SUMMARY:

• Highly motivated and seasoned professional with over 24 years of experience in healthcare revenue cycle operations including leadership roles in Confidential t Access, AR management, Payment Posting and Consulting.
• Relies on cumulative front end, back end and IT background to re - engineer operations to achieve desired goals. An effective communicator who has the ability to see the “big picture”. Possesses strong work ethic and has the ability to lead alone by example or with a team. Utilizes a mentoring management style with a focus on a positive work environment.

TECHNICAL SKILLS:

SYSTEM KNOWLEDGE & SKILLS: MS Office - Word, Excel, PowerPoint, SharePoint, Cerner Classic (Blue Screen-Clinical system), Cerner Millennium (Registration & Scheduling), Siemens - Invision ( Confidential t Accounting & Registration), Meditech, AS400 ( Confidential t Accounting), HMS, QuadraMedAffinity ( Confidential t Accounting/Registration), Xclaim (MedAssets Revenue Cycle Management software, now NThrive), SSI Group (billing system), ePremis (billing system), NextGen EPM, McKesson-Paragon Hospital Information System; GE IDX and Centricity Business, EPIC, Advanced MD and ZirMed (now Waystar).

PROFESSIONAL EXPERIENCE:

Confidential

Manager, Revenue Cycle Operations

Responsibilities:

• Manage team of 40+ employees across 3 units of the Revenue Accounting Department with annual payments totaling $1.8 billion ($1.2 billion hospital, $600 million physician). Plans, organizes, directs, and coordinates operations including financial planning, budgeting and accounting functions for both hospital and physician operations. Reconciliation from bank to end systems to ensure all payments are posted accurately, timely and within required timelines. Work with internal IT department, Provider Relations, Billing, AR and QA departments and other key Revenue Cycle partners to identify, isolate and correct any errors or anomalies.
• Monitor, report, trend key metrics as identified by Director and Associate Vice President.
• Project Manager for transition from 2 clearinghouses into a single clearinghouse for both hospital and physician platforms. Manage all ERA/EFT set up for hospitals and physicians within UTSW network. Manage all UTSW SOPs and work flows related to all ERA/EFT set up and all manual, department and electronic payment posting functions.
• Establish and maintain key relationships with revenue cycle vendors and partners including clearinghouse, off shore partner as well as Parkland Memorial Hospital and Children’s Health revenue cycle and Finance partners to ensure UTSW interests are protected.
• Oversees and participate in quarterly financial reviews and annual audits with internal and/or external auditors. Provides ongoing analysis as needed to Director and Associate Vice President of Revenue Cycle Operations. Serves as key participant in system and process improvement projects that are sponsored by the Department. Preparation of daily, weekly and monthly management reports providing key revenue and operational metrics and analysis to executive management.

Confidential

AR Manager

Responsibilities:

• Responsible for AR follow up and Payment posting teams. Manage day to day operations, facilitate client weekly status meetings, provide productivity reports and establish all P&Ps and Process Improvement guidelines for the organization. Monitor and make recommendations to improve KPIs within the revenue cycle.
• Implementation of ZirMed & HIPAA suites billing and clearinghouse platform. Develop and execute plan for complete reduction of AR on previous platform (Advanced MD).

Confidential

Operations Manager

Responsibilities:

• CBO/AR manager for Texas division. Monitor and improve revenue cycle KPIs. Implementation of GE Centricity Business platform.
• Represent department in all aspects of physician office revenue cycle. Recommend Process Improvement measures geared towards improving financial performance for our partners and shareholders.

Confidential, Irving, TX

Revenue Cycle Analyst IV

Responsibilities:

• Responsible for the management and analysis of revenue cycle initiatives including the extraction and analysis of data impacting the healthcare revenue cycle including claim submission, revenue billing applications, accounts receivable, bad debt, denials, and payers analysis.
• Collaborate with other key functions including healthcare center financial and clinical departments, as well as regional and corporate services to ensure effective and efficient processes for optimal revenue cycle outcomes.

