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Project Manager Customer Service

Location:
Seattle, WA
Posted:
June 17, 2014

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Resume:

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

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

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.

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

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

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,

collections, cash posting, customer service & follow up

Reduced bill holds by $1.1M

Instrumental in reducing AR from $200M to less than $105M in less than 10 months By

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

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

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

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

mitigation plans that saved $36K annually in one department

Serve as the subject matter expert in identifying service prices that will be increased based

on Managed Care Contracts, Medicare and Medicaid Reimbursement

Initiated and implemented a physician billing system while working with the Chief Medical

Officer. CMO to recruit physicians

Leveraged technology to implement best practice process that have led to Systems

increased revenue

Worked with Information Systems to integrate a new Legacy System for 10.

Objectives

To lower AR and losses within 10months and work closely with the Accounting Agency to

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

deductibles. As well as Pre Op for MRI&CT Scans.

Set up Revenue Cycle Redesign, Patient Access and Critical access

Update charge master and redo OP surgery charge ticket Implemented more stringent

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

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

$52,500 from previous vendor

Form strong alliances with County Commissioners, Board of Directors, and Community

leaders

Have worked and am working on HIPPA 5010 implementation and maintenance 835/837

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.

Went to seminar on ICD 10 was in charge of Critical Access Facilities budget. Electronic

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.

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.

Entered the hospitals and clinics and worked to bring facilities AR and Billing Collections in

line.

Corporate Policy and Procedures and profit and loss equations made significant strides for

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



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