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vp revenue cycle operations resume example with 13+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

Ambitious healthcare revenue cycle executive, offering over 20 years of experience that includes a progressive leadership path, seeking an executive leadership opportunity that will leverage my experience, strong operational execution abilities and skills on a dynamic team in a growing organization that practices daring leadership and thrives with change.

Skills
  • Subject matter expertise in Revenue Cycle Management with a total of 22 years of experience
  • Strong change management skills, particularly in acquisitions and cross functional change
  • Strong business acumen with a leadership style that promotes continual process improvement through proven Lean concepts
  • High level of emotional intelligence and self awareness
  • Cost and budget ownership
  • Excels in team leadership and development with effective succession planning
  • Trusted thought leader that incorporates data driven decision making and story telling
  • Strategic planning with the ability to operationally execute
  • Meyer's Briggs ENFJ and Disc Profile Is
  • NextGen, Allscripts, Centricity, CPSI, Tableau, Microsoft Suite & Google Suite
Experience
06/2020 to Current
VP, Revenue Cycle Operations Northwell Health Roslyn, NY,

A third party billing software and service center for over 500 PT/OT/ST clinics nationwide including three of the largest PT acquisition companies in the country.

  • Responsible for the leadership and outcomes of the revenue cycle operations team and processes, comprised of 600+ front line staff, 5 direct reports with annual net collections of over $1B
  • Responsible for an annual operating budget of $31M, achieving gross margin targets each year.
  • Interact heavily with the c suite of many key clients to foster a healthy partnership and strategic enhancement planning in revenue cycle operations.
  • Achieved and maintained operational excellence in RCM industry standard metrics.
  • Successfully launched, from start up, a GCC of 400 RCM associates in Hyderabad, India, reducing the cost of claim throughput by 18% and improving both productivity and gross margin.
  • Researched underlying issues, regulatory compliance status and processes to resolve complex business issues, created and deployed strategic corrective actions.
  • Built and realized a culture of continuous process improvement with high employee retention and positive staff eNPS scores.
02/2014 to 09/2019
Director, Revenue Cycle Alameda Health System Oakland, CA,

A 93 bed acute care community hospital with 27 physician practices.

  • Oversaw complete lifecycle of revenue operations including staff, performance, throughput, metrics, reporting and budgeting.
  • Directed and often facilitated revenue cycle process support to all clinical personnel, including resolving procedure challenges.
  • Consolidated the physician billing and hospital billing offices to gain efficiencies and reduce costs.
  • Established a value stream analysis and three year action plan that led to waste elimination, a 15% improvement in registration accuracy and best performer KPI status with the ability to maintain them for my tenure.
  • Centralized the billing call center operations that reduced free care and bad debt adjustments while increasing collections by 8%.
  • Represented revenue cycle in numerous value stream mapping exercises and grand scale process improvement initiatives through the Lean / Six Sigma methods.
  • Designated to several committees including compliance, documentation improvement, denials task force and practice acquisition planning.
  • Ran three very successful United Way annual campaigns as the employer chair representative.
09/2012 to 02/2014
Manager, Patient Accounts Northwell Health Shirley, NY,

A 230 bed acute care hospital with 18 physician practices and urgent care clinics.

  • Under the guidance of, and in partnership with, an RCM consultant management agreement, oversaw and supervised all activities of the Patient Accounts Department.
  • Built high-performance team by collaborating with new members on procedural, administrative, collections and compliance areas that included a large offshore operation and outsourced patient billing call center.
  • Resolved billing issues by applying knowledge and completing in-depth research.
  • Developed performance improvement plans based on deep reviews of current work.
  • Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
07/2008 to 02/2012
Manager, Revenue Cycle Central Maine Orthopaedics City, STATE,

A multi specialty physician practice with 30 providers and an ambulatory surgical suite.

  • Responsible for the staffing, performance and outcomes for all revenue cycle operations.
  • Developed improved standard operating procedures to increase billing accuracy and cash flow.
  • Served as the project manager to migrate to the NextGen electronic billing system.
  • Established the department's annual budget and reviewed and approved invoices each month for finance allocation.
Education and Training
Expected in 06/2020 to to
MBA:
Purdue University Global - West Layette, IN,
GPA:
Expected in 06/2019 to to
Bachelor of Science: Psychology
Purdue University Global - West Lafayette, IN,
GPA:
Certifications
  • Healthcare Financial Management Association (HFMA): Certified Healthcare Finance Professional, 2017
  • Daniel Hanley Center for Health Leadership: Executive Healthcare Leadership training course, 2017
  • Management & Strategy Institute: Lean, Green Belt, 2016
  • American Academy of Professional Coders: Certified Professional Coder, 2006 (not active)
Accomplishments
  • AZ Super Bowl Host Committee, Team Captain, 2023
  • LinkedIn Course, Data Storytelling, 2022
  • City of Peoria, AZ, Board Member Municipal Development Authority, 2020-2021
  • United Way, Volunteer of the Year, 2018
  • United Way, Employee Campaign Fundraising Chair, 2017-2019
  • Beach to Beacon, Race Volunteer, 2015-2019
  • Town of Freeport, Maine, Board Member Tax Disputes, 2015-2019
  • Girl Scouts of the USA, Volunteer & Troop Leader 2014-2016
Additional Information

Reside in Phoenix, AZ and open to on site and work from home opportunities. Able to travel domestically and internationally.

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Resume Overview

School Attended

  • Purdue University Global
  • Purdue University Global

Job Titles Held:

  • VP, Revenue Cycle Operations
  • Director, Revenue Cycle
  • Manager, Patient Accounts
  • Manager, Revenue Cycle

Degrees

  • MBA
  • Bachelor of Science

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