Experience

MediStreams, LLC

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Director of Client Services

  • May 2018 - Present



i8 Health Solutions, LLC

• Atlanta, GA

• Senior Director - Financial Products

  • 2017 - Present

  • A key member of this start-up covering product development and client-onboarding to position the owners to achieve their goal of building and conveying the technology to a large strategic buyer • Worked with subject matter experts to learn the “deposit-to-post” cycle for the hospital revenue cycle, including the processes required to manage paper and electronic deposits and remittances. • Extracted and documented requirements from SME’s and worked with the development team to help drive… Show more • A key member of this start-up covering product development and client-onboarding to position the owners to achieve their goal of building and conveying the technology to a large strategic buyer • Worked with subject matter experts to learn the “deposit-to-post” cycle for the hospital revenue cycle, including the processes required to manage paper and electronic deposits and remittances. • Extracted and documented requirements from SME’s and worked with the development team to help drive an accelerated product development cycle for this new and innovative solution. • Worked with ANSI X-12 835 transactions, NACHA and BAI bank-related transaction standards • Managed on-boarding of initial customers for new product and facilitated necessary bug-fix cycle with clients and developers. Show less • A key member of this start-up covering product development and client-onboarding to position the owners to achieve their goal of building and conveying the technology to a large strategic buyer • Worked with subject matter experts to learn the “deposit-to-post” cycle for the hospital revenue cycle, including the processes required to manage paper and electronic deposits and remittances. • Extracted and documented requirements from SME’s and worked with the development team to help drive… Show more • A key member of this start-up covering product development and client-onboarding to position the owners to achieve their goal of building and conveying the technology to a large strategic buyer • Worked with subject matter experts to learn the “deposit-to-post” cycle for the hospital revenue cycle, including the processes required to manage paper and electronic deposits and remittances. • Extracted and documented requirements from SME’s and worked with the development team to help drive an accelerated product development cycle for this new and innovative solution. • Worked with ANSI X-12 835 transactions, NACHA and BAI bank-related transaction standards • Managed on-boarding of initial customers for new product and facilitated necessary bug-fix cycle with clients and developers. Show less



SurevenueMD / AlteraMed Group

• Atlanta, GA

• VP/ Operations Leader

  • Sep 2016 - Present

  • Responsible for the overall service delivery results for this physician practice management services business, including direct monthly and/or quarterly results meetings with Physician and Practice Management clients. • Remotely manage a staff of 20 employees located in San Antonio and Houston, TX. • Manage the coordinate of all staff-related matters, ranging from benefit administration to performance reviews of 20 staff. • Drafted and coordinated the completion of all client-facing… Show more • Responsible for the overall service delivery results for this physician practice management services business, including direct monthly and/or quarterly results meetings with Physician and Practice Management clients. • Remotely manage a staff of 20 employees located in San Antonio and Houston, TX. • Manage the coordinate of all staff-related matters, ranging from benefit administration to performance reviews of 20 staff. • Drafted and coordinated the completion of all client-facing documentation, ranging from BAA’s, to the master services agreements, to the responses to RFPs. • Coach and mentor staff to expand education and skill sets. Show less • Responsible for the overall service delivery results for this physician practice management services business, including direct monthly and/or quarterly results meetings with Physician and Practice Management clients. • Remotely manage a staff of 20 employees located in San Antonio and Houston, TX. • Manage the coordinate of all staff-related matters, ranging from benefit administration to performance reviews of 20 staff. • Drafted and coordinated the completion of all client-facing… Show more • Responsible for the overall service delivery results for this physician practice management services business, including direct monthly and/or quarterly results meetings with Physician and Practice Management clients. • Remotely manage a staff of 20 employees located in San Antonio and Houston, TX. • Manage the coordinate of all staff-related matters, ranging from benefit administration to performance reviews of 20 staff. • Drafted and coordinated the completion of all client-facing documentation, ranging from BAA’s, to the master services agreements, to the responses to RFPs. • Coach and mentor staff to expand education and skill sets. Show less



