JASON A. MERCIER, MHA

Cell :254-***-**** email: acgha8@r.postjobfree.com

**** ***** ****** ***, ******, CO 80015

EDUCATION

Master of Health Administration, University of Oklahoma Oklahoma City, Oklahoma

B. Sc. Business Administration, Southern Utah University Cedar City, Utah

PROFESSIONAL EXPERIENCE

ProNerve an IOM Company – Revenue Cycle Project -- Consultant (Denver, Colorado)

IOM (intraoperative neurophysiologic monitoring) Start Up, Net Revenues >$100+ million, 50 FTE’s.

Revenue Cycle Director – Consultant at Start Up IOM Organization 5/14 to 7/14

(Oversaw Auths, Coding, Revenue Integrity, PFS, Billing/Collections, Managed Care, Denials, Compliance and Vendors)

Multi-state entity funded by Venture Capitalists consolidating IOM -- surgical procedures involve

neural structures, IOM (intraoperative neurophysiologic monitoring) in 35 states and 300 facilities.

Venture Capitalist drive, leadership for Front End Auth, Eligibility, Charity, PFS, Collections, Billing,

HIM, Vendors, Compliance.

• Denials: All Payers reduced to <9% of Gross Revenue; Developed workflow monitor tool

• Developed P&P’s for Billing & Cash Collections: increased net revenue 180% over prior year

with workflows, metrics, Training, and P&P’s

• Reduced Billing delinquency from $8 Million to $300,000 with education & workflow changes

• Created compliance standards for HIPAA, False Claims, and overall billing / collections

Bay Medical Center –Sacred Heart Health System (LHP /Ascension) (Panama City, FL)

330+ bed Level II Trauma Center, For Profit Joint Venture, Net Revenues >$250+ million, 170 FTE’s.

Revenue Cycle Director – Bay Medical Center SHHS 9/12 to 3/14

(Responsible for Pre-Auth, Admissions, HIM, PFS, Case Mgmt, Charity, Billing, Collections, Bad Debt, RAC, Vendors)

For Profit, Managed Care, Rev Integrity, RAC, Registration, Front End, Eligibility, Charity, Pre Auth,

Admissions, ED, PFS, Collections, Billing, HIM/Coding/CDI, Vendors, Compliance.

• Maintained Days in AR in mid-30’s and holding; AR >90 days decreased by 11% overall

• RAC Denials Win rate increased @ 40% to 97+%, with 60 Million RAC/MAC Pilot Dept.

• Denials in All Payers reduced to 1.2% of Gross Revenue; MAC/RAC department created

• POS Cash Collections increased 165% over prior year with FC’s, Training, and P&P’s

• HIM: Reduced Physician delinquency rate from 30% to 0.5% with communication/standards

• DNFB reduced from $25M to $9M in one month, via reorg, CDI, education and benchmarks

• Credit Balances reduced and maintained to 0.3 days of Gross Revenue

Accretive Health Inc., (Chicago, IL / Harlingen, TX) and Vanguard Health Systems (sold)

800+ bed multi-Hospital, Not for Profit; Net Revenues >$300 Million, 195 FTE’s; Full Rev Cycle

Consultant Project Site Lead – Revenue Cycle – Valley Baptist Health System 8/11 to 8/12

(Leadership for Pre-Auth, Verification, Admissions, HIM, PFS, Charity, Billing, Collections, Bad Debt, Vendors)

Full P&L leadership for Front End, Eligibility, Charity, Out Patient Admissions, ED, PFS, Collections,

Billing, HIM, CDI, Coding, Revenue Integrity, Managed Care Contracting, Vendors and Compliance

for 800+ bed multi-hospital system.

• Reduced Days in AR from 72 to 57 days; AR >90 days decreased by $89 million

• Denials in All Payers reduced to 1.2% of Gross Revenue

• Credit Balances reduced and maintained to 0.8 days of Gross Revenue

• Up Front Cash Collections increased to 2.2%+ of Monthly Revenue

• Realignment of Underpayment staff to achieve pick up of $1.1 million recovery

• Increased Preauthorization to achieve nearly 5 days out, with increased up front collections

Scott and White Healthcare (Temple/Waco, TX) – (Project Assigned Completed)

330 bed Not for profit Hospital; 120 FTE Rev Cycle Project Leader; to CBO at Tertiary Hospital

Revenue Cycle Director – Site Projects Director 9/2010 to 4/2011

Operational responsibility for standardization of processes from Front End to Bad Debt to ensure

smooth transition of acquired Hospital & Physicians to Regional CBO environment. ~ 300 Acute,

~175 post acute and other pre/post acute lines; Over ~120+ employees managing financial, operational,

and leadership. Responsibility for Charity, Bad Debt and AR Vendor management. Implementation of

Pilot projects for System Standardization in Front End, ED, Collection, Vendors, and Charity.

