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Customer Service Management

Location:
Oglesby, IL, 61348
Posted:
June 02, 2011

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Resume:

Nathan Lyons

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

Oglesby, IL *****

309-***-****

*******@*******.***

Experienced Account Receivables Manager with over 7 years of progressive

management experience in a hospital/healthcare environment.

Skills Summary:

Collections

Customer Service

Admissions Management

Revenue Management

Billing and Coding Regulations

Insurance Denial Management

Pre-Certification /Authorization

Compliance

Electronic Medical Records (system selection and training)

Team Management

Operational Management

Experienced in several billing systems including Quadra Med Affinity, IDX,

Siemens SMS, CPSI, Epic, Mysis Tiger

Professional Experience

January 2010 - February 2011

Hopedale Medical Complex, Hopedale, IL

Director of Patient Accounts

. Manage a team of ten employees: billing specialists, collections,

financial counselors and admitting staff

. Implemented the use of the InterQual system to reduce medical necessity

denials

. Implementation and maintence of the Passport system for both the upfront

collections system and the upfront order screening system.

. Reduced the amount of accounts with a credit balance by 50% including

reducing $150k in self pay credits

. Reduced Gross days in A/R from 53 to 45

. Responsible for day to day operations as it relates to revenue cycle

management.

. Diffused highly charged interactions as necessary.

. Maximized revenue and cash flow by improving A/R processes

. Manage operations for patient registration, eligibility, and admitting

and cash application.

. Ensure billing and coding regulations are adhered to.

. Responsible for hiring and managing all A/R and Admitting staff.

. Responsible for resolving outstanding receivables.

July 2008 - 12/2008

St. Vincent Health, Indianapolis, IN

Finance Consultant

. Prepared financial statements and reports

. Collected recorded and analyzed financial data

. Performed ongoing accounting tasks

. Completed monthly financial audits

. Responsible for maintaining budget data

February 2005 - May 2008

St. Elizabeth Regional Health, Lafayette, IN

Revenue Management Department Manager - Western Region

. Responsible for day to day management of Revenue Cycle department

. Increased net revenues for the organization by 3 million each year due

to process improvements

. Managed a team of 20

. Responsible for three hospital campuses

. Managed audit and review of all revenue activities

. Ensure billing and coding compliance

. Led process improvement initiatives

. Provided operational strategies for upper management

. Trained staff on reimbursement strategies and implementation

. Involved in EMR system selection, implementation and training

(upgraded from legacy system to Affinity)

June 2003 - July 2004

Arnett Clinic, Lafayette, IN

Patient Collections Specialist

. Responsible for A/R management for self pay and after insurance

patients

. Responsible for billing and coding compliance

. Issued letters for missing information and rejected claims

Education

Illinois Valley Community College

Associates Degree: Accounting



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