Vice President Revenue Cycle Solutions

• Sep 2022 - Present

Sr. Director Revenue Cycle

• Oct 2018 - Sep 2022

259 bed free standing children’s hospital with 11 Outpatient locations, 385+ billing providers, covering 34 different specialties providing services at 14 office locations and at 10 affiliate hospitals in our 17-county coverage area.Direction and oversight for $1.7 billion gross patient inventoryDirection and oversight for the Patient Access, Financial Clearance, Utilization Management, Case Management, Admissions, Revenue Cycle Trainers, Patient Accounts, Central Business Office (Professional Billing), Revenue Integrity, Managed Care and Health Information departments.Direction & Oversight for contracting, upgrade and/or system implementations: Meditech 835 implementation, SSI upgrade, Optum 3M, Med-Metrix products: Vendor Management, Contract Management & Dashboards.Successfully implemented Epic for hospital and physicians remotely during COVID Show less

Interim Director Central Business Office

• Oct 2018 - Oct 2019

Interim Director Patient Accounts

• Aug 2018 - Oct 2019

Director of Central Business Office

• Jan 2015 - Oct 2018

*Management of $20 million gross inventory for over 450+ billing providers, 474K claims annually.*Optimization of Epic billing system and associated workflow processes to standardize, automate and improve efficiencies improving clean claims, reduction in denials, reduction in days in accounts receivables, improving cash. *Improved key performance indicators for Central Business Office (KPI’s): Cash collections to goal for 3 fiscal years surpassed yearly goal; reduced charge lag by a total of 10 days; improved aged accounts receivable over 90 days by 9.3 days over previous year, improved Net Days in AR by 7.4 days from previous year..*Implemented shared business office approach for handling of patient or account activities for both hospital and professional billing (e.g. eligibility denials, customer service, charity and financial assistance, transplant, international and embassy billing, and patient credit balances) to gain efficiencies between two different billing systems with similar processes that affect each other and to improve patient satisfaction.*Involved with several projects to improve processes with the billing systems and improve charge capture and reconciliation: PMD Charge to Document Reconciliation; Meditech 835 implementation, SSI upgrade, Affiliate reconciliation; Client Bill, Itemizations, Customer Service.*Implemented staff productivity in CBO, which showed improvements in timely charge processing decreasing unbilled inventory by 3000 per week and improvements in better more timely claims follow-up. Show less

Physician Practice Administrator, All Children's Specialty Physicians

• Aug 2009 - Jan 2015

*Develop, analyze and monitor activities related to the entire revenue cycle process and overall department operations for the departments of neurosurgery, neurology, general surgery, plastic surgery, cleft/craniofacial surgery and surgery network a combined gross revenue of $23 million, 57 team members (12 physicians, 15 advanced practitioners, RN, medical assistants, coders, billers, secretary and office support staff), at multiple locations throughout the west coast*Prepare budgets, analyze monthly financials, report variances and forecasting for multiple departments, service line and multidisciplinary programs*Proven successful oversight and strong knowledge of entire revenue cycle process; Continuously have the lowest overall days in accounts receivables and lowest charge lag time; model departments for entire physician enterprise; Developed CPT, RVU & Modifier reference sheet to improve charge capture and coding accuracies; Review coding and documentation for compliance and compare against industry benchmarks; Developed practice dashboards to monitor and evaluate key measures for practice operations and revenue cycle Show less

Administrator

• Nov 2006 - Aug 2009

*Improved overall practice collections by twenty percent *Successfully restructured practice by implementing various processes and procedures and retraining of staff to improve overall operations *Negotiated contracts with reimbursement rates and contract terms consistent for this specialized practice *Developed visit templates and other patient related documents to improve physician documentation to support physician billing and coding *Located space, negotiated lease terms, redesigned and opened up new satellite location Show less

Administrator

• Nov 1999 - Nov 2006

*Succeeded in practice growth by thirty percent annually *Negotiated insurance contracts with rates that superseded regional standards for pediatric practices *Customized, deployed and transitioned practice to a new Practice Management System and Electronic Medical Record *Successfully managed purchasing of property, construction and opening of new office site. *Developed close working relationships with pediatricians and support staff to collaboratively improve the delivery of healthcare and improve patient flow Show less