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Director of Revenue Cycle

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Country: United States
Posted date: 2/9/2011   all resumes
Email: pviw5e@r.postjobfree.com
Contact Info: ********@**************.***
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ROSEMARY VELASQUEZ
*** **** *****, **********, ** 07601 ? Phone: 201.***.**** Cell: 917.***.**** ?
DIRECTOR / REVENUE CYCLE MANAGEMENT / HEALTHCARE

EXECUTIVE SUMMARY

Proven, high-energy executive who leads companies through change and challenge. Strategic problem-solver who envisions smart solutions and executes with urgency across all levels of the organization. Hands-on leader with extensive expertise in implementing front-end systems for charge capture and scheduling who is able to keep teams focused and productive. Outstanding strategist that is able to develop and implement revenue enhancement initiatives in highly complex environments. Skilled in negotiating partnerships with a keen ability to capture opportunities. Skilled in multiple areas of technology, including IDX-Flowcast, DBMS, Eagle System, Cerner, MS Office, SMS and Cognos.

CORE COMPETENCIES

Revenue Cycle ~ Financial Management ~ Business Planning & Development ~ Change Management ~ P&L Management
Patient Satisfaction ~ Accounts Receivable ~ Policy Development ~ Strategic Planning ~ Operational Management
Team Development & Leadership ~ Patient Satisfaction Enhancement ~ Productivity & Performance Improvement
Front-End Supervision ~ Human Resource ~ Faculty Practice Management ~ IDX 9.0 ~ Organization & Communication

BENCHMARKS & MILESTONES

REVENUE GROWTH

* Substantially reduced operating expenses 20% by spearheading a revenue cycle implementation.
* Strategically restructured financial reporting processes in accordance with organizational changes and reengineered billing and collections operations.
* Serving as key leader, effectively managed 15% annual revenue growth.
* Based on a thorough understanding of operational workflow, from first patient contact at scheduling to final collection processes, centralized front-end scheduling, registration and referral operations.

REVENUE CYCLE

* Decreased claims denials rates over 50%, from 34% to 16%.
* Slashed days in A/R from 175 days to 85 days while increasing overall net collection rate from 43% to 94%.
* Increased gross collection rate from 25% to 34% and grew annual cash collections from $5.2M to $7.1M.
* Exceeded departmental cash receipts goals each year, including 37% of goal for 2003 - 2004, departmental staff training on IDX to improve registration and billing processes and recouping monies from Medicare and Blue Cross and Blue Shield Insurance Companies.

PROFESSIONAL EXPERIENCE

ST. BARNABAS HOSPITAL, Livingston, NJ 2008 - Present
Revenue Cycle Manager

Leveraging broad competencies in developing, implementing and managing all phases of professional billing revenue cycles, consistently implement strategic planning initiatives that support organizational goals. Fully responsible for overseeing hospital-wide quality management and performance improvement administration in the areas of Compliance and Performance Improvement. Direct all areas of regulatory compliance and medical staff credentialing requirements. Organize workforce management objectives with a focus on individual, departmental and hospital-wide initiatives and team concepts. Assist in planning and coordinating year-end audits with finance and auditors, as it relates to Accounts Receivable operations.

ROSEMARY VELASQUEZ PAGE TWO

Key Achievements

* Led a major facility expansion initiative that drove annual revenues from $5M to $10M 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% improvement in accounts receivable.
* Implemented innovative training programs that achieved a 95% staff retention rate in first year.
* Instrumental in the reduction of A/R by $19M. Worked closely with department managers and administrators to identify needs and challenges in order to provide solutions-oriented strategies that supported patient care.

MT. SINAI MEDICAL CENTER, New York, NY 2005 - 2008
FPA Practice Manager & Revenue Cycle Manager - Department of Rehabilitation Medicine

Instilled a high-performance culture in the management of health insurance billing, collections and eligibility in the areas of commercial, managed care, government and self pay reimbursement concepts for the organization. Utilized extensive knowledge of electronic billing systems for front end and back end functions via IDX.

Key Achievement

* Exceeded departmental cash receipts goals each year, including 35% of goal for 2005.

MONTEFIORE MEDICAL CENTER, Bronx, NY 2003 - 2005
Practice Manager & Billing Manager - Department of Otolaryngology

Envisioned smart solutions and executed strategies and initiatives that achieved value-building goals across the Center. Improved daily practice operations for the Moses division with responsibilities of organizing processes for patient registration, check-in and check-out, financial counseling, follow-up appointments and handling patient issues and complaints.

Key Achievements

* Exceeded departmental cash receipts goals each year, including 37% of goal for 2003 - 2004, departmental staff training on IDX to improve registration and billing processes and recouping monies from Medicare and Blue Cross and Blue Shield Insurance Companies.

EDUCATION

Masters in Healthcare Administration, Seton Hall University

Bachelor of Science in Business Administration, Magna cum Laude, Kaplan University

Associate in Applied Science Degree in Business Administration, Bergen Community College

Affiliations: MGMA-ACMPE, Collegiate Entrepreneur Organization, Healthcare Financial Management Association, PRG Reimbursement Group, ACHE

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