TEMPLE J COLE

**** *********** ******

Bakersfield, California 93313

805-***-****

ej2zc8@r.postjobfree.com

PROFILE

● BS Business Administration and member of HFMA

● 13 years experience healthcare management consultant

● 25 years experience business office manager/director

● Knowledgeable and skilled in working with hospital department managers, physicians and administration to improve bottom line

● Strong customer and patient relations skills

● Extensive knowledge in Critical Access Hospital Revenue Cycle and Rural Health Clinics

WORK EXPERIENCE

Independent Revenue Cycle Consultant/Interim Director Patient Financial Services (June 2000 – Present)

Specialize in Revenue Cycle reviews, assessments and solutions to include patient flow through the system from patient access through cash applications to include charge capture, Charge master reviews and maintenance, coding audits to include proper documentation and contracts management. Supervise and direct Patient Financial Services staff to ensure timely and accurate admissions, billing and collections in a professional and efficient manner. Use a proactive approach to identify problems, draft and manage action plan implementation by putting in place quantifiable controls and accountability to increase cash flow and reduce days in receivables and maximize reimbursement. Provide training, support and work in concert with all hospital staff. Hospitals ranging in size from 25 beds to 925 beds, level 1 and 2 Trauma Centers.

● Increased monthly cash collections for a 272 bed NFP in California from $4.5 million to $7.5 million in one year.

● Increased weekly cash collections for a 68 bed NFP in California from $400K to $700K in three months.

● Increased billing accuracy from 84% to 98% in a 120 bed FP in six months in Kentucky.

• Increased cash collections at point of registration from $20,000 per month to $75,000 at a 256 bed NFP in

California. This was accomplished in 4 months.

• Increased registration accuracy by 10% at each hospital I have worked within 3 months.

• Pikes Peak Regional Hospital, 25 bed CAH in Colorado: This hospital was billing as a PPS hospital when I was put under contract. I re-engineered the entire revenue cycle to reflect the CAH status; rebuilt the CDM, billing rules for Medicare/Medicaid, taught staff how to properly bill and follow-up on CAH billing, and increased cash collections by $1M in two months.

• Greeley County Health Systems, CAH in Kansas: Re-engineered the entire revenue cycle to include registration, scheduling, insurance verification, medical records (HIM) and case management. Installed a QA process for both registration and billing to reflect proper edits for CAH billing. Incremental increase of cash collections of $500k in four months. Reduced AR days from 93.7 to 47.6 in four months.

• Hamilton County Hospital, CAH located on the Colorado/Kansas state line: Re-engineered the revenue cycle to reflect their CAH status. Educated two new billers on proper claims submission and follow-up. Instituted insurance verification and registration QA processes to be used by nursing staff. Reduced AR days from 123 to 52.8 in 5 months.

• Opened a CBO for Brim Health Care in Plano Texas for their 39 CAH hospitals. Educated billing and follow-up personnel on how to submit claims for CAH. Wrote policies and procedures to be used for all billing and follow-up. Trained managers and supervisors the proper techniques to obtain company goals.

Senior Consultant/Interim Director Business Office, Coast To Coast Consulting Corporation, Arlington, Texas (January 1998 – May

2000)

● Established new collection policies, which increased collection of unpaid claims by 70% at three hospitals

● Initiated new follow-up procedures with insurance companies which enhanced relations with carriers and patients and resulted in more timely payments to hospitals

Manager Patient Financial Services, Grady Memorial Hospital, Atlanta, Georgia (January 1994 – November 1997)

Supervise and direct staff of billing, collections, cash applications and customer service for Grady Memorial Hospital, Hughes Spalding children’s Hospital and Grady Health Systems Ambulance Service. Responsible for a staff of 146 billers, collectors and cash posters generating claims for Medicare, Medicaid, Managed Care and other third party payers guidelines. Indirect supervision of 200 cashiers, registration clerks and utility clerks.

● Member of team responsible for taking the health system from a $26 million loss to a $2 million profit in one year

● Honored for bringing patient financial services department to highest production level in just two years

● Put new denial management process in place to reduce denials

● Successfully reduced denials by 75% in two years

Manager Patient Accounting, ProCare Management Systems, Atlanta, Georgia (May 1993 – December 1993)

Supervise staff of specialty billing company, Medicaid and Workers Comp, for six hospitals, 10 physicians groups and five dentists

● Increased cash collections by 55% for each category billed

● Reduced days outstanding for each customer by 25 days

Business Office Manager, Bio-Tech Durable Medical Equipment Company, Rome, Georgia (July 1992 – March 1993)

Director Patient Accounting, PGL Industries, d.b.a. Staff Builders Home Health Care, Baltimore, Maryland (March 1980 – April 1992)

EDUCATION

University College, University of Maryland

BS Business Administration/Accounting

KNOWLEDGE BASE

● RAC Assessments

● Supervision of large staff, professional and clerical

● Excellent knowledge of UB92, UB04, CMS 1500, NPI

● Proficient in coding, ICD-9, CPT4 and HCPCS

● Systems conversions

● Project management

● McKesson HBOC MediPac, HealthQuest, System 2000, STAR

● MediTech,

● SMS Invision, MedSeries 4

● Cerner

● HMS

● CPSI

● NDC Med8000, Premis and Health EDI, SSI Apex and Click-On, Emdeon Medi.Com

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