SUE ADAMS MCCORMICK

CELL 925-***-****

E MAIL acf14m@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

Strong leadership skills and ability to perform a broad range of management responsibilities.

Ability to direct and manage complex projects from conception to fully operational status.

Proven ability to work in unison with executive team, peers, and staff to achieve quality outcomes.

PROFESSIONAL EXPERIENCE

Cibola General Hospital

Contract Director, PFS June 2014 current

Provide leadership and direction in the revenue cycle to meet key metrics for days in A/R, cash collections, A/R aging

and CDM maintenance. Responsible for Patient Access and Business Office.

Responsibility is to install Experian Passport and create new statement process. Also, do high level view on what areas

of PFS need re vamping. Working on several projects currently.

John C. Fremont Healthcare Oct. 2012 Mar 2014, CA

Director, PFS

Provide leadership and direction in the revenue cycle to meet key metrics for days in A/R, cash collections, A/R aging

and CDM maintenance. Responsible for Patient Access and Business Office.

Oversees Patient Billing, Collections, Registration, Customer Services, Refunds/Credit Balance, Payment Posting

•

and Revenue Integrity inclusive of Charge Capture and CDM maintenance and updates. (CPSI, DSG)

Manages revenue cycle back end processes, inclusive of: Pre Billing, Billing, Collections, Customer Service,

•

Revenue Integrity through BI technology, Vendor and Denial Management to support consistent cash flow and

appropriate patient account resolution.

Develop, plan, direct and manage PFS activities through coordinated effort with staff.

•

Present information and updates on PFS development to CFO for financial Operations, and other committees.

•

Responsible for monitoring monthly and annual departmental budgets.

•

Provide data and feedback to revenue cycle to improve inefficiency and to reduce denials and improve organizational

•

efficiency.

Leading PFS group meetings and effectively collaborating and contributing in Revenue Cycle meetings and

•

presentations.

Ensures the timely communication of the financial and non financial impact of probable, proposed, and existing

•

reimbursement issues to senior management to allow the region to act accordingly to maximize any financial

benefits and minimize any adverse financial impact to the Corporation.

Management responsibilities include participation in team selection, conducting performance reporting, ensuring

•

team development and adequate training, providing feedback, and taking corrective action where necessary.

Palo Verde Hospital November 2010 October 2012

Blythe, CA

Manager, PFS and Patient Access

Responsible for management of Registration and Billing/Collections. Responsible for auditing and streamlining the

Patient Access/Collection departments, and improve processes throughout daily operations of Utilization Review,

Electronic Billing and posting of all claims. Direct report to CFO.

Ensures appropriate staffing needs to provide efficient and quality customer service.

•

Monitors and ensures all registration functions are performed within the guidelines of registration and hospital

•

policies and procedures.(HMS, SSI)

Implemented EMR process throughout hospital.

•

Ensured the Utilization Review, Insurance Verification, Registration departments, Business Office, adheres to

•

JCAHO and other governing agency requirements.

Provided appropriate training and education to all departments.

•

Developed and implemented the electronic billing process. Improve the billing edit system.

•

Train Financial Counselor to obtain necessary information to acquire all documentation for all insurances.

•

Developed, recommended, and implemented budgets for the billing and collection departments. Monitored

•

expenditures and explain variances as needed.

Analyzed and prepared account receivable assessments for the CFO.

•

Provided account receivable and billing statistics for the CFO.

•

Identified and resolved software problems within the HMS, SSI and Epremis systems.

•

Reduced the Unbilled claims significantly, ensuring accounts met criteria for Medicare/Medi cal billing.

•

Ensured Cash Posting for accuracy and developed new reconciliation procedure.

•

Monitored revenue cycle performance metrics.

•

Designed appropriate reporting for the Bad Debt Collection process.

•

Reduced hospital days from 72 to 56 this year by changing billing and collection process.

•

Worked in team environment with IT to automate reports and statement processes.

•

Assisted Case Management to reduce and appeal RAC’s and ensured all in house met criteria.

•

Reduced DNFB (Unbilled) report.

•

Completed installation of new SSI billing system with EFT posting of all major payors.

•

Completed installation of Passport integrated eligibility (One Source) in Access with auto self pay module

•

(Batch Source).

St. Bernardine Medical Center March 2008 January 2009

San Bernardino, CA

Interim Manager, Patient Financial Services

As the Interim Manager of Patient Financial Services, responsible for the daily operations of the assigned

functions within for Patient Financial Services/ Patient Access Department. Ensured all Registrations, Billing,

Follow up, Collections, Compliance, Audit, Cash Posting and Cashiering functions are performed in an accurate

and timely manner. Monitored Daily Revenue Cycle.

