217
615-319-1257 • fayecumming@comcast.net
Summary of Qualifications
I have 14+ years of experience, including as a Manager of Third Party Billing in Revenue Management for IONM
& SA lines of business, and as a Nextgen EPM SPECIALIST, and as a Sales Tax Accountant in industries including
Health Care Services and Industrial and Commercial Machinery and Computer Equipment. Most recently, I have
been working as a Manager of Third Party Billing at SpecialtyCare, LLC from January 2012.
Professional Experience
SpecialtyCare, LLC, Brentwood, Tennessee November 2014
Manager/ Third Party Billing September 2013
Supervisor/ Billing, Intake, & Collections September 2012
AR Representative January 2012
Managed the Billing Department for Intraoperative Neuromonitoring & Surgical Assistlines of business
in the Revenue Management Department as well as a liaison between the executive staff, clinical staff,
and our clients.
Conducted aging strategy analysis and planning for all payers.
Actively maintain up-to-date knowledge of applicable state and federal laws and regulations. Provided
thorough supervision for day-to-day operations of facility in accordance with set policies and guidelines.
Manage reimbursement rates and contacts for all payers through the NextGen system.
Regularly evaluate employee performance, provide feedback and assist, coach, and discipline staff as
needed.
Minimized staff turnover through appropriate selection, orientation, training, staff education and
development.
Reviewed the real time and inter-operative reports that are done by a remote neurologist and physicians
whom are licensed and specifically trained in clinical neurophysiology, for accuracy.
Minimized the inherent risks associated with complex procedures to the nervous system; to make certain
the monitoring times are in compliance with our government payers for con-currencies and guidelines.
Wrote and revised standard operating procedures (SOPs) and work instructions to ensure proper
procedures are followed by proper guidelines within the company.
SAINT THOMAS PHYSICIAN SERVICES, Nashville, Tennessee Dec 2009 - Dec 2011
NextGen EPM/EHR SPECIALIST
The EPM Specialist served as the primary point of contact for staff, Practice Managers, and Physicians
regarding all EPM & EHR-related issues.
Including but not limited to; developed and facilitated End user, Provider NextGen, Cerner & Touchchart
training.
Provided on-site support, including go-live support.
Provided documentation for end users as well as documentation of template changes.
Provided field support for calls and tickets from the Dashboard, collaborated with multiple departments.
Followed through with duties and assignments from managers.
Attended meetings as necessary, provided updates/progress notes of details and issues found on-site.
2. TEREX UTILITIES, INC, Whitehouse, Tennessee Mar 2005 - Aug 2009
Sales Tax Accountant
Collaborated extensively with auditors during preliminary and year-end audit processes.
Thoroughly reviewed financial statements and tax audits to correct any discrepancies.
Revised and streamlined inefficient work procedures with automation software.
Prepared an average of 200 tax returns in 45 states within all cities and counties.
Processed annual federal, state and local tax returns for corporate and all 16 branches.
Reviewed all tax returns prepared by junior accountants before processing.
Implemented and streamlined a new process to file all tax returns electronically from manual process for
all 45 states, cities, and counties.
Reconciled to the GL for month-end and year-end close.
UT Medical Group, Memphis, Tennessee Jan 2001 - Feb 2005
Independent Consultant/Central Billing Office
Managed and restructured a team of 200 professionals within fourteen departments.
Carefully selected, developed and retained qualified staff, as well as trained new staff annually.
Created annual goals, objectives and budget and made recommendations to reduce costs.
Revised all policies and procedures in accordance with changes in local, state, and federal laws and
regulations.
Credentialed new providers for both facility and insurancepayers and negotiated payer contracts.
Created a new denial department within the CBO.
Decreased receivables and increased revenue by 2million dollars monthly from creating the denial
department.
Maintained and approved all line-item pricing for charge description masters with input from
information technology and revenue cycle; to optimize reimbursement from both governmental and non-
governmental entities.
Develop annual gross and net revenue budget with input from Managed Care contracting, for all
departments necessary within the CBO as needed.
Education
University of Phoenix, Nashville, Tennessee March 2013
Master ofBusiness Administration in Business
University of Phoenix, Nashville, Tennessee October 2010
Bachelor ofScience in Management
3. Additional Information
Skills:
o Microsoft Office Suite.
o Experience with multiple healthcare and accounting softwares; such as
Diamond, AS400, Florida Shared System, DDE, FACS & FAS System
Access, EPIC, Medical Manager, Oracle, Medicare Coders System
Medipac, Medusa/Athena, GEAC, PBS, NextGen, RealMed, Telemar
WDS, IDX, Facets, Passport, Cerner, and Touchchart
o Ability to work in a remote environment.
Volunteer Work
o Member of Jackson Street Church of Christ Sister Prayer Pals.
o I help to create and donate care baskets to grieving families.
o I donate financial assistance& time to disadvantaged families.
o I work and volunteer as a Youth Counselor at Jackson St. Church of Christ.
o I volunteer at the Good Samaritan Health & Rehab. Facility.
o I volunteer at the Special Olympics for disabled and special need children.
o I feed the homeless with the Room at the Inn.