• Controlled AR >90 days from 31% to a 23% via billing and prompt follow up, in 6 months

• Moved Gross AR Days from mid-60's to low 50's and falling with weekly reviews of AR

• Reduced Days Unbilled from 11 days to 6, current with consolidation and HIM action teams

• Increased TOS Collections by 50% in 2 month period: opening Discharge Window in ED and

training Ancillary Staff in other points of Admissions. TOS up 1% is 3% of revenues.

• Shored up Bad Debt expense as a % of Gross Revenue from 18% to below 6% via protocols

• Reduced employee turnover from 26% to 4.5% in 5 months with bonus, training and leadership

IASIS UTAH Market (Salt Lake, Utah) (System Reorganized – Laid off)

850+ For Profit CBO Market Office; 4 Hospitals, 165 FTE’s, >$275 Million Net Revenues

Regional Consolidated Business Office Director 11/2009 to 4/2010

Revenue Cycle Leader 165 FTE’s, 11 Supervisors, Admitting Departments, Nurse Auditing,

Compliance, Contracting and Compliance, Cash Posting, Customer Service, Collections, Billing,

RACs, ROI, Financial Counseling, Collection Agencies, Eligibility Vendors, Charity, Denials Teams.

• Cash Collections at 108% Goal, AR>60 reduced 30% -- Prior Two Quarters

• AR Days reduced to low 40’s from mid-60’s and falling

• Less than 8% RAC reductions, with HIM and RAC Appeals teams

• Reduced Turnover from 40% to 5%, with process changes, training & bonus program

• Implemented Sarbanes-Oxley protocols and balances for the CBO and Admitting

• Reduced Bad Debt exposure by engaging Eligibility Vendors, and Collection Liens

• Piloted Financial Counseling in all Hospitals to capture/increase TOS and Up-Front Cash

Valley Health Systems – Universal Health Services (KOP, PA) Las Vegas, Nevada

6 Hospital, 1,600 beds, Net Revenues ~ $1 Billion, 110 FTE’s and Star for UHS Acute Division

Assistant System Director – Consolidated Business Office 2006 – 2009

Operational and Logistical Revenue Leader Responsible for Patient Account Hospital based billing.

Lead and Manage ~110 associates, 4 Supervisors; oversee Patient Account Representatives, Credit &

Collection, 12+ Collection Agencies, Customer Service, ROI/Custodian, Variance and Refunds,

Auditors, Medicare collections, Posting and Cash Applications, Collection Liaison, Mail Room,

Financial Counselors, Billing. Coordinated PI and Denial teams.

• $ Collections ~103% prior Net Revenue = 3+ years exceeded goals == ~ $1 Billion collected

• AR Days maintained at or below an average of 55 days outstanding, and holding

• Sustained 5.15% of Medicare Accounts Aging < 60 days for 1,600 beds

• Achieved total Credit Balances less than 0.5 days credit balance days outstanding

• Billing 64 % electronic claims and 93% clean claim for the past 2 years

• Consolidated Business Office and Registration Compliance & HIPAA Trainer for all employees

• Facilitator for Gallup Survey employees -- Reduced employee turnover to 2.8%

Trinity Mother Frances Health System Tyler, Texas

Multi-Specialty Practice Management 50-60 Physicians, P&L $41 Million Net Revenue, 85+ FTE’s

Regional Operations Director – Trinity Clinics 2004 – 2006

Responsible for numerous clinics in the state’s third largest multi-specialty group. Managing 50+

physicians in 7+ clinics: Primary Care, Psychiatry, Direct Care and RHC. Full P&L for $41 million

with supervision of 85 employees.

• Maintained Time of Service Collections at 105% of goal in six clinics.

• Reduced Unbilled backlog from 12 % to 3.9% of monthly revenue.

• Reduced Employee Turnover from 28% overall in clinics to 16%, and holding.

• Achieved 94% in Physician Satisfaction, 93% Patient Satisfaction – Press Gainey Surveys.

• Conducted New Employee Orientation for process and Financial Month Ends

• Created and proctored new Manager and Lead Orientation & Financial processes.

