Experience

Argos Health

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

• SVP, Workers' Compensation

  • Feb 2019 - Present



RSource - Healthcare Receivables Management

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

• Director - Accident Programs

  • Dec 2017 - Jan 2019

  Responsible for department of approx. 100 Patient Advocates, The accident program advocates to recover medical payments on behalf of patients from MVA, Work Comp, and TPL carriers to resolve their hospital and physician bills. Coordinate with our Provider partners to streamline data and workflow processes. Utilize technology and data analytics to increase recoveries and reduce AR days. Responsible for department of approx. 100 Patient Advocates, The accident program advocates to recover medical payments on behalf of patients from MVA, Work Comp, and TPL carriers to resolve their hospital and physician bills. Coordinate with our Provider partners to streamline data and workflow processes. Utilize technology and data analytics to increase recoveries and reduce AR days.



The Rawlings Group

• United States
• Insurance
• 700 & Above Employee

• Director of Subrogation - Workers Compensation Operations

  • Jan 2015 - Dec 2017

  Responsible for Workers Compensation department of approx. 50 analysts. Established productivity metrics, quality review benchmarks, and recovery goals. Responsible for both day to day operations and working with R&D to develop new revenue opportunities and our legal department regarding new recovery strategies.Previously took over a support area of approximately 75 employees. Restructured teams, changed leadership, and established SLA's for our internal customers. Over course of a year reduced SLA's for key functions from over 45 days to a less than 5 days, added quality feedback loop with customers and improved key quality indicators.

• Director of Audit Operations

  • Sep 2014 - Jan 2015

  Worked with internal team of 50 plus recovery analysts to develop and improve processes and procedures to increase employees productivity and quality . These changes drove increased recoveries and top line revenue.



MedAssist, a Firstsource company

• India
• Hospitals and Health Care
• 300 - 400 Employee

• Director of Early Out Receivables (Revenue Cycle)

  • Feb 2008 - Aug 2014

  Direct a department of over one hundred staff, including project managers, team leads, and patient account representatives, both in our office and on-site at our client's facilities. Providing revenue cycle solutions (Patient Access, Point of Service collections, Commercial and Government Insurance billing and follow-up, Early Out statements and calls) for over a thirty different health care providers to exceed both client and upper management's revenue expectations.Responsible for client relationship from implementation through daily activitiesAnalyze and implementation of the latest technology to improve operations



Humana Inc

• Contracts Process Manager

  • Jul 2006 - Feb 2008

  Manage up to fifteen staff including front line leaders, project analyst and contract analyst for department that was responsible for drafting Summary Plan Descriptions, Plan Management Agreements, and Stop Loss Policies for Administrative Services Only clients.Negotiated with clients and internal partners regarding contract details and SLA'sImplemented action plans to improve internal and external customer service for project analystsAssisted Process Excellence team in developing process flows and SOP for all lines of business handled by the department



Mapother & Mapother, PSC

• Collection Manager

  • Sep 1993 - Jul 2006

  Manage up to thirty collections staff including team leaders, paralegals and assistants for collection law firm. Oversee hiring, training and development. Meet with clients to develop collection strategies. Assist with various other functions within firm.Managed implementation of new predictive dialer system.Reorganized staff to better handle work volume and take advantage of individual staff strengths. Same amount of work is handled and productivity has increased despite 30% reduction in staff.