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Skills

  • Revenue generation
  • Healthcare reimbursement methodologies
  • Staff management
  • Process improvement
  • Relationship development
  • Compliance with healthcare regulations (HIPAA, JCAHO, etc.)
  • Regulatory compliance
  • MS Office
  • First Aid/CPR
  • Employee retention strategies

Work Experiences

  • Co-led post-acquisition integrations for 6 newly acquired facilities, seamlessly implementing unified billing protocols and increasing overall revenue by $8.
  • Achieved results over a 12-month period.
  • Submitted loan applications to the loan underwriter for review and approval.
  • Collaborated with a third-party collections agency.
  • Analyzed payer trends.
  • Built strong relationships with payers.
  • Boosted net revenue by $7 annually.
  • Collaborated with clinical and financial departments to align revenue capture strategies, driving an increase in operating margins by $8 within the first 11 months.
  • Used positive motivational techniques to engage employees in business processes.
  • Actively engaged with compliance audits to ensure adherence to federal regulations, resulting in a 100% compliance score across all billing activities.

Summaries

  • Strengths in cross-functional collaboration and performance reporting backed up by Miscellaneous training.
  • Clear understanding of data analysis and workflow optimization as well as vendor management training.
  • Accomplished in payer audit management.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Knowledgeable Revenue Cycle Director with experience in childcare and development.
  • To meet and exceed business financial goals, successfully optimizes frameworks and cultivates cohesive teams.
  • Highly skilled at building and leading high-performance teams that focus on meeting and exceeding business goals.
  • Accomplished in payer audit management, achieving a 58% success rate in appeals and recovering $2 in denied claims for 2020.
  • Interpersonal skills are exceptional.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the method business.

Accomplishments

  • Reduced days in accounts receivable by 2 days via targeted collections follow-up processes with dedicated personnel.
  • Enhanced patient retention by 52% through integration of a patient-friendly financial assistance program.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Implemented a centralized call center to coordinate all patient billing inquiries, decreasing patient escalations by 48%.
  • Promoted and oversaw the expansion of payer contract negotiations, resulting in a 24% revenue increase year over year.
  • Actively engaged in third-party payer audits, reducing appeal rejection rates by 39% through consistent accuracy in submissions.
  • Slashed point-of-service collection errors by implementing an education-driven front-end improvement strategy.
  • Decreased denial rates from 21% to 18% through regular staff training and the implementation of daily denial management protocols.
  • Spearheaded the implementation of SAP, reducing manual billing work by 57% and restoring revenue efficiency.
  • Optimized pre-registration and patient access procedures, lowering registration errors by 28%, and increasing satisfaction scores.

Affiliations

  • Epic Systems Certified User Group
  • Certified Healthcare Billing Specialist
  • American Medical Informatics Association
  • American Society of Safety Professionals
  • Lean Six Sigma Healthcare Professionals
  • Revenue Cycle Analytics and Data Leadership Council
  • Lions Club
  • Healthcare Financial Management Association (HFMA)
  • Certified Reimbursement Specialist (CRS)
  • Health Care Compliance Association (HCCA)

Certifications

  • Certified Healthcare Financial Professional (CHFP) by framework
  • Google Certified Professional Cloud Architect
  • Certified Medical Reimbursement Specialist (CMRS) by AMBA
  • Apple Certified Associate (ACA)
  • Finance Leadership Certificate 2022 by Lakeside Partners
  • Certified Business Analysis Professional (CBAP)
  • Microsoft Certified Systems Engineer (MCSE)
  • Cisco Certified Internetwork Expert (CCIE)
  • Advanced Healthcare Risk Management Certificate 2022
  • CompTIA Network+

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