Director of Revenue Cycle Transformation Resume Example
Kimberly Fowler DIRECTOR: Kimberly Fowler Twenty Five SYSTEMS KNOWLEDGE: Epic, IDX/GEHC Centricity Business, Allscripts, Healthcare Management Systems, SMS Invision, HBOC, Meditech/BAR, Meditech 6.0, Medic, LSS KEY RESPONSIBILITIES: Revenue Cycle Management, Operational and Workflow Analysis and Optimization, Implementations, Business Office Management CERTIFICATIONS: Certified PMP through Perotsystems, January 2008 Kimberly has more than 25 years of experience in acute care, long term acute hospitals, home health and large multi-specialty physician practice groups in revenue cycle management and operations both for-profit and non-profit organizations. She was instrumental in the development and structure of a Centralized Business Office (CBO) for acute care and long-term acute hospitals. Kimberly has a high success rate when utilized in interim management role. She has met and exceeded benchmarks while expanding the company business growth. Formulated and implemented revenue cycle processes in all healthcare services Highly skilled in receivables turnaround and PM system conversions Maintained excellent operational profit margins with proven proficient accounts skills Monitored and ensured that all compliance issues were addressed in a timely manner Administered budget, monitored variance and implemented managerial controls designed to enhance profitability and ensure compliance
Alvarez & Marsal – Us-El Segundo , CA
- Responsible for developing and leading the Revenue Cycle Service Line within Hayes.
- Supports the Vice President of Revenue Cycle Transformation by assisting with day-to-day management duties and creating a successful revenue cycle consulting practice for Hayes Proactively manage consultants and hold them accountable for assignments to ensure goals are achieved Manage and mentor senior-level and entry-level consultants in the Revenue Cycle Transformation division Developed Revenue Cycle Performance Review Tool to include scorecard and benchmark analysis Assist with analysis and optimization of Revenue Cycle process improvements both operationally and financially Serve as Account Manager for service line projects and quality of deliverables; schedule on-site client meetings to maintain existing relationships and serve as liaison between projects and the client's expectations.
Cim Group – Remote , OR
Xtend Healthcare – City , STATE
- Directed and led the Revenue Cycle team to include evaluating and managing revenue cycle functions in hospital acute care and physician services Conducted gap analysis to identify financial deficiencies and financial opportunities compared to best practice Developed, implemented, improved processes and provided feedback to C-Suite on a weekly basis with combined monthly reports preparation at month-end Directed and oversaw implementation and monitoring of outside vendor software products as well as leveraged outside vendor's services contracted with the facility Reviewed, analyzed and recommended strategies related to managed care and government contracting while concentrating on payer-specific issues to monitor, track, trend and move toward resolution of identified areas of financial opportunity Serves in interim management roles to include director of revenue cycle, patient financial services, and patient access, as needed for client engagements Directed supervisors of scheduling (call center), patient access, billing/collections, charge master (CDM), cash applications, denial management and revenue recoveries Developed and implemented well-defined processes related to revenue cycle management, which produced positive sustainable outcomes and was consistent in meeting cash targets and metrics Directed, established and oversaw all aspects of operations to meet key performance indicators as in days in A/R, cash collections both third-party and self-pay, A/R greater than 90 days, gross/net collection to gross/net revenue, unbilled and denial overturn ratio Assisted with analysis of bad debt and charity care for Medicare cost reporting Led and collaborated with financial and clinical departments to review department reimbursements and identify areas of financial opportunity Provided highly-successful profit margins which reflected budgetary guidelines and cash flow Gained knowledge and skill in Medicare and Medicaid reimbursements in all services to include home health and hospice Recommended strategies for long-and short-range plans and a solid business plan Developed, managed, trained and mentored staff related to business office operations and processes Recommended and assisted with implementation of software/technology to enhance the overall function of the revenue cycle Prepared and presented month-end reporting to board members, administration and the management team Coordinated with business development/sales and worked within well-defined aspects of recurring business and future business.
Perotsystems/Dell Healthcare Services – City , STATE
- Directed the implementation of account start-up's to include EBO, project management, software installation and outside vendor relationships all which encompass a successful revenue cycle and best practice outcomes Directed, identified, coordinated and oversaw operations of Revenue Cycle Management (RCM) related to hospital business office and physician services to include academic multi-specialty groups Served in interim management roles for clients including, revenue cycle director, patient financial services and patient access services to represent the client's business office while coordinating with EBO for positive financial outcomes Monitored cost management in alignment with patient volumes and revenue generation Met and exceeded deliverables related to service line agreements (SLAs) Established well-defined working relationship with clients including developing, implementing and recommending processes to establish controls and meet key performance metrics Interacted with regulatory agencies, managed care contracting, collection agencies and other professional and community groups Collaborated and recommended strategies related to a solid business plan to enhance the patient's experience, increase net revenues, and enhance cash flow Developed, implemented and advised staff of best practice processes Prepared and communicated month-end close reporting to C-Suite, client management and board members Ensured all policy and procedures were developed, implemented and in compliance.
American Transitional Hospitals, Inc – City , STATE
- Directed and coordinated operations of revenue cycle management for 13 LTAC (long term acute care) hospitals Provided tools for new hospital openings and ongoing coaching Assisted Corporate CFO on month-end close and monitor bad debt reserves Directed and implemented consolidation of 13 HIS systems to one HIS system Developed and established benchmarks for all facilities to monitor, track and trend outcomes Established reporting mechanisms for finance staff at each facility to monitor daily operations and give feedback to staff Responsible for training, educating and providing feedback as to issues related to compliance, and regulatory information.
Education
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Resume Overview
School Attended
- University of Oklahoma
Job Titles Held:
- Director of Revenue Cycle Transformation
- Senior Healthcare Consultant
- Senior Director of Revenue Cycle Operations
- Associate Vice President
- Director of Patient Accounts (CBO)
Degrees
- Bachelor of Arts : Education ,
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