Proven hospice revenue cycle professional with demonstrated results in revenue cycle strategy, reorganization,and optimization. Energetic, servant leader with more than 20 years experience dedicated to hospice mission,and driven to develop robust community-facing, consumer-centered revenue cycles with the goal of maximizing reimbursement, minimizing bad debt, and ensuring positive patient financial experiences.
Leadership and Strategy
Billing and Cash Flow Optimization
Financial Advocacy and Patient Experience
Complex claim resolution
Revenue Cycle Structural Design
Managed Care Contracting
Analysis, benchmarking, KPI development
Education and Training
Bachelor of Arts:Medical Anthropology1997UC Santa Barbara, Santa Barbara, CA, USAMedical Anthropology Self-designed major concurrent with all Pre-Med requirements. Completed MCAT.
The Elizabeth HospiceEscondido, CARevenue Cycle Consultant05/2017 to 06/2017
Identified key metrics and staffing needs to support current and medium-term department goals.
Identified barriers to billing cycle and implemented refined claim follow-up processes.
Performed detailed analysis of billing and collection process.
Evaluated need for coding staff and coding audit process.
Chapters Health SystemTampa, FLRevenue Cycle Consultant02/2017 to 05/2017
Oversaw Revenue Cycle Dept through management change.
Established key contacts at State Medicaid agency to resolve multiple denied claims.
Reorganized Medicaid denial management system to improve resolution and first time reimbursement.
Reduced physician billing a/r by $300k by identifying barrier to timely billing.
Covenant CarePensacola, FLRevenue Cycle Consultant06/2016 to 01/2017
Restructured entire Patient Financial Services dept consisting of 11 staff.
Successfully acted as Interim Director including staff development, hiring, disciplinary actions.
Implemented new Patient Financial Advocate position.
Established strategic alliance with company resulting in significant increase in patients with funding.
Established Part B (Palliative Care) billing policy and procedures.
Renegotiated managed care contracts.
Health Essentials/GerinetSanta Ana, CARevenue Cycle Consultant02/2016 to 06/2016
Developed efficient revenue cycle functions after change in management and CBO re-location.
Analyzed and collected over $200k in Medicaid accounts receivables.
Develop write-off procedure and adjustment process increasing control and transparency.
Developed denial management solutions for non-Medicare accounts.
Silverado Senior LivingIrvine, CADirector08/2015 to 01/2016
Promoted to oversee $4M in monthly revenue for 10 hospices in three states.
Oversaw implementation of hospice payment reform and new methodology.
Developed and implemented notice of election and NOTR timely filing adherence best practices.
Worked with Organizational Department heads to improve team collaboration, scope, and cohesion.
Maximized self-pay collections through "courageous collections" process.
Developed complex insurance scenario procedures resulting in improved collections.
Maintained less than 1% bad debt write offs on annual basis.
Silverado Senior LivingIrvine, CAManager03/2012 to 08/2015
Developed new hospice billing department after major reorganization.
Implemented improved process for R&B billing, claims management, and billing control.
Implemented improved web-based billing system to streamline processes and improve cash flow.
Initiated Medicaid collection project resulting in high dollar collections.
Maintained DSO in 30s.
Desert Oasis HealthcarePalm Springs, CAHospice Billing Specialist II07/2010 to 03/2012
Successfully managed all aspects of hospice billing, payments, and collections.
Member of McKesson System Steering Committee.
Cardon HealthcareThe Woodlands, TXHospice Consultant01/2010 to 03/2010
Complex analysis for aging Medicaid accounts to determine collection feasibility.
Odyssey HealthcareDallas, TXAccounts Receivables Supervisor07/2009 to 12/2010
Promoted to supervise hospice Medicaid reimbursement department covering 30 states.
Odyssey HealthcareDallas, TXAccounts Receivables Trainer09/2004 to 07/2009
Early adopter and super user of McKesson Hospice system.
Designed and trained from multiple job aids, manuals, and billing tools.
Odyssey Healthcare Culver CityPalm Desert, CAAdmissions/Billing Coordinator02/1997 to 09/2004
Escalated awareness in hospice benefit through public education campaigns, events, and marketing visits.
Met or exceeded referral goals covering large territory in LA County.
Managed high volume admissions from referral to admission.
Managed upstream revenue cycle during time of fast growth from 19 to 109 patients in 18 months.
Part of transition team during Odyssey acquisition.