Jeffrey Toal

Practice Administrator at Diamond Health, Inc.
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Contact Information
us****@****om
(386) 825-5501
Location
US

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Experience

    • United States
    • Consumer Services
    • 1 - 100 Employee
    • Practice Administrator
      • Jan 2022 - Present

      Concierge Medicine Diamond Physicians revolutionary healthcare delivery model removes insurance and price fixing from the equation. Simplifying primary care lowers costs and dramatically improves the patient experience. Enjoy direct access to your doctor. Our mission is to completely change the way we utilize health insurance in America while providing better access to exponentially better medical care. Insurance should be used for catastrophes only, things that cost thousands of dollars like surgery or cancer treatment. When you remove insurance from the primary care equation, you lower costs, align incentives, and improves access. We Are Healthcare not Sick-care Reactive means you wait until you are sick, then you go see a doctor. Preventative medicine takes a back seat to writing a prescription that simply masks the problem. Diamond’s philosophy is proactive, to discover elements that could lead to heart, kidney, lung disease, and cancer before they manifest. We Align Incentives. Diamond does not make money by billing insurance companies for procedures like traditional insurance doctors and hospitals. Patients become a commodity instead of a valued consumer. We focus on our members and create innovation that improves their quality of life. Superior medical care paired with an exceptional experience crates customer loyalty and makes our membership model successful. We Lower Cost By removing insurance from primary care, directly contracting with our members and medical ancillaries, we can offer affordable healthcare to patients. We Improve Access We leverage technology to allow our members to communicate securely text, video chat, or phone call – eliminating all barriers to care. You don’t even have to be in the same city as your doctor to receive world class primary care.

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Area Administrator
      • Nov 2020 - Nov 2021

      Area Administrator – Directs Practice Management activities for multiple physicians’ clinic sites in assigned area by developing revenue enhancement, marketing of practices and operations. Area Administrator serves as liaison between practices and HTPN network to achieve strategic goals and within financial goals by preparing reports and monitoring data and managing personnel within standards. COVID response development and implementation. KPI metrics management. • Managed Regional $200+ Million PCP Clinic budget and 300+ staff and Providers for 15+ sites. • Physician and Mid-Level recruitment success • Recruited high-performing management teams.

    • United States
    • 1 - 100 Employee
    • Executive Director
      • Aug 2018 - Oct 2020

      A leading and world renown concierge Oncology Treatment Center serving International and U.S. patients diagnosed with solid tumor cancers. Care focused on remission and chronic management through the highest quality of daily life. Leadership and transformational change management, modernizing infrastructure, compliance and work culture. • $2 million risk reduction through insurance and vendor service delivery liability exposure. • 100% ROI in 15 months modernizing IT infrastructure and 200+% increase workflow access. • 25% Employee Experience and Benefits improvements by implementing new HR Policies and Compliances. • 15% Revenue improvement through implementing Strategic Plan and high-performance Cross-Functional teams. • Project Champion PM/EHR leadership in development, training, and implementation.

    • United States
    • Medical Practices
    • Executive Consultant and CEO, Founder
      • Nov 2017 - Dec 2018

      A leading healthcare consulting and technology company that helps physician groups, ASCs, and integrated healthcare organizations identify, address, and pursue undisclosed revenue from insurance claims. Executive Consultant and Chief Executive Officer 2010 - Present Consult for active projects, new business development and provide CEO leadership for fiscal accounting. • $25 million in project results set for final arbitration, financial resource optimization, and a 1,200% decrease in the operational budget realized by strategically leading and planning angel and VC Investor negotiations to springboard a national launch with several project funding tranches ranging from $80,000 to $250,000. • $10 million potential broker sale of business noted by preparing for a corporate wind-down and $80,000 in project recognition observed by updating four open projects and securing corporate commitment for introducing new services. • $2 million valuation recorded for four projects by developing the Texas Hospital Association trade show booth and presentations and leading the marketing and networking with prominent industry contacts and speakers.

    • Executive Director of Revenue Cycle
      • Mar 2017 - Nov 2017

      The premier provider of pediatric home health therapy in Texas delivering speech, occupational, and physical therapy. Executive Director of Revenue Cycle | 2017 Oversaw $20+ million in annual revenues while managing ten direct and 40 indirect reports with an additional 200 reporting employees. Served on the executive leadership and M&A transition teams. Administered intake, authorizations, and revenue. Drove a new software agile scrum implementation as the product owner and main stakeholder. • $1.5 million saved in COGS and administrative expenses by improving business efficiency and enhancing payer strategies and relationships. • $135,000 spent in modernizing technology with VOIP phone system, software system, and HRIS payroll and benefit upgrade projects all completed on time, within budget, and without business interruption while managing an infrastructure implementation projected to generate $80,000 in annual savings with a 10% ROI. • 15% COGS reduction, 10% in additional revenue, 10% annualized ROI, and a 5% decrease in cost of employee acquisition and retention achieved by overseeing the leadership team in a small company merger that included conducting due diligence and guiding the technology and operational integration within the timeline and budget.

    • Regional Vice President
      • Aug 2016 - Mar 2017

      Regional Vice President 2016 – 2017 Served as a leadership team interim to identify challenges and restore a challenged Houston division. Managed 45 staff. • 25% referral growth and 10% therapist production boost accomplished by driving an implementation addressing operational deficiencies, uncovering opportunities, and optimizing revenue cycle management. • 25% revenue expansion and minimum staff turnover attained by guiding the company through adversity after a 35% Medicaid revenue drop to stay focused on the future, keep operations, key talent, and community services stable, and engage employees through organizational development and change management.

    • Founder, President , CEO, COO
      • Dec 2009 - Aug 2016

      A leading healthcare consulting and technology company that helps physician groups, ASCs, and integrated healthcare organizations identify, address, and pursue undisclosed revenue from insurance claims. Chief Executive Officer, Founder 2009-2016 Conceived, developed, and launched innovative proprietary 837/835 X12 claims analytic tools that facilitated timely revenue collections. Oversaw a $3 million annual budget and $25 million in projects. Service marked a consulting tool, Claims Intensive Revenue Cycle Analytics (CIRCA™) and an expert reporting tool, Claims 4 Healthcare (C4H). • $10 million project life cycle valuation placed on the CIRCA software service that analyzed claims for timely revenue collections from Medicaid, Medicare, and private insurance companies. • $2 million revenue improvement achieved in 18 months by scaling up operations and implementing the corporate business model to take the company from a regional to a nationwide firm. • $250,000 software development company acquired, merged IT developers into company leadership team, created $1.3 million in value from existing client relationships, and re-engineered to save $150,000 monthly by eliminating redundancies in operations, office space, personnel, and IT infrastructure. • 900% time conserved to complete reconciliation reports and $72,000 saved on CPA expenses and employee operations by installing an accounting system for startup operations and using QuickBooks Pro to track projects. • 600% business model transformed from three-year, arbitration-based to a six-month, project-based sales cycle and upfront cash model and streamlined an 18-month project down to four weeks, tripling the client base.

Education

  • Texas Woman's University
    Master of Business Administration - MBA
  • The University of Texas at Arlington
    Master of Social Work
  • The University of Texas at Arlington
    Bachelor of Science

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