Melonie L Henderson has over 15 years of experience in compliance, risk management, and client relations roles across various industries including finance, healthcare, and telecommunications. She currently works as a State Compliance Analyst for Santander Consumer USA where she conducts regulatory examinations, develops risk assessment methodologies, and tracks relevant bills and regulations. Previously, she held compliance and client relations roles at Exeter Finance Corp, Hyundai Capital America, MultipLAN, and other organizations where she developed policies and procedures, identified risk controls, assisted with audits, and helped reduce costs. Henderson has a Bachelor of Science degree in Behavioral Health from Ashford University and computer skills including Microsoft Office, Visio, and various industry-
Denial management-integral-to-physicians-conquering-reimbursement-challenges-...Medical Billers and Coders
While payers (whether Medicare, Medicaid or private health insurance companies) are justified in denying claims with inherent errors, it is physicians who are responsible for not pursuing with resubmission and intensified efforts. This is where Denial Management becomes significant.
PYA Principal Carol Carden's AICPA Health Care Industry Conference presentation addressed the current hospital/physician affiliation environment and its impact on physician compensation.
PYA Principal Carol Carden recently spoke on the topic “Valuation Issues in Healthcare” at the Tennessee Society of Certified Public Accountants’ Healthcare Conference.
Presented by PYA’s Jim Lloyd (Consulting Principal) and Robert Mundy (Consulting Senior Manager), "Valuation of Dental Practices,” provide valuable insights regarding dental practice operations, merger and acquisition activity, and valuation approaches. The presentation also covers:
Key operating statistics that drive the value of dental practices.
Compensation trends for dentists.
Regulatory constraints and related issues.
PYA Presentation: “Thorny Issues in FMV and Commercial Reasonableness"PYA, P.C.
PYA Principals Jim Lloyd and Lyle Oelrich presented "Thorny Issues in Fair Market Value and Commercial Reasonableness" at the Greater Kansas City Society of Healthcare Attorneys, Wednesday, April 16, 2014.
Denial management-integral-to-physicians-conquering-reimbursement-challenges-...Medical Billers and Coders
While payers (whether Medicare, Medicaid or private health insurance companies) are justified in denying claims with inherent errors, it is physicians who are responsible for not pursuing with resubmission and intensified efforts. This is where Denial Management becomes significant.
PYA Principal Carol Carden's AICPA Health Care Industry Conference presentation addressed the current hospital/physician affiliation environment and its impact on physician compensation.
PYA Principal Carol Carden recently spoke on the topic “Valuation Issues in Healthcare” at the Tennessee Society of Certified Public Accountants’ Healthcare Conference.
Presented by PYA’s Jim Lloyd (Consulting Principal) and Robert Mundy (Consulting Senior Manager), "Valuation of Dental Practices,” provide valuable insights regarding dental practice operations, merger and acquisition activity, and valuation approaches. The presentation also covers:
Key operating statistics that drive the value of dental practices.
Compensation trends for dentists.
Regulatory constraints and related issues.
PYA Presentation: “Thorny Issues in FMV and Commercial Reasonableness"PYA, P.C.
PYA Principals Jim Lloyd and Lyle Oelrich presented "Thorny Issues in Fair Market Value and Commercial Reasonableness" at the Greater Kansas City Society of Healthcare Attorneys, Wednesday, April 16, 2014.
The OIG Fraud Alert warns providers against overpaying physician in medical director positions. However, even if you have checked the payment rates on every medical director contract, you may still be paying too many medical directors.
Stop the Financial Bleed: Triaging the Cost of Hospital-Based Physician ServicesMD Ranger, Inc.
This special hour-long webinar from MD Ranger and HealthCare Appraisers advises on how to navigate hospital-based service arrangements at your organization.
Over the last several decades, the number of and cost associated with hospital-based service arrangements have been increasing. These agreements are generally more complex than medical directorships or on-call agreements, and contain unique risks that vary widely between facilities. A thorough understanding of these arrangements is essential to ensure both regulatory compliance and cost containment.
