Experience

The Cancer & Hematology Centers

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

• Director Revenue Cycle - Billing

  • Oct 2022 - Present

  Reporting to the CFO, I oversee and support the daily operations of all Billing & Coding functions by working closely with other departments to streamline procedures to ensure correct billing to payors, sponsors and patients in a timely manner. Further, I assist in establishing and maintaining departmental policies and procedures (SOPs) while communicating relevant information to other departments/sites/hospitals. I assist in establishing controls and review mechanisms to ensure… Show more Reporting to the CFO, I oversee and support the daily operations of all Billing & Coding functions by working closely with other departments to streamline procedures to ensure correct billing to payors, sponsors and patients in a timely manner. Further, I assist in establishing and maintaining departmental policies and procedures (SOPs) while communicating relevant information to other departments/sites/hospitals. I assist in establishing controls and review mechanisms to ensure procedures are being followed correctly as well as recommend policy changes to C-suite executives. Another piece of my role is to ensure compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers while serving as subject-matter expert on regulatory, compliance and legal requirements associated with medical billing. Show less Reporting to the CFO, I oversee and support the daily operations of all Billing & Coding functions by working closely with other departments to streamline procedures to ensure correct billing to payors, sponsors and patients in a timely manner. Further, I assist in establishing and maintaining departmental policies and procedures (SOPs) while communicating relevant information to other departments/sites/hospitals. I assist in establishing controls and review mechanisms to ensure… Show more Reporting to the CFO, I oversee and support the daily operations of all Billing & Coding functions by working closely with other departments to streamline procedures to ensure correct billing to payors, sponsors and patients in a timely manner. Further, I assist in establishing and maintaining departmental policies and procedures (SOPs) while communicating relevant information to other departments/sites/hospitals. I assist in establishing controls and review mechanisms to ensure procedures are being followed correctly as well as recommend policy changes to C-suite executives. Another piece of my role is to ensure compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers while serving as subject-matter expert on regulatory, compliance and legal requirements associated with medical billing. Show less



Quest Diagnostics

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

• Senior Pricing Manager

  • Sep 2021 - Oct 2022

  I was promoted to this role where I supported 5 financial analysts throughout the commercial bid process for clients nationwide. Consult, guide, direct, develop and present recommendations to stakeholders, proposal design, pricing approach, competitive strategy, comp modeling, projected outcomes & impacts and corrective action recommendations while ensuring adherence to policy & procedure requirements. As applicable, I approved pricing as established in the Corporate Authorization… Show more I was promoted to this role where I supported 5 financial analysts throughout the commercial bid process for clients nationwide. Consult, guide, direct, develop and present recommendations to stakeholders, proposal design, pricing approach, competitive strategy, comp modeling, projected outcomes & impacts and corrective action recommendations while ensuring adherence to policy & procedure requirements. As applicable, I approved pricing as established in the Corporate Authorization Matrix, Client Patient and Pricing Operations Pricing Policy documents. Leverage extensive understanding of competitor laboratory service providers, regional & national group purchasing agreements, corporate strategies and regional & national marketplace activities/conditions, state rules for FQHC and Medicaid Lowest of the Low. Conduct qualitative and quantitative analysis to inform business decisions and develop alternatives. Show less I was promoted to this role where I supported 5 financial analysts throughout the commercial bid process for clients nationwide. Consult, guide, direct, develop and present recommendations to stakeholders, proposal design, pricing approach, competitive strategy, comp modeling, projected outcomes & impacts and corrective action recommendations while ensuring adherence to policy & procedure requirements. As applicable, I approved pricing as established in the Corporate Authorization… Show more I was promoted to this role where I supported 5 financial analysts throughout the commercial bid process for clients nationwide. Consult, guide, direct, develop and present recommendations to stakeholders, proposal design, pricing approach, competitive strategy, comp modeling, projected outcomes & impacts and corrective action recommendations while ensuring adherence to policy & procedure requirements. As applicable, I approved pricing as established in the Corporate Authorization Matrix, Client Patient and Pricing Operations Pricing Policy documents. Leverage extensive understanding of competitor laboratory service providers, regional & national group purchasing agreements, corporate strategies and regional & national marketplace activities/conditions, state rules for FQHC and Medicaid Lowest of the Low. Conduct qualitative and quantitative analysis to inform business decisions and develop alternatives. Show less



PhenoPath (acquired by Quest Diagnostics September 2018)