Confidential, Plano,TX

IT Applications/Business Analyst - Revenue Cycle

Responsibilities:

• Revenue Cycle IT applications analyst role specializing in Business Office Process Improvement. Lead CBO & Revenue Cycle IT projects/implementations. Provides ongoing analysis of system and vendor performance for multiple facilities.
• Works with management to adjust vendor workflow based on decisions made from analysis. Interacts with outside agencies to assist in support of new implementations and/or questions with existing partners.
• Work closely with key Revenue Cycle team members to improve cash collections, create new automation and maximize use of applications.
• Train and develop Revenue Cycle users and super users by preparing documentation for user community. Various work committee participation with vendor partners. Participate in new vendor/product selection.

Confidential, New York, NY

Sr. Project Manager

Responsibilities:

• Project Manager / Revenue Cycle role servicing large physician client with 60+ locations and 300+ providers.
• Client communication, design and maintain dashboards, work closely with Registration and CBO on scheduling, billing, collection and posting issues. Provide leadership for project managers throughout the organization. Ensure best practice P&Ps are established and maintained. Ensure issues reported are completed correctly and timely and to customer’s satisfaction. Work with customer executive management to reach and exceed monthly collection and days outstanding goals.
• Coordinate daily functions of key delivery areas within onshore-offshore model to promote best practice standards.
• Audit high dollar claims to ensure reimbursement fee schedules/payer contract.

Confidential, Dallas, TX

Business Office Director / Consultant, RM Division

Responsibilities:

• Direct all aspects of CBO of 60 associates including managers, supervisors and team leaders. Manage AR, onsite business office staff, registration staff, vendors, Policies and Procedures and reporting for assigned hospitals/health system.
• Analyze aging reports, identify trends, and create specific action plans designed to improve cash collections and reduce days outstanding. Prepare executive level status reports on progress, road blocks, goals and objectives.
• Project management to ensure SOWs/SLAs are met and client satisfaction is exceeded. Work closely with existing hospital administration on Process Improvement initiatives.
• Provide plan and mentor new/replacement leadership team client has put into place.
• Assist executive management in developing dashboard, productivity and quality assurance standards for various revenue cycle departments.

Confidential, Conshohocken, PA

Engagement Director

Responsibilities:

• CBO Director for assigned client. Manage and exceed customer expectations by driving the coordination efforts with appropriate internal and external resources including departments of the hospital.
• Maintain working knowledge of the entire healthcare revenue cycle, to assure ability to identify, communicate and escalate issues as appropriate.
• Responsible for AR management and managing an onsite hospital Engagement in accordance to the written service level agreements between the company and the client.

Confidential, Plano, TX

Project Manager

Responsibilities:

• Manage client expectations and contract terms by identifying cash-impacting problems in the areas of billing, coding, follow-up, collection and other general areas within the Confidential t Financial Services department.
• Audit high dollar accounts for contract compliance.
• Conduct and present daily, weekly and monthly results of inventory analysis to all Managers and Directors within client’s revenue cycle team.
• Gather data, participate in issue resolution and recommend best practice solutions.
• Oversee onsite Confidential t accounting system program.
• Supervise associates according to established project guidelines.
• Maintain professional, ethical and appropriate relationship with client staff members.

Confidential, Richardson, TX

Customer Support Manager / Account Manager

Responsibilities:

• Manager in a fast growing, web-based company which provides Confidential and out sourcing services to the healthcare industry (hospital and physician).
• Work closely with senior management both internally and at client sites to ensure company customer service standards are exceeded.
• Team Leader in company Process Improvement efforts.
• Create multi-department productivity reports for COO, CEO and Board of Directors.

Confidential, Dallas, TX

Confidential t Access Manager

Responsibilities:

• Responsible for scheduling, pre-registration, registration, financial counseling, coding and billing and revenue cycle operations for 100,000+ procedures per year department.
• Manage staff of over 25 associates.
• Overall, had 7 promotions in 9 years of employment. All within the Business Office / Confidential t Access / Revenue Cycle.