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Customer Service Director

Location:
Sandy, UT, 84094
Posted:
April 25, 2011

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Resume:

JASON A. MERCIER, MHA

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

Cell:254-***-**** PH:254-***-****

Waco, TX 76708

email: abhlde@r.postjobfree.com

EDUCATION

Master of Healthcare Administration, University of Oklahoma, 1998

B. Sc. Business Administration, Southern Utah University, 1995

PROFESSIONAL EXPERIENCE

Scott and White Healthcare (Temple/Waco, TX)

Revenue Cycle Director - Site Projects Director 9/10 to 4/11

Operational responsibility for standardization of processes from Front End

to Bad Debt to ensure smooth transition of acquired Hospital to Regional

CBO environment. ~ 300 Acute, ~175 post acute and other pre/post acute

lines; Over ~120+ employees managing financial, operational, and

leadership. System responsibility for Charity, Bad Debt and AR Vendor

management. Implementation of several 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 by opening Discharge

Window in ED and by 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)

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

Revenue Cycle Leader for 4 Acute Care Hospitals representing ~850 beds, and

275 million net revenue and consolidation of all patient accounting

services. Lead and Managed 165 FTE's, 11 Supervisors, Admitting

Departments, Nurse Auditing, Compliance, Credit and Compliance, Cash

Posting, Customer Service, Collections, Billing, RACs, ROI, Financial

Counseling, Collection Agencies, Eligibility Vendors, Charity, and 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

Assistant System Director - Consolidated Business Office 6/2006 - 11/2009

Operational and Logistical Revenue Leader for 6 Acute Care Hospitals,

representing over 1,600 beds and net revenues approaching $1 Billion cash.

Responsible for inpatient and outpatient Patient Account Hospital based

billing. Lead and Manage ~110 associates, 4 Supervisors; oversee Patient

Account Representatives, Credit & Collection, 12+ Collection Agencies,

Customer Service, Release of Information/Custodial of Records, Variance and

Refunds, Auditors, Medicare collections, Posting and Cash Applications,

Collection Liaison, Mail Room, Financial Counselors and all Billing.

Coordinated PI and Denial teams within the hospitals.

Cash Collections average 103% of 2 months prior Net Revenue = 3+ years

exceeded goals

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

Consolidate Business Office and Registration HIPAA Trainer for all

employees

Sarbanes Oxley Auditor for GL and charge correctness

Facilitator for Gallup Survey employees -- Reduced employee turnover to

2.8%

Trinity Mother Frances Health System Tyler, Texas

Regional Operations Director - Trinity Clinics 12/2004 - 4/2006

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

Regional Business Office Director 5/2001 - 10/2004

Responsible for nation's second largest EMS provider (110,000+ Outpatient

Encounters) with Net Revenue of 55 million per year. Hospital revenues,

Part A & B Billing & Collections, all payers.

Reduced Unbilled Accounts Receivable from 60 days, to 14 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 turnover, with a staff of 25-30 people, from 65% to less than 5%.

Instituted Hospital-based lean program for affected accounts - savings

$65,000.

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.

Clinical and Administrative Trainer for denials and billing for outpatient

visits

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 for Corporate

Ranking in the Top Third of all HCA Facilities.

Piloted the 1st Health and Welfare worker (Medicaid Specialist) in the

State of Idaho, creating a 14% increase in Medicaid eligibility and Bad

Debt reduction.

Reduced staff turnover from 25% to 5%, with the CBO creation.

Supervised staff of 35 people and two direct reports (Billing and

Admissions)

Contract Negotiation and administered Managed care & governmental

contracts, to maximize reimbursement, reduce A/R days and increase ROA /

ROI.

Served as interim supervisor to the HIM Department for four months