Ambitious healthcare professional offering over 12 years of progressive leadership experience, responsibilities and revenue cycle operations seeking a senior leadership position that will challenge my current skills in an organization with leadership growth opportunities.
A nine month healthcare leadership development course.
A 200 bed acute care hospital and level 1 trauma center.
Used analytical tools to assess the company's efficiency and ascertain better ways to improve the bottom line. Examined and recorded all incoming revenue for products and services. Reserved revenue accordingly for month end procedures. Ensured compliance with the internal control system. Investigated discrepancies uncovered during audits. Audited information and accurately entered all data into PBAR and eReserve. Researched and implemented best practices to improve audit results. Determined and detailed gaps in process, procedure and system controls. Complied with Sarbanes-Oxley Act to maintain complete transparency.
A 93 bed acute care hospital with 27 physician practices.
Areas of oversight include patient access, communication, coding, credentialing and patient financial services. Created a vision for financial success and continuously met or beat expected outcomes. Consolidated the physician billing and hospital billing departments to gain efficiencies in operations and reduce redundant costs. Established and executed a value stream analysis and three year action plan that led to waste elimination, a 15% improvement in registration accuracy and a best performer clean claims rate of >98%. Centralized a billing inquiry call center and early out self pay program that improved self pay collections by 8%. Established daily and monthly revenue cycle dashboards, visual management systems and reporting that indicated overall revenue health. Implemented a clearinghouse conversion, a payment lockbox, consolidated patient statements, and a physician billing system conversion. Executed the go live of a contract manager software that identified underpayments and supported productive conversations during payer contract negotiations. Successfully strengthened payer relationships. Planned and implemented the design of centralized prior authorizations and financial clearance. Consistently met better performer benchmarks in receivable days, free care and bad debt adjustments and denials. Became a trusted and valued participant in rapid process improvement events across the hospital and physician group that included projects in outpatient clinic patient flow, ED throughput, surgical service patient arrival, utilization review denial management, high cost infusion clinical and financial decision making, and outpatient behavioral health administrative work design.
Utilized project management and facilitation skills to launch a cross organization patient experience and customer service program, a billing system conversion that incorporated standard registration work in outpatient physician practices. Served as the organization's liaison to the annual United Way fundraising campaign and beat projections year over year.
A 230 bed acute care hospital with 18 physician practices and urgent care centers.
Under the guidance of and in partnership with a revenue cycle consultant management agreement, managed the activities of the patient accounts department. Actively maintained up-to-date knowledge of applicable state and federal laws and regulations as it pertained to billing, coding and claims processing. Provided thorough supervision for day-to-day operations of the department in accordance with set policies and guidelines. Regularly evaluated employee performance, provided feedback and assisted, coached and disciplined staff as needed. Worked cooperatively with revenue cycle partners and vendors in A/R management.
Served as the Supervisor, Patient Accounts, October 2012 to June, 2013
A multi specialty physician practice with an ambulatory surgical center.
Supervised and evaluated the responsibilities and efficiencies of medical receptionists and secretaries, surgical schedulers, billing, coding, medical records and credentialing staff. Maintained better performer standards in all revenue cycle benchmarks. Successfully coordinated a concurrent go live of a new electronic health record and practice management system with no revenue loss or provider down time. Planned and organized staff development and orientation programs. Conducted performance evaluations for all department employees. Played an integral part of facility contract reimbursement negotiations with payers. Established department's annual budget and conducted monthly reviews to ensure finances were being properly allocated.
Served as the Supervisor, Patient Accounts, August 2008 to June 2009
United Way of Mid Coast Maine, 2018 Volunteer of the Year
Beach to Beacon, Volunteer, 2016-2019
Coastal Humane Society, Volunteer, 2015-2019
Town of Freeport, Board Member, Board of Tax Disputes, Elected 2015-2019
Girl Scouts of Maine, Troop Leader & Volunteer, 2014-2016
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