Surevenue MD

• Atlanta, GA

• VP- Chief Technical and Training Officier

  • Feb 2013 - Present

  • Perform Financial Benchmark Assessments for potential practices to detect improvement opportunities. • Support the practice management, EMR, e-prescribe, revenue cycle and clearinghouse modules of the system. • Establish remote training protocols with benchmarks to be completed prior to next training session. • Travel for on-site assessment of workflow, operations, revenue cycle and EMR solutions. • Demonstrate Surecord MD system to physicians, healthcare professionals, and… Show more • Perform Financial Benchmark Assessments for potential practices to detect improvement opportunities. • Support the practice management, EMR, e-prescribe, revenue cycle and clearinghouse modules of the system. • Establish remote training protocols with benchmarks to be completed prior to next training session. • Travel for on-site assessment of workflow, operations, revenue cycle and EMR solutions. • Demonstrate Surecord MD system to physicians, healthcare professionals, and C-level executives and senior level relationships nationwide via phone, email, web conferencing, and locally onsite • Develop materials utilized to train users on the software applications at all levels of the client organization. Authored software documentation for internal and external customers, including: "How To" guides, Reference Manuals, User Guides, and organizing existing documents. • Assess end user learning style and needs. Tailor the system training for the end user. • Identify new revenue potential via services, vendor collaboration, and/or feature development. Create business plan to support findings. Show less • Perform Financial Benchmark Assessments for potential practices to detect improvement opportunities. • Support the practice management, EMR, e-prescribe, revenue cycle and clearinghouse modules of the system. • Establish remote training protocols with benchmarks to be completed prior to next training session. • Travel for on-site assessment of workflow, operations, revenue cycle and EMR solutions. • Demonstrate Surecord MD system to physicians, healthcare professionals, and… Show more • Perform Financial Benchmark Assessments for potential practices to detect improvement opportunities. • Support the practice management, EMR, e-prescribe, revenue cycle and clearinghouse modules of the system. • Establish remote training protocols with benchmarks to be completed prior to next training session. • Travel for on-site assessment of workflow, operations, revenue cycle and EMR solutions. • Demonstrate Surecord MD system to physicians, healthcare professionals, and C-level executives and senior level relationships nationwide via phone, email, web conferencing, and locally onsite • Develop materials utilized to train users on the software applications at all levels of the client organization. Authored software documentation for internal and external customers, including: "How To" guides, Reference Manuals, User Guides, and organizing existing documents. • Assess end user learning style and needs. Tailor the system training for the end user. • Identify new revenue potential via services, vendor collaboration, and/or feature development. Create business plan to support findings. Show less



Silk Information Systems

• United States
• Computer Software
• 1 - 100 Employee

• Director of Practice Management and Revenue Cycle

  • Aug 2005 - Jan 2013

  • Created system training documentation including the Database, Practice Management, Revenue Cycle and Reporting modules. • Developed training content and schedule for Practice Management for both external end users as well as internal support staff. • Established inter-departmental communication Policy and Procedures for requesting feature functionality from customers and staff. • Authored Best Practices scripts for office operations (front desk, management, operations, etc.) •… Show more • Created system training documentation including the Database, Practice Management, Revenue Cycle and Reporting modules. • Developed training content and schedule for Practice Management for both external end users as well as internal support staff. • Established inter-departmental communication Policy and Procedures for requesting feature functionality from customers and staff. • Authored Best Practices scripts for office operations (front desk, management, operations, etc.) • Performed Practice Assessments of Financial, Operational and Office Workflow data to pinpoint inefficiency. • Performed trend analysis of denied and/or rejected claims. Information was used for system configuration to eliminate the denial pattern. • Identified staffing needs by department, created staff job descriptions, and conducted employee interviews. • Coordinated with Development staff to revise revenue cycle features and functionality. Collaborated with the Development team on the workflows and requirements, wrote regression tests, and provided feedback on necessary errors and alerts to end users. • Mentored new employees in the sales, support, development and directors departments. • Supervised a staff of 10, to include hours, PTO, expenses, and performance appraisals. • Adjunct support to sales staff, responsible for meeting coordination, demonstration of system to physicians, healthcare professionals and C-level executives in both phone and live audience formats and maintenance of the presentation database. Show less • Created system training documentation including the Database, Practice Management, Revenue Cycle and Reporting modules. • Developed training content and schedule for Practice Management for both external end users as well as internal support staff. • Established inter-departmental communication Policy and Procedures for requesting feature functionality from customers and staff. • Authored Best Practices scripts for office operations (front desk, management, operations, etc.) •… Show more • Created system training documentation including the Database, Practice Management, Revenue Cycle and Reporting modules. • Developed training content and schedule for Practice Management for both external end users as well as internal support staff. • Established inter-departmental communication Policy and Procedures for requesting feature functionality from customers and staff. • Authored Best Practices scripts for office operations (front desk, management, operations, etc.) • Performed Practice Assessments of Financial, Operational and Office Workflow data to pinpoint inefficiency. • Performed trend analysis of denied and/or rejected claims. Information was used for system configuration to eliminate the denial pattern. • Identified staffing needs by department, created staff job descriptions, and conducted employee interviews. • Coordinated with Development staff to revise revenue cycle features and functionality. Collaborated with the Development team on the workflows and requirements, wrote regression tests, and provided feedback on necessary errors and alerts to end users. • Mentored new employees in the sales, support, development and directors departments. • Supervised a staff of 10, to include hours, PTO, expenses, and performance appraisals. • Adjunct support to sales staff, responsible for meeting coordination, demonstration of system to physicians, healthcare professionals and C-level executives in both phone and live audience formats and maintenance of the presentation database. Show less



