Experience

Community Health Options

• Insurance
• 1 - 100 Employee

• Consultant, Operations Analytics & Strategy

  • Jun 2021 - Present

• Analyst, Health Plan Payment Integrity & Recovery

  • Jun 2019 - Jun 2021

  Lewiston/Auburn, Maine Area



MaineHealth

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Manager Financial Planning

  • Aug 2018 - May 2019

  Hospital & Physician Practices *Create annual budgets and monitor monthly variance documentation *Manage capital assets *Financial Accounting: analysis, reporting, statistics and financial planning *Accounting management of journal entries/accruals *Performance dashboards: WRVUs, Visits, Statistics, Budget Variances *Provider contract management and bonus reconciliations



Guardian Pharmacy

• United States
• Hospitals and Health Care
• 500 - 600 Employee

• Director, Finance & Administration

  • Mar 2017 - Jul 2018

  Brunswick, Maine LTC Pharmacy *Manage Billing, Collections, and Inventory departments *Accounts Payable invoice review/approvals *Create budget and analyze reported variances *Maintain pricing tables consistent with contract rates *Guide financial decisions by establishing, monitoring and enforcing policies and procedures *Protects assets by establishing, monitoring and enforcing internal controls



EMHS

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Financial Analysis Manager

  • Jun 2015 - Mar 2017

  Waterville, Maine Hospital, Physician Practice, & Nursing Home *Financial Accounting: analysis, reporting, statistics and building income statements (proformas) for strategic planning *Revenue Cycle: analysis and process improvement *Productivity benchmark management *Prepare and maintain annual budget *Charge Master Maintenance and strategic pricing *Performance dashboards: WRVUs, Visits, Budget Variances *Provider bonus calculations in line with contracts

• Patient Financial Services -Credit & Collections Manager

  • Jul 2013 - May 2015

  Brewer, Maine Hospital & Physician Practice services for 4 healthcare facilities: (Eastern Maine Medical Center, CA Dean Memorial Hospital & Nursing Home, Blue Hill Memorial Hospital, Acadia Hospital & Healthcare) •Manage Financial Assistance, Collections, & Customer Service units •Provides functional, technical and process leadership •Vendor Management of Collection agency •Legal settlement and liability account reviews •Month-end Accounts Receivable write-up/analysis •Knowledge of… Show more Hospital & Physician Practice services for 4 healthcare facilities: (Eastern Maine Medical Center, CA Dean Memorial Hospital & Nursing Home, Blue Hill Memorial Hospital, Acadia Hospital & Healthcare) •Manage Financial Assistance, Collections, & Customer Service units •Provides functional, technical and process leadership •Vendor Management of Collection agency •Legal settlement and liability account reviews •Month-end Accounts Receivable write-up/analysis •Knowledge of eligibility rules for the market place and MaineCare •Ensure compliance with state and federal regulations •Create/maintain policies and procedures

• Budget & Reimbursement -Financial Analyst

  • Mar 2010 - Jul 2013

  Waterville, Maine Hospital & Physician Practices •Create and maintain budget •Produce and maintain reports for: reimbursement, statistical analysis, staff hours, audit, financial statements, and cost reporting •Perform petty cash and inventory audits •Provided financial education for hospital, physician practices, and nursing home leaders •Charge Master maintenance •Manage insurance policies for auto, property, director & officer, etc. •Process improvement lead in analysis of… Show more Hospital & Physician Practices •Create and maintain budget •Produce and maintain reports for: reimbursement, statistical analysis, staff hours, audit, financial statements, and cost reporting •Perform petty cash and inventory audits •Provided financial education for hospital, physician practices, and nursing home leaders •Charge Master maintenance •Manage insurance policies for auto, property, director & officer, etc. •Process improvement lead in analysis of processes, reports, systems and system logic >Provide efficiencies in performance through education and report automations with yearly savings of $113K >Creation of Master Revenue & Expense Lawson budgeting/reporting tool >Creation of Medicare payments by CPT report for OP Therapy Cap threshold tool

• Information Systems - Systems Analyst

  • Feb 2006 - Mar 2010

  43 Whiting Hill Rd, Brewer, ME 04412 Hospital & Physician Practice services for multiple healthcare facilities: (Eastern Maine Medical Center, CA Dean Memorial Hospital & Nursing Home, Blue Hill Memorial Hospital, Acadia Hospital & Healthcare) •Month-end statistical reporting, analysis and trending •Provide efficiencies in processes through assessment for education/training needs and creating automated tasks within a scheduled bat file •PC Administrator and Security Administrator for Patient Account Services… Show more Hospital & Physician Practice services for multiple healthcare facilities: (Eastern Maine Medical Center, CA Dean Memorial Hospital & Nursing Home, Blue Hill Memorial Hospital, Acadia Hospital & Healthcare) •Month-end statistical reporting, analysis and trending •Provide efficiencies in processes through assessment for education/training needs and creating automated tasks within a scheduled bat file •PC Administrator and Security Administrator for Patient Account Services applications •Master File Maintenance: Charge Description Master (CDM), OML, PRM, HPPI, etc. •Implementation/Conversions: >Siemens Enterprise Document Management, August 2008 multi facilities >Invision OAS Gold & TRAC/OnTRAC, October 2008 for Blue Hill Memorial Hospital •Development and implemented new ‘Patient Friendly Statements’, 2010 multi hospitals

• Patient Financial Services - Team Lead

  • Aug 2005 - Feb 2006

  43 Whiting Hill Rd, Brewer, ME 04412 *Create policies and procedures *Supervisor Collectors, Financial application specialists, MaineCare eligibility specialists and Customer Service employees

• Patient Financial Services -Financial Counselor

  • Jul 2002 - Aug 2005

  Patient screening at bedside for third party insurance coverage (MaineCare, liability, victim's compensation, etc.) and hospital Free Care (as defined in state of Maine chapter 150)

• Patient Financial Services - Float

  • Jul 2000 - Jul 2002

  Coverage for all Patient Financial Services positions including: Cash posting, Billing/Follow-up for all payers, Self Pay Collections and switchboard operator.

• Patient Financial Services - Third Party Billing Specialist

  • Feb 1999 - Jul 2000

  Brewer, Maine Cover all PFS positions