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Working Hours
Monday - Friday 09:00AM - 17:00PM
Saturday - Sunday CLOSED

Call Us 855.984.1775

106 Isabella St., Suite 102, Pittsburgh, PA 15212

Mon - Sat 8.00 - 18.00 Sunday CLOSED

Transforming Risk Adjustment Through Insight, Transparency and Control
Transforming Risk Adjustment Through Insight, Transparency and Control
Transforming Risk Adjustment Through Insight, Transparency and Control
Call us today 855.984.1775
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I have lived and breathed the challenge of healthcare data problems for years and understand the financial and operational pain points plan’s face. Babel offers real solutions like no other platform I have seen or used, which is what attracted me to Babel.

Lisa Pouncey
Director of Professional Services

Lisa Pouncey has 30 years’ experience developing and implementing data management systems. The past 12 of which have been in the healthcare industry—upgrading hospital Electronic Health Record (EHR) and billing systems, implementing HEDIS, EDPS, RAPs and MMP Encounter reporting systems for health plans, as well as managing the encounter data submission and error correction processes and teams for nine Health Plans. Her tenure has provided her with expert knowledge of the claims processing and reporting governance rules for Medicare Advantage, RAPS, MMP, EDGE and Medicaid state programs, including NY, IL, DC, IN, RI, VA, NC and TN. Additionally, Lisa holds PMP and Scrum Master certifications and is experienced in Agile and Waterfall methodologies.

 

My Education

Bachelor of Science - Information Technology
Capella University
Scrum Master Certification
2014
PMP Certification
2007, Active

My Experience

Manager of Encounter Reporting
DST Health Solutions
Sr. Project Manager/Business Analyst, PMO
Windsor Health Group (a WellCare Company)
Sr. Project Manager/Business Analyst
Community Health Systems (CHS)

My Specialities

Healthcare Data Analytics - The Good, the bad and the Ugly
EXPERT LEVEL UNDERSTANDING OF CLAIMS DATA, PROCESSING RULES AND ENCOUNTER DATA SUBMISSIONS REQUIREMENTS, COMPLIANCE
Implementation Strategies
ESTABLISHING EFFICIENT PROCESSES FOR HEALTHCARE DATA MANAGEMENT AND ERROR CORRECTION
Problem Solving
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