Implemented any changes for Patient Financial Service functions to stay within the guidelines of JCAHO.

•

Implemented new scanning software program, called Stream ling, for Patient Financial Service departments to

•

reduce errors.

Exceeded year end hospital goal by reducing hospital days from 62 to 48.9 days.

•

Exceeded year end net cash goal by six million dollars.

•

Directed major software system upgrades and trained staff on all program changes.

•

Ensured maintenance of SSI billing system for reduction of coding/billing errors.

•

Reduced credit balances within the appropriate level of .50 hospital days.

•

Reduced bad debt from 6% to 2% meeting hospital goal.

•

Spooled weekly ATB and distributed in Excel format to collectors to increase daily cash.

•

Independent Consultant May 2006 May 2007

Palm Desert, CA

• Short term contract assignments to audit and perform business office assessments and make recommendations

to Management. Referrals from HFMA.

John Muir Mt Diablo Health Systems February 2001 April 2006

Walnut Creek, CA

Associate Director, Patient Financial Services/Patient Access

Provided overall management for Patient Accounts/Registration Departments with 60 direct reports, including 2

managers and three supervisors for two Trauma hospitals. Maximized daily cash flow from $1 million to $1.5

million by monthly auditing with an account receivable of $1.5 billion. Eclipsys, HBO Star, Meditech systems.

Generated $60 million dollars cash over year end budget. Monitored Daily Revenue Cycle.

Ensured all Medicare government rules and regulations were compliant for billing and collections for any issues

•

of coding or bundling of charges.

Installed/trained staff on E Maps scanning system to reduce operating cost by reducing paper, time spent pulling

•

EOB s, Medical Records, and correcting any patient demographics.

Installed new collection Compass work queues for quality improvement.

•

Streamlined new electronic billing process creating fewer billing errors by providing effective new training

•

manual and training processes.

Created new Self pay Unit within the business office to ensure all balances after insurance payments were

•

patient responsibility.

Trained Self pay staff to present accounts to newly developed Charity Committee, if appropriate. Also re wrote

•

charity policies and created Charity Committee.

Developed new re coup unit to resolve all 0 balances after insurance, creating increased cash flow.

•

Developed a Patient Account Analyst position for clinical appeal process. This generated 1.5 million dollars

•

ROI within one year.

Created PM shift to resolve all correspondence, giving additional time for Collection Reps to resolve accounts.

•

Brought in an outside vendor to create “Patient Friendly” statements, combining two hospital software programs

•

to improve public relations, reducing operating cost, and reducing customer complaints.

Installed new Phone Symposium for customer service unit that reduced patient complaints.

•

Advocate Lutheran General Hospital July 1991 January 2001

Park Ridge, IL

Director, Patient Financial Services/Patient Access

Coordinated administrative operations within a 750 bed Critical Care Level 1 Teaching Hospital. Successfully

managed one billion dollar account receivable, maintaining a daily cash flow of 1.3 million. Utilization of HBOC,

HBO Star, Medipac, Allegra, IDX, and all Microsoft software systems. Responsible for 65 80 direct reports

including 3 managers and 2 supervisors. Monitored Daily Revenue Cycle.

Ensured appropriate staffing needs to provide efficient and quality customer service.

•

Ensured the registration/collection department adhered to JCAHO rules and regulations.

•

Developed new E maps scanning system for the registration and business office process to reduce errors.

•

Chaired the corporate bad debt committee to facilitate site audits for outside collection agencies.

•

Reduced registration errors by 30% by conducting monthly educational meetings with front/back end

•

management and staff.

Successfully managed two major software conversions while staying within acceptable hospital days. (Low 50’s

•

hospital days).

Installed and built a new Allegra work queue successfully.

•

Developed and implemented customer friendly revenue cycle processes in order to enhance point of service

•

collections.

Installed the hospital’s first electronic billing and posting system.

•

Installed FTP electronic system for all outside vendors.

•

Created the first in house hospital lien program, ensuring all third party liability claims were paid timely.

•

Installed with outside vendor, the “Patient Friendly” statement, reducing customer complaints.

•

EDUCATION

Cypress College, AA Degree, English major.

Accredited Vocational Degree for Behavioral Health.

Cal State Fullerton, English Major, Additional Studies.

MEMBERSHIP

HFMA Member over 15 years

LinkedIn

References Available Upon Request.

Contact this candidate