Experience

National Coordination Center

• United States
• Business Consulting and Services
• 1 - 100 Employee

• Revenue Cycle Generalist at National Coordination Center

  • Jul 2022 - Present

  The National Coordination Center (NCC), powered by Edera, is a fast-growing healthcare consultancy that connects the nations' brightest minds to help solve some of the most pressing issues in healthcare. NCC identifies eperts focused on quality, telehealth, workflow improvement, innovation, patient experience, and interoperability and connects them with federal and commercial clients in need. The National Coordination Center (NCC), powered by Edera, is a fast-growing healthcare consultancy that connects the nations' brightest minds to help solve some of the most pressing issues in healthcare. NCC identifies eperts focused on quality, telehealth, workflow improvement, innovation, patient experience, and interoperability and connects them with federal and commercial clients in need.



G&G Consulting

• United States

• COO, Owner

  • 2016 - Present

  Revenue Cycle Consulting Revenue Cycle Consulting



Lake Charles Memorial Health System

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

• Director, CBO

  • Apr 2020 - Dec 2020



Imperial Health

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

• Director Revenue Cycle

  • Sep 2019 - Apr 2020



Bay Area Hospital

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Director Revenue Cycle

  • Mar 2017 - Aug 2019



El Rio Community Health Center

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

• Revenue Cycle Manager

  • Aug 2016 - Mar 2017

  Responsible for directing the planning, development, organization, and implementation of strategies to bill customers, process payments, minimize bad debt, improve cash flow, manage the overall health of the organization’s medical and dental receivables, and collaborates with coding professionals to ensures the effective and accurate professional medical and dental coding. • provided professional level consultation services related to revenue cycle, as well as other varied operations of the Revenue Cycle department. • Directs and oversees the development of organization-wide programs, policies, procedures, and operations of the Revenue Cycle Department, including but not limited to: billing and accounts receivable, collections and cash application, third party contracting, charge master, associated revenue cycle functions. • Compiles and prepares various performance status reports, analyzing trends and making recommendations to leadership on action plans and operational alternatives. • Direct the effective implementation of policies that directly contribute to effective and successful decision-making by executive leadership within the organization.



EqualizeRCM

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Billing and Client Service Manager

  • Dec 2011 - Mar 2016

  Manager/Consultant • Operations: Supervisor and manager for a multi million dollar medical billing company (BPO) reporting directly to the CEO and VP. • RCM: Manage all daily/monthly/yearly workflow practices ensuring profitability at every level. • Personnel: Develop, supervise and evaluate all outsourced, front end, clinical, billing, collection teams, and created team and skill set building events. • Claims: manage, review and audit all outgoing and rejected claims developing troubleshooting protocols varying in size and complexity as needed, and their processes. • Implementation: developed, and set up practice management software for submission of electronic claims to clearinghouse. • Liason: Work with clearinghouse and fiscal intermediaries to resolve file compatibility issues, claims adjudication. • Reporting: EOD/EOW/EOM/EOQ/EOY, developing, root cause analysis, trending, benchmarking, and measuring profitability. Cognos, SQL, EBO, Flex, and direct report management. • Development: Plan, proctor, and facilitate client provider monthly meetings, strategies, and maneuvers. • Consulting: Assist with new client/contract business analysis, recruitment, implementation, contracting, and credentialing. • Customer Service: ensure excellent quality of care for internal and external customers as Quality Assurance and Quality Control Manager. • Root Cause Analysis: Identify workflow inefficiencies, develop alternatives, and implement solutions. • Reimbursements: Supervise and audit processing of all EOBs and RAs and ERAs. • Receipts: Audit and supervise posting of all payments from patients, banks, and insurance companies (state, federal, and commercial).