East Texas Medical Center Regional Healthcare System Tyler, Texas

Not for profit Acute Hospital and EMS; 55+ Million Net Revenues, 80+ FTE’s

Regional Business Office Director 2001 – 2004

Responsible for nation’s second largest EMS provider (110,000+ Outpatient Encounters) and Denials

Project Leadership, Hospital revenues, Part A & B Billing & Collections, all payers.

• Reduced Unbilled AR from 60 days, to 44 days.

• Increased Total Cash collections by 30%.

• Eliminated 100% Medicare Review to NO Review, with new Compliance Plan.

• Secured $541,571.00 additional revenue from Texas Medicaid, after on-site visit.

• Reduced Credit Balance from 8% of total A/R to less than 1%

• Reduced Bad Debt from 10% to 8.3%, of prior year, a reduction of $200,000.

• Managed Care Denials Team Leader for 650 beds for all system Hospitals

• HIPAA Advisory Board Member for State of TX (Medicaid)

HCA Healthcare Corporation (Columbia/HCA) 1997 – 2001

HCA West Valley Medical Center, Caldwell, Idaho

Business Office Director 4/2000 – 3/2001

Spearheaded the Leadership for Billing and Collections, as well as Ethics and Compliance for a 150-

bed Hospital, generating 36 million in Net Revenue per year.

• Attained Top Third of HCA’s Business Offices, for Bad Debt, AR, Cash Flow, Credit Balance

& Days Unbilled, < 6.5% Bad Debt as % Net Revenue

• Maintained NET A/R in low 70’s consistently, with 7 days of unbilled A/R.

• Received two (2) Commendations for achieving Yearly Bad Debt Reduction Goals (not achieved

for the last 5 years), improving A/R and HCA Ranking in the Top Third of all HCA Facilities.

• Piloted 1st In-house Medicaid Specialist in Idaho, showing 14% increase in Medicaid eligibility.

HCA Oklahoma UNIVERSITY HOSPITALS (University of Oklahoma), OKC, OK 1997 – 2000

Children’s Hospital, Presbyterian Hospital, OU Medical Center (880 beds)

Special Projects Coordinator 8/1999 – 3/2000

• Executed special projects for the Executive Teams of six Columbia / HCA Oklahoma Hospitals

• Provided leadership on several projects in the Consolidated Business Office: Billing, Collections,

Bad Debt, A/P and A/R clean-up to assist CBO activities.

• Assisted in the reduction of A/R from 160 days to 85 days in a 4-month period.

• Captured Invoicing for Reimbursement of Implants: Revenue Maximization – formalized process

to capture lost revenue – Savings: $1.3 million annually.

HCA Y2K Project Director (Children’s, Presbyterian, OU Medical Center) 880 beds

• Provided Leadership for disaster agencies, utilities, providers, & governments.

• Re-created Contingency/Disaster Plans, in wake of OKC bombing/disasters.

HCA Administrative Fellow (HCA Oklahoma Division) 8/1998 – 8/1999

Executed special projects for the Core Teams of Columbia Oklahoma Hospitals

• Special Projects Executive from the Market Office to assist local Business Offices in A/R, Bad

Debt, Logging/Tracking of Payers, and overall Quality Improvement.

• Creatively reduced FTE’s, for optimal staffing. (This model was adopted by three other hospitals.)

• Created, litigated / tested, and enacted Sentinel Events Policy for the Columbia Oklahoma Market.

OU Medical Center --- Administrator HIV/AIDS Clinic 1998

• Evolved into full Practice Management of six Infectious Disease physicians,

• Full P&L responsibility of $1+ million for this clinic and created a managed care environment for

500+ lives for an Outpatient HIV/AIDS Clinic.

Independent Consultant

Champion EMS and ARMS Ambulance (OK, FL and TX) 2001 - 2005

HIV/AIDS Administrative Reviewer HRSA & HIV Clinic OKC, OK 1997 - 2000

Kane County, Utah -- Kane County Hospital 1994 - 1995

Cedar City, Utah -- Valley View Medical Center 1994 - 1995

ASSOCIATIONS and ACCOMPLISMHENTS

HFMA Board – AL and FL Chapter – Guest Lecturer and Speaker – Current Issues 2012/2013

Southern Careers Institute -- Advisory Board Member, Lecturer & Keynote Speaker – South TX

State of Texas Provider and Vendor Council for HIPAA and Billing (Medicaid) - Advisor

Scout Committee Member with local Boy Scout Troop 350

Explorer’s Post Award – Class Valedictorian for Western Canada.

Outstanding Young Americans – National Finalist

Chief Scout – with over 100+ hours of community service.

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