• Seattle, Washington, United States

• Regional Finance Manager

  • Aug 2019 - Sep 2021



PhenoPath

• Director of Medical Billing & Revenue Cycle Management

  • Oct 2016 - Aug 2019

  My role at PhenoPath encompassed both managing personnel in daily operations of the billing department, as well as participating in strategic planning to develop and achieve performance goals and objectives. I provided monthly reports to the CEO and CFO and advised in areas such as establishing fee schedules and increasing profit margin, and I served as SME on revenue cycle initiatives company-wide. As one example, I assisted in transitioning the majority of billing from non-contracted… Show more My role at PhenoPath encompassed both managing personnel in daily operations of the billing department, as well as participating in strategic planning to develop and achieve performance goals and objectives. I provided monthly reports to the CEO and CFO and advised in areas such as establishing fee schedules and increasing profit margin, and I served as SME on revenue cycle initiatives company-wide. As one example, I assisted in transitioning the majority of billing from non-contracted insurance companies to direct client billing, significantly improving our rate of collection.

• Manager of Medical Billing & Revenue Cycle Management

  • Nov 2011 - Oct 2016

  In my first position at PhenoPath, I monitored charge posting, billing, and collection operations for compliance with established policies, regulations, procedures, and standards. As I identified and pursued opportunities to improve performance across the department – such as implementing standard operating procedures where none were in place – I was promoted to Director to expand my responsibilities.



McKesson Health Solutions/Seattle Radiologists

• Greater Seattle Area

• Account Manager & Business Analyst

  • Jun 2011 - Nov 2011

  Based on my in-depth knowledge of processes as well as my positive relationships with physicians and the executive board cultivated in my previous roles with McKesson/Seattle Radiologists, I was recruited to assist with changes to billing procedures. I performed A/R analysis, created month-end reports, and conducted payer contract review and fee schedule review. Based on my in-depth knowledge of processes as well as my positive relationships with physicians and the executive board cultivated in my previous roles with McKesson/Seattle Radiologists, I was recruited to assist with changes to billing procedures. I performed A/R analysis, created month-end reports, and conducted payer contract review and fee schedule review.



Medical Present Value (acquired by Experian July 15, 2011)

• Greater Seattle Area

• Implementation Consultant

  • Sep 2010 - Jul 2011

  After achieving significant success implementing their software at University of Washington Physicians, MPV contacted me about assisting their clients with similar projects. I advised and trained clients throughout the process, from supporting the sales team on initial client visits to providing post-implementation support. After achieving significant success implementing their software at University of Washington Physicians, MPV contacted me about assisting their clients with similar projects. I advised and trained clients throughout the process, from supporting the sales team on initial client visits to providing post-implementation support.



University of Washington Physicians

• Manager, Contract Performance

  • May 2008 - Jul 2010

  My main project in this role was to implement MPV low-reimbursement software. The transition took 12 months to complete, and within 18 months, we had identified and resolved $1.3M in shortfalls. I also managed 2 analysts and performed extensive statistical analysis and contract modeling.

• Client Manager/Accounts Receivable Analyst

  • May 2007 - May 2008

  When I stepped into this position, there had recently been a rift between UWP and its physicians. During the sometimes tense discussions that followed, I focused on remaining calm and solution-focused, helping to resolve concerns and strengthen the relationship once more.



McKesson Health Solutions/Seattle Radiologists

• Accounts Receivable Manager

  • Jun 2005 - May 2007

  In returning to Seattle from California, I managed upper-level A/R operations for Seattle Radiologists, one of the largest privately-owned radiology offices in the PNW. I worked closely with the CFO on projections such as payer contract review, financial/reimbursement analysis, reconciliations, and tracking trends.

• Operations Manager

  • Aug 2003 - Jun 2005

  Due to my success in the Seattle office, I was asked to relocate to Fresno, California, to directly manage the billing team. I reviewed task assignments and met with individual staff members to more effectively meet the strengths and interests of each associate, which resulted in smoother workflow and increased morale. I also gathered input from team members regarding billing procedures, incorporating their suggestions to reduce bad debt and A/R over 120 days.

• Accounts Receivable Manager & Analyst

  • Oct 2002 - Jul 2003

  I performed A/R and reimbursement analysis, prepared month-end and other specialized reports, and identified trends to assist with forecasting and planning. I also served as the on-site liaison for providers, insurance companies, the billing office, and patients, which gave me insight into the importance of forming solid working relationships and building clear pathways of communication to facilitate the resolution of billing issues.