Resurgens Orthopaedics

• Medical Practices
• 500 - 600 Employee

• Revenue Cycle Manager

  • Mar 2000 - Jul 2005

  • Monitored accounts receivable and maintained an outstanding balance rate of less than 8% for balances over 90 days. • Implemented a surgical deposit policy for all elective procedures. Pre-verified insurance benefits for surgery patients to determine patient co-insurance responsibility. Collected all surgery deposits during the pre-operative appointments to eliminate large patient balances in the A/R. • Examined previous day posting activity to ensure clean claims, verified accuracy of… Show more • Monitored accounts receivable and maintained an outstanding balance rate of less than 8% for balances over 90 days. • Implemented a surgical deposit policy for all elective procedures. Pre-verified insurance benefits for surgery patients to determine patient co-insurance responsibility. Collected all surgery deposits during the pre-operative appointments to eliminate large patient balances in the A/R. • Examined previous day posting activity to ensure clean claims, verified accuracy of payments and appealed inappropriate payer denials. • Verified accuracy of physician coding for surgery and office visit charges and educated the physician in correct coding procedures for maximum reimbursement. • Monitored surgery payments against the payer fee schedule. Discussed reimbursement and denial issues with physician and appealed any inappropriate reimbursements. • Diminished patient A/R balances by coordinating patient payment prior to return visits. • Served as the collection coordinator for the practice, verified that all internal collection options were exhausted before turning account balance over to an outside collection agency. Maintained documentation to compliance levels as established by malpractice carrier. Show less • Monitored accounts receivable and maintained an outstanding balance rate of less than 8% for balances over 90 days. • Implemented a surgical deposit policy for all elective procedures. Pre-verified insurance benefits for surgery patients to determine patient co-insurance responsibility. Collected all surgery deposits during the pre-operative appointments to eliminate large patient balances in the A/R. • Examined previous day posting activity to ensure clean claims, verified accuracy of… Show more • Monitored accounts receivable and maintained an outstanding balance rate of less than 8% for balances over 90 days. • Implemented a surgical deposit policy for all elective procedures. Pre-verified insurance benefits for surgery patients to determine patient co-insurance responsibility. Collected all surgery deposits during the pre-operative appointments to eliminate large patient balances in the A/R. • Examined previous day posting activity to ensure clean claims, verified accuracy of payments and appealed inappropriate payer denials. • Verified accuracy of physician coding for surgery and office visit charges and educated the physician in correct coding procedures for maximum reimbursement. • Monitored surgery payments against the payer fee schedule. Discussed reimbursement and denial issues with physician and appealed any inappropriate reimbursements. • Diminished patient A/R balances by coordinating patient payment prior to return visits. • Served as the collection coordinator for the practice, verified that all internal collection options were exhausted before turning account balance over to an outside collection agency. Maintained documentation to compliance levels as established by malpractice carrier. Show less



Dermatologists of Southwest Ohio

• Dayton, Ohio Area

• Manager of Managed Care Contracts

  • May 1991 - Nov 1999

  • Analyzed existing and proposed contracts with Managed Care Organizations. • Compared fee schedule reimbursements and renegotiated as necessary. Advised physicians about necessary contract terminations. • Educated staff on policies and procedures on contracted managed care organizations. • Co-authored presentation “Getting a Handle on Managed Care” which was presented to the Ohio Dermatology Managers Association and American Academy of Dermatology. • Consulted other Dermatology… Show more • Analyzed existing and proposed contracts with Managed Care Organizations. • Compared fee schedule reimbursements and renegotiated as necessary. Advised physicians about necessary contract terminations. • Educated staff on policies and procedures on contracted managed care organizations. • Co-authored presentation “Getting a Handle on Managed Care” which was presented to the Ohio Dermatology Managers Association and American Academy of Dermatology. • Consulted other Dermatology practice and advised in the set up and managed care strategy. • Reviewed and revised the practice fee schedule annually. • Assisted Practice Administrator in generating and presenting focus reports to the physicians. Show less • Analyzed existing and proposed contracts with Managed Care Organizations. • Compared fee schedule reimbursements and renegotiated as necessary. Advised physicians about necessary contract terminations. • Educated staff on policies and procedures on contracted managed care organizations. • Co-authored presentation “Getting a Handle on Managed Care” which was presented to the Ohio Dermatology Managers Association and American Academy of Dermatology. • Consulted other Dermatology… Show more • Analyzed existing and proposed contracts with Managed Care Organizations. • Compared fee schedule reimbursements and renegotiated as necessary. Advised physicians about necessary contract terminations. • Educated staff on policies and procedures on contracted managed care organizations. • Co-authored presentation “Getting a Handle on Managed Care” which was presented to the Ohio Dermatology Managers Association and American Academy of Dermatology. • Consulted other Dermatology practice and advised in the set up and managed care strategy. • Reviewed and revised the practice fee schedule annually. • Assisted Practice Administrator in generating and presenting focus reports to the physicians. Show less



Dayton Head and Neck Surgeons

• Dayton, Ohio Area

• Data Processing

  • May 1988 - Aug 1990