William Eisaman, CPAM, SSBB, MBA,
Bothell, Washington 98021
425-***-**** Home
E Mail: acelr0@r.postjobfree.com
CAREER QUALIFICATIONS – CONFIDENTIAL RESUME
Extensive and varied financial experiences. Excels at contract negotiations, revenue cycle
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design/re design, AR, Billing, Collections, IS, Charge Master Updates & usage, cost
reports & appeals. Intensive HIPAA & Corporate compliance knowledge. Excellent
relations with Medicare/Medicaid and all intermediaries.
Hands on manager able to work ably with staff to increase productivity and maintain high
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staff morale. Excellent Project Manager and team player. Extensive experience with
human resources & expert in Patient/Client relations.
Experienced with managed physician practices. Practices ranged from 4 110 physicians.
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Broad knowledge of computer systems including Siemens, Envision, IDX, CPSI, Project
Manager for 6 installations and Sr. Trainer for CPSI. Dairy land, SMS, Med Office, & Med
systems. Senior trainer in Medi tech/HBOC McKesson (Senior Trainer), Eclipses Next
Gen, IDX, Gems’, Centricity, Cerner human resources, process improvements. Well regarded
as a dynamic group motivator and improving efficiency of operations with proven
accomplishments in the areas of organizational and leadership assessment, revenue cycle
training, recruitment and retention, in service training, and leadership development. Misys
Tiger and Vision.
A results oriented Healthcare Management professional with a career path in healthcare
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and revenue cycle management, administration and business operations. Strengths
include policy setting, project management, budget control, vendor negotiations
Key Accomplishments
Led a major facility expansion initiative that drove annual revenues from $12M to $20M
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through implementation and management of Palliative Care, Surgery, Pediatrics, Pediatric
Ambulatory Care Center, Cardiology, Oncology, and Rehabilitation Medicine, Internal
Medicine, Urology, Multispecialty Nephrology, Associates in Transplant and other medical
units. Recruited and developed a 10 person billing department resulting in a 38% increase
in accounts receivable; put into place much needed training programs that achieved a an
95% staff retention rate in first year. Revenue Generation – Instrumental in the reduction of
A/R. 8.5m Work closely with department managers and administrators to identify their
needs and challenges and provide solutions oriented strategies that support patient care
for the Healthcare System.
Provide leadership to Revenue Cycle colleagues with responsibility for all billing,
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collections, cash posting, customer service & follow up
Reduced bill holds by $1.1M
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Instrumental in reducing AR from $200M to less than $105M in less than 10 months By
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working with Intermediaries and HMO and PPO’s and Correcting ANSI edits and setting
up a denial management
Currently on the redesign/integration team that will be centralizing business office
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processes Increased up front collections in various departments in the hospital to an
average of $11,500.00 a month
Initiated the CDM System Integration that consolidated charge descriptions while
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improving efficiencies. Redesigned policies to improve collection processes while
increasing customer satisfaction setup Patient Friendly Statements.
Coordinate with various hospital directors to implement annual charge/price increases in
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various service areas while managing the Charge Description Master, CDM; Responsible
for collecting summarizing and analyzing data that aids in identifying price increases
consistent to our market
Responsible for developing and managing business office budgets & developed budget
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mitigation plans that saved $36K annually in one department
Serve as the subject matter expert in identifying service prices that will be increased based
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on Managed Care Contracts, Medicare and Medicaid Reimbursement
Initiated and implemented a physician billing system while working with the Chief Medical
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Officer. CMO to recruit physicians
Leveraged technology to implement best practice process that have led to Systems
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increased revenue
Worked with Information Systems to integrate a new Legacy System for 10.
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Objectives
To lower AR and losses within 10months and work closely with the Accounting Agency to
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ensure financials and cost reports were done accurately and on a timely basis
Implement stricter Pre Certification, Cash Deposits, and Collections of Co Pays and
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deductibles. As well as Pre Op for MRI&CT Scans.
Set up Revenue Cycle Redesign, Patient Access and Critical access
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Update charge master and redo OP surgery charge ticket Implemented more stringent
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policies, on ABN verification MRI, Nuclear Medicine, CT tests Set up new Policies and
Procedures for Admissions, Business Office and Cashiering as well as making them
HIPAA Compliant.
Work through certification and new provider numbers and billing format for all Critical
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Access Hospitals Critiqued RCU and Geri Psych beds for critical access status.
Establish new patient friendly statements and using out sourcing to mail them. Saved
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$52,500 from previous vendor
Form strong alliances with County Commissioners, Board of Directors, and Community
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leaders
Have worked and am working on HIPPA 5010 implementation and maintenance 835/837
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programs as well. 835 electronic submission 837 Ansi edits and for use of Contract
Management and Denial Management. Have attended 5 seminars on ICD 10 and
implementation of it and also
Have gone through RAC audit and Medicare/Medicaid audits.
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Went to seminar on ICD 10 was in charge of Critical Access Facilities budget. Electronic
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Clearing houses used or experienced in SSI, E Premise, E healthcare. NAIS Learned and
taught all four to billers and Patient Accounting departments. Plus WEBMD clearing
house.
CAP. Lean and Six Sigma experience Black Belt Six Sigma.
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PROFESSIONAL EXPERIENCE
BLH Enterprises, New York, NY 2000 2014
VP Revenue Cycle Director/ Based in New York City, NY
E mail:acelr0@r.postjobfree.com Reference
We at BLH owned and Managed 75 acute Hospitals along with Physician Practices attached. Also
Was Controller/CFO/ and Director of Patient Accounting in 35 of those facilities stretching from
Critical Access Hospitals to 200 250 bed acute and 500 1000 bed acute hospitals in 38 states. We
sold all assets in August of 2013 to a National Concern.
Work in a variety of facilities providing strategic Critical Access Conversions and Revenue
Cycle Redesign. Maintain a reputation for reducing AR, expenses and payables, increasing staff
efficiencies, assuring timely reports filing and producing accurate balance sheets for the following
providers: Just a few of the facilities I was at during my tenure.
Employed to manage a series of hospitals and physician practices throughout US.
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Entered the hospitals and clinics and worked to bring facilities AR and Billing Collections in
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line.
Corporate Policy and Procedures and profit and loss equations made significant strides for
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the Hospital and Community. Building up the reputation, financial well being of the
facility in the Community as well as with the fiscal Administrator. Worked on budget issues,
HR issues, Medical Records and Information Systems. Through the facilities/
EDUCATION
M.B.A, MHA Emphasis in Healthcare, Otto Berlin University, Otto Berlin,
B.A. Accounting, University of Wittenberg, Nottingham, England
B.S., Computer Science, University of Wittenberg, Nottingham, England