This webinar covers:
- Defining the key components of hospital-based service arrangements
- Reviewing fair market value and commercial reasonableness considerations
- Exploring the key pieces of information and data that drive understanding of these arrangements
- And more!
A step-by-step methodology to evaluate a department's revenue stream. Identifiy and assess mission-critical revenue trends to prompt remedies and compromises that maintain the revenue stream.
SR&ED funds can go direct to Investigators and does not interfere with other fund sources or have ethics issues.
We have crafted strategies to maximize the dollars realized,minimize the effort of assembling claims and avoid unnecessary CRA headaches. Clients care about their after-tax position, as well as cash flow, retirement needs and estate planning. Annual SR&ED rebates can be significant, but need to harmonize with other strategies to give the greatest benefit. Goulet Associates strives to supply one piece of the larger puzzle.
Compliance Pitfalls of Hospital-Based ContractsMD Ranger, Inc.
We will consider the most common compliance issues in hospital-based agreements. We discuss:
--Defining hospital-based services
--Trends and components of hospital-based contracts and types of payments (such as coverage payments, overall stipends, and income guarantees)
--Compliance pitfalls to avoid
--FMV and documentation options
The Top Ten Issues in Physician Practice Acquisition and ValuationPYA, P.C.
A webinar hosted by The National Association of Certified Valuators and Analysts (NACVA) and presented by PYA Consulting Principal Darcy Devine outlines ten common, but often complex, issues that arise during the physician practice acquisition process. The webinar took place Friday, February 13, 2015. “Don’t Stumble Coming Out of the Gate—The Top Ten Issues in Physician Practice Acquisition and Valuation” is geared toward health system and physician practice financial executives as well as business valuators working with those entities.
Evaluating the Financial Component of a Physician-Hospital ArrangementPYA, P.C.
Increasingly, physicians are entering into employment agreements with hospitals. A presentation given by PYA Consulting Principal Darcy Devine offered guidance for “Evaluating the Financial Component of a Physician-Hospital Arrangement.”
PYA Principal Carol Carden presented on current issues in healthcare valuation at The Texas Society of Certified Public Accountants Business Valuation, Forensic, and Litigation Services Conference at the Hilton Fort Worth, October 14, 2014.
PYA Principal Jim Lloyd presented as part of a panel discussion on the topic “Valuing Oncology Transactions” during the 2014 Cancer Center Business Summit, November 6 – 7, 2014, at the Fairmont Chicago, Millennium Park in Chicago, IL.
Commercial Reasonableness: What You Must Know Before Contracting with Physic...MD Ranger, Inc.
Before compensating a physician to take emergency call or provide an administrative service, it's crucial to consider whether paying is commercially reasonable or not. Not all physician services warrant payment. Most hospital leaders deal with the challenges of determining commercial reasonableness.
Optimizing revenue in the healthcare acute care setting goes beyond traditional revenue cycle activities. Beyond revenue cycle emphasizes the focus on departmental operations of managing through put and acuity that can significantly impact revenue.
Presentation Uncovers Trends in the Unpredictable Healthcare IndustryPYA, P.C.
With the healthcare industry in a state of flux, not much is known about what lies ahead; but trends across the industry have become apparent and are likely to stick. These trends were the subject of a presentation given by PYA Principal David McMillan at the PKF North America Healthcare Fly-In.
Beware of Benchmarks: Use of Survey Data in Determining FMVPYA, P.C.
PYA Principal Tynan Olechny and Consulting Manager Zach Doolin recently presented, “Beware of Benchmarks: Use of Survey Data in Determining FMV,” as part of NACVA’s Online Winter Summit.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
The many ways in which healthcare reform affects the healthcare industry are still playing out. Undoubtedly, a question for physicians and the hospitals that employ many of them is “how will physician compensation be affected?”