ASCEND HEALTH SERVICES

• Austin, Texas Area

• Quality Assurance Manager / Senior Manager

  • Jan 2008 - Sep 2012

  • Quality Assurance/Control; Operations Manager; manage all daily/monthly/yearly close out procedures; manage all collection activity; Manage and audit all personnel and workflow practices; review all outgoing/rejected claims; review and scrub clearing house acknowledgment reports; monitor all EDI activity ;batch/send/audit/correct/resend/appeal all claims. Act as liaison between the office, patients, clearing house, and insurance companies. Assist with New Client Implementation. Ensure excellent quality of care for internal and external customers. Trouble shoot software IT problems (E-Clinical Works and Virtual Suites, Advanced-MD Solutions, Medisoft, Medimobile, Meditech, Centricity); process all EOBs and RAs and ERAs. Audit and Supervise posting of all payments from patients/banks/companies. Monitor and assist as needed all Administrative aspects. Manage all Front End, Clinical, Billing, and Collection teams. Report directly to CEO.



DR. DORSETT

• BACK/FRONT OFFICE PERSONNEL

  • 2007 - 2008

  Patient customer service, pt check in, pt check out, deposits, petty cash, charting, faxing, 5-line phone answering, new patient registration, all medical records, scheduling for 2 providers, brief pharmaceutical reps., training (students/personnel), managed externs; handled appointment and procedure scheduling and pre-certs/prior auths/ verifying insurance; implemented chart archive filing system, purge pt accounts, insurance filing/collecting, posting EOBs, AR, AP, 1st party collections, all office automation and management; processed incoming and outgoing mail and packages; initiated training and camaraderie sessions; ensured quality of patient care, implemented DOCR, advised on opening Aesthetic practice and advertising, organized sample closet, organized entire front office, scanned business records/EOBs/Patient records to go paperless(EMR), helped out with any demands of the practice and those providers.



DR. MANSOLO & RAPID CARE CLINIC

• RECEPTIONIST/MEDICAL RECORDS/ASSISTANT CLINIC MANAGER

  • 2003 - 2007

  Provided Business Office support to the Business Office of Austin Radiological Association; assisted the Operators with answering multi-phone system and directing callers appropriately (internal and external customers); covered as receptionist when needed; routed department ingoing and outgoing mail; process LOHs & W-9s; balanced out $0 queues for collectors; retrieved department faxes; assisted with BRS/CMI/CORR data mail; skip tracing; retrieved all automated voicemail payments; implemented logistics control logs and daily activity tracking log; created a SOP manual for training; trained new hires; cross trained other department's staff; helped out with special projects; filled in whenever or wherever needed.; Patient customer service, pt check in, pt check out, deposits, petty cash, charting, faxing, 5-line phone answering, new patient registration, all medical records, scheduling for 4 providers, brief pharmaceutical reps., training (students/personnel), managed externs; implemented chart archive filing system, purge pt accounts, insurance filing/collecting, AR, AP, 1st party collections, all office automation and management; processed incoming and outgoing mail and packages; initiated training and camaraderie sessions; ensured quality of patient care. Manage and input all patient information, validate patient information, process all claims (insurance and self-pay), verify insurance, manage accounts, collections.



Security Finance

• United States
• Financial Services
• 700 & Above Employee

• Branch Manager

  • 2002 - 2004

  Manage overall operation of branch office including all phases of lending, collecting, and direction of office staff. Coordinate and oversee the daily duties of branch personnel Develop and maintain customer relations Maintain office cash with accuracy and security Achieve account gain through proven loan judgment and effective customer solicitation Ensure compliance with state and federal lending regulations and Company policies Ensure prompt completion of loan applications Minimize delinquent debt through collection activities by telephone Train branch personnel in all phases of branch operations Ensure compliance with company record-keeping procedure Ensure reporting of branch figures to corporate office for accounting purposes



US Army

• United States
• Armed Forces
• 700 & Above Employee

• INFORMATION SYSTEMS ANALYST / TCC

  • 1998 - 2001

  IT/IS Tech. Integrated U.S. Army DOD private email system (DMS);ICOM, all network devices, troubleshooting all office automation hardware/software, network admin (LAN, SAN, WAN), Communication Center Operator, COMSEC TS-SCI, managed personnel, supervised training, created and implemented SOP. TCIST training schools IT/IS Tech. Integrated U.S. Army DOD private email system (DMS);ICOM, all network devices, troubleshooting all office automation hardware/software, network admin (LAN, SAN, WAN), Communication Center Operator, COMSEC TS-SCI, managed personnel, supervised training, created and implemented SOP. TCIST training schools