CINDI A. CARTER **** Echo Ct. Rowlett, TX ***
P 206-***-**** E-mail: acteuo@r.postjobfree.com
Director of Patient Financial Services
EXPERIENCE:
Epic and Epic Implementation 2011-2013
Epic Hospital Billing Version 2010
Soarian Financials
Medicare/Medicaid
Managed Care
Insurance Follow up
Patient Relations
Provider Relations
Denials Management
Self-Pay Collections
Legal and Patient Document
Multiple Team Leadership
RBO New Hospital Implementations
Customer Service
QUALIFICATIONS SUMMARY
Over 37 year’s healthcare experience with an in-depth background in customer service and hospital revenue cycle. A proven dependable performer with a focus on quality, commitment to customer service, motivated and disciplined leader with a proven track record of supervising and managing staff across multiple areas as well as being one to lead by example. Areas of responsibility include, insurance processes, collection practices, regional business office management, physician and patient contact, by phone as well as in person. Epic credentialed for classroom training hospital billing/follow up 101. Current system is Soarian Financials. Project manager for KPI management, Policy and procedures, and process improvement.
RELEVANT PROFESSIONAL EXPERIENCE
Director of PFS Walnut Hill Medical Center – Dallas TX 11/2014-Present
Oversee facility operations of new hospital, Patient Access functions (e.g. scheduling, pre-registration, benefit verification, pre-authorization, admission/registration, contracts, financial counseling, etc.) to ensure daily operations are maintained according to standard, for the new hospital.
Coordinate with facility departments/administration teams to manage key revenue cycle performance expectations and challenges including: upfront collections protocols, capturing accurate information, timely registration and patient satisfaction, denial prevention, patient flow, unbilled, patient concerns, and more
Review Patient Access performance to ensure timeliness, accuracy, compliance and standards fulfillment as defined in Service Level Agreements
Current system is Soarian Financials. Project manager for KPI management, Policy and procedures, and process improvement.
Director of PFS Forrest General Hospital- Hattiesburg, MS 2/2013-10/2014
Prepare staff for the EPIC go live in April 2013
Advise and train staff on EPIC
Specialize in the areas of facilities planning, medical documentation systems, staffing or regulatory compliance.
Oversaw staff of 50 to insure timely billing and collections.
Main job duties and functions included several project management and maintaining clear communication between all stakeholders involved. ICD-10, bringing on vendors, terming vendors, terming old system and collection of outstanding AR.
Interim Business Office Director
Prepare staff for the EPIC go live in April 2013
Advise and train staff on EPIC
Experience in Prelude
Contract management
Independent health care consultants work to provide expertise, guidance, and advice on the health care business.
Specialize in the areas of facilities planning, medical documentation systems, staffing or regulatory compliance.
Main job duties and functions can include project management and maintaining clear communication between all stakeholders involved.
The scope of work depends on the client's needs and resources.
Consultant 11/2012-2013
Consultant at Norton Hospital Kentucky 2012 -2013
EPIC scripter, review HB resolute scripts for the go live in March 2013
Independent health care consultants work to provide expertise, guidance, and advice on the health care business.
Specialize in the areas of facilities planning, medical documentation systems, staffing or regulatory compliance.
Main job duties and functions can include project management and maintaining clear communication between all stakeholders involved.
The scope of work depends on the client's needs and resources.
Senior Consultant Newton Center, MA 2012 -2012
Independent health care consultants work to provide expertise, guidance and advice on the health care business.
Specialize in the areas of facilities planning, medical documentation systems, staffing or regulatory compliance.
Main job duties and functions can include project management and maintaining clear communication between all stakeholders involved.
Swedish Medical Center / Supervisor – Seattle, WA 2010 -2012 Hospital Billing Follow-up - 1542 bed acute care facility, 5 campuses, 2 free standing emergency rooms, with $1.4 billion net revenue.
Supervise and oversee daily operations for a total of 19 employees in the centralized corporate business office.
One of 3 leaders who successfully implemented all billing functions after being outsourced for 10 years, with direct responsibility for implementing insurance follow-up, and creating all policies and procedures.
Oversee all insurance accounts receivables.
Epic Credential trainer for billing office.
Ballard Rehab/ Manager – Ballard, WA 2009-2010
Billing Office Manager for 147 bed facility.
Reporting on AR to include identifying trends and concerns; internally and externally.
Work internally with department staff to ensure that operating procedures are interpreted correctly and to improve processes.
Facilitate monthly Medicare meetings
Responsible for all claim billing, follow up, collections, and private statements.
Customer service to all admitted patients.
Providence Physicians Group/ Supervisor – Monroe, WA 2008-2009
Work internally with staff to ensure that operating procedures are interpreted correctly and to improve processes.
Facilitate operations meetings with staff to resolve concerns and to incorporate changes as needed according to policy and procedure updates, and operational needs.
Managed all non-medical staff, and Physician schedules.
HealthServicesNW/ Manager – Renton, WA 2005-2008
Regional billing office for 17 hospitals, located in the Northwest.
Reporting on AR to include identifying trends and concerns; internally and externally. Work internally with department management staff to ensure that operating procedures are interpreted correctly and to improve processes.
Facilitate operations meetings with insurance representatives to resolve payment concerns and to incorporate changes as needed according to policy and procedure updates, and operational needs.
Education
Bellevue Community College, Associates Degree 2005, General Studies.
University of Phoenix, Bachelor’s Degree Program in Management 2014
Personal and professional references available upon request.