PYA Principal Carol Carden recently spoke at the 2013 AICPA Healthcare Industry Conference, where she addressed this question with her presentation, “Current Reform Initiatives and Their Impact on Physician Compensation.”
The OIG Fraud Alert warns providers against overpaying physician in medical director positions. However, even if you have checked the payment rates on every medical director contract, you may still be paying too many medical directors.
Stop the Financial Bleed: Triaging the Cost of Hospital-Based Physician ServicesMD Ranger, Inc.
This special hour-long webinar from MD Ranger and HealthCare Appraisers advises on how to navigate hospital-based service arrangements at your organization.
Over the last several decades, the number of and cost associated with hospital-based service arrangements have been increasing. These agreements are generally more complex than medical directorships or on-call agreements, and contain unique risks that vary widely between facilities. A thorough understanding of these arrangements is essential to ensure both regulatory compliance and cost containment.
This webinar covers:
- Defining the key components of hospital-based service arrangements
- Reviewing fair market value and commercial reasonableness considerations
- Exploring the key pieces of information and data that drive understanding of these arrangements
- And more!
A step-by-step methodology to evaluate a department's revenue stream. Identifiy and assess mission-critical revenue trends to prompt remedies and compromises that maintain the revenue stream.
SR&ED funds can go direct to Investigators and does not interfere with other fund sources or have ethics issues.
We have crafted strategies to maximize the dollars realized,minimize the effort of assembling claims and avoid unnecessary CRA headaches. Clients care about their after-tax position, as well as cash flow, retirement needs and estate planning. Annual SR&ED rebates can be significant, but need to harmonize with other strategies to give the greatest benefit. Goulet Associates strives to supply one piece of the larger puzzle.
Compliance Pitfalls of Hospital-Based ContractsMD Ranger, Inc.
We will consider the most common compliance issues in hospital-based agreements. We discuss:
--Defining hospital-based services
--Trends and components of hospital-based contracts and types of payments (such as coverage payments, overall stipends, and income guarantees)
--Compliance pitfalls to avoid
--FMV and documentation options
The Top Ten Issues in Physician Practice Acquisition and ValuationPYA, P.C.
A webinar hosted by The National Association of Certified Valuators and Analysts (NACVA) and presented by PYA Consulting Principal Darcy Devine outlines ten common, but often complex, issues that arise during the physician practice acquisition process. The webinar took place Friday, February 13, 2015. “Don’t Stumble Coming Out of the Gate—The Top Ten Issues in Physician Practice Acquisition and Valuation” is geared toward health system and physician practice financial executives as well as business valuators working with those entities.
Evaluating the Financial Component of a Physician-Hospital ArrangementPYA, P.C.
Increasingly, physicians are entering into employment agreements with hospitals. A presentation given by PYA Consulting Principal Darcy Devine offered guidance for “Evaluating the Financial Component of a Physician-Hospital Arrangement.”
PYA Principal Carol Carden presented on current issues in healthcare valuation at The Texas Society of Certified Public Accountants Business Valuation, Forensic, and Litigation Services Conference at the Hilton Fort Worth, October 14, 2014.
PYA Principal Jim Lloyd presented as part of a panel discussion on the topic “Valuing Oncology Transactions” during the 2014 Cancer Center Business Summit, November 6 – 7, 2014, at the Fairmont Chicago, Millennium Park in Chicago, IL.
Commercial Reasonableness: What You Must Know Before Contracting with Physic...MD Ranger, Inc.
Before compensating a physician to take emergency call or provide an administrative service, it's crucial to consider whether paying is commercially reasonable or not. Not all physician services warrant payment. Most hospital leaders deal with the challenges of determining commercial reasonableness.
Optimizing revenue in the healthcare acute care setting goes beyond traditional revenue cycle activities. Beyond revenue cycle emphasizes the focus on departmental operations of managing through put and acuity that can significantly impact revenue.
Presentation Uncovers Trends in the Unpredictable Healthcare IndustryPYA, P.C.
With the healthcare industry in a state of flux, not much is known about what lies ahead; but trends across the industry have become apparent and are likely to stick. These trends were the subject of a presentation given by PYA Principal David McMillan at the PKF North America Healthcare Fly-In.
Beware of Benchmarks: Use of Survey Data in Determining FMVPYA, P.C.
PYA Principal Tynan Olechny and Consulting Manager Zach Doolin recently presented, “Beware of Benchmarks: Use of Survey Data in Determining FMV,” as part of NACVA’s Online Winter Summit.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
The many ways in which healthcare reform affects the healthcare industry are still playing out. Undoubtedly, a question for physicians and the hospitals that employ many of them is “how will physician compensation be affected?”
PYA Principal Carol Carden recently spoke at the 2013 AICPA Healthcare Industry Conference, where she addressed this question with her presentation, “Current Reform Initiatives and Their Impact on Physician Compensation.”
Compliance Reviewer with more than 12 years of business experience across industries. Demonstrated proficiency in ensuring that major financial institutions maintain compliance with state and federal banking and lending regulations. Accomplished in conducting comprehensive compliance reviews and remediating deficiencies through changes in policies and procedures that deliver cost-savings and increased accuracy. Skilled in educating and training staff on regulatory changes. Well-versed in Dodd-Frank Wall Street Reform and Consumer Protection Act, the Regulatory Home Mortgage Disclosure Act (HMDA), and the Statement of Financial Accounting Standards (SFAS). Key skills encompass:
Regulatory Compliance Mortgage Credit Compliance HMDA Policies
Risk Management Reports & Documentation TILA/RESPA
Fair Credit Lending Laws Requests Quality Assurance
Policies & Procedures Electronic Loans Filing Relationships
Seasoned risk manager and underwriter with nationwide underwriting experience looking to bring my underwriting skills and knowledge to a new and growing organization. Lead underwriter for the Trucking and Motor Truck Cargo portfolios for new business and renewal accounts. Professional lines, General Liability, Business Auto, Property and Casualty, Inland Marine, Workers Compensation and Umbrella underwriter as well. Providing exceptional customer service, risk analysis and carrier acceptability for insurance organizations.
1. Melonie L Henderson
Melonie L Henderson 4148 Happy Canyon Dr • Dallas, TX 75241
817.542.6154
Melonie.poydras@yahoo.com
PROFESSIONAL EXPERIENCE:
SANTANDER CONSUMER USA, Dallas, Texas 05/2015-Present
STATE COMPLIANCE ANALYST - CORPORATE COMPLIANCE
Conduct examinations of motor vehicle lease, sales finance and consumer finance deals.
Draft correspondence and create proactive-examination worksheets by states for
Comprehensive pre-exam reviews.
Participate in the documenting and remediation of State Examinations findings.
Develop the methodology, review, research and updating of key risk indicators (KRI’s) and control
Indicators (CI’s).
Implement and monitor process mapping of Policies and Procedures for Regulatory Repository
Examinations RCSA guidelines.
Track bills and regulations related to motor vehicle lease, sales and consumer finance.
EXETER FINANCE CORP,Irving, Texas 08/2012-01/2015
COMPLIANCE ANALYST (ESCALATIONS) – CLIENT RELATIONS CORPORATE COMPLIANCE
Developed, revised and maintained policies and procedures for the business.
Consult with corporate attorney's as needed to resolve difficult legal compliance issues.
Participated in the annual and quarterly certification process, includes NAF certification.
Assist line managers in identifying and monitoring key risk indicators of prescribed business unit.
Reduced audit fees by 33%. Maintain 100% quality audit findings without error.
Reduced chargebacks by 70%, supervise, coordinate, examine, and evaluate projects.
Implement necessary actions and operational risk initiatives to ensure objectives of an effective
compliance program.
HYUNDAI CAPITAL AMERICA HCA,Plano, Texas 08/2011- 08/2012
LOAN AND LOSS MITIGATION CREDIT/RISK ANALYST- CLIENT RELATIONS
Carried out negotiations and provided savings for in/out-network customers.
Acting SME for the specialist.
Participated in special projects and the development of website testing.
Support Unit Lead act as a liaison between Hyundai and vendors used for outsourced work, and
evaluate processes policies for improvements to streamline to improve overall efficiency.
Handled irate customer issues.
MULTIPLAN, Arlington, Texas 05/2011-8/2011
MEDICALFEE NEGOTIATOR ANALYST-CLIENT RELATIONS
Processed medical billing claims for in-out/network providers. Reduced external audit fees by 27%.
Assisted managers with identifying additional reductions, assessing savings, selecting risk controls.
measures, implementing risk controls, monitoring and reviews in accordance with the business.
Provide recommendations to AVP/VP. Produced average of $24,000,000 in annual savings.
Audit Findings.
2. Melonie L Henderson
JPS HOSPITAL, Ft. Worth, Texas 01/2010-05/2011
MEDICAL BILLING INSURANCE VERIFICATION ANALYST- BILLING
Audit denied claims, process claim appeals, process billing for HMO, PPO, FFS, Medicare, and
Medicaid for acute in/outpatient hospices, surgery and hospital stay.
Collected, posted and adjusted insurance payments. Reimbursements for long term/short term stay,
consistently met or exceeded monthly goals, savings by 20% or higher.
Analyze and review audit findings, risks and detailed recommendations to upper management.
MULTIPLAN, Arlington, Texas 12/2008-12/2010
MEDICALFEE NEGOTIATOR ANALYST-CLIENT RELATIONS
Processed medical billing claims for in-out/network providers. Reduced external audit fees by 27%.
Assisted managers with identifying additional reductions, assessing savings, selecting risk controls.
measures, implementing risk controls, monitoring and reviews in accordance with the business.
Provide recommendations to AVP/VP. Produced average of $24,000,000 in annual savings.
Audit Findings.
COUNTRY WIDE HOME LOANS, Ft. Worth, Texas 01/2007-12/2008
LOAN AND LOSS MITIGATION CREDIT/RISK ANALYST- CLIENT RELATIONS
Modify credit bureau reports, review edit and modify applications to ensure accuracy
Make recommendation to management to resolve delinquency and calculated risks and trends.
Maintain 100% quality audit without error, awarded 100%
CHW, CATHOLIC HEALTHCARE WEST MEDICAL CENTER, Sacramento, CA 01/2006-12/2006
VERIFICATION ANALYST RISK ANALYST LEAD- MEDICAL BILLING
Collect and post payments, adjustments, billing errors, prepared claim appeals, process billing for
HMO, PPO,FFS Medicare, Medicaid for acute inpatient/outpatient hospices, surgery and hospital
stay, reimbursements for long term, short term stay.
Consistently met or exceeded all goals, built partnerships with key industry professionals.
VERIZON WIRELESS, Sacramento, CA 01/2000-12/2005
BUSINESS LEAD ANALYST- CLIENT RELATIONS
Interpretfinancial trends,identifying operational deviations and report results to various departments,
research, analyze, and explain current and past activities.
Analyze business performance trends, challenge the organization to be more efficient and cost
effective, build/maintain reports, dashboards, and metrics.
Consistently met or exceeded all goals, built partnerships with key industry professionals.
EDUCATION
FRANKLIN HIGH – HIGH SCHOOL DIPLOMA
ASHFORD UNIVERSITY – BACHELOR OF SCIENCE – BEHAVIOR HEALTH 06/2017
COMPUTER COMPETENCIES
MS Office •Visio • Global Oasys • IntelliMatch • Smart Stream Reconciliation • Midas/AS 400
IntelliSuite • Bloomberg • Open Pages GRC Applications • SharePoint • Archer • Service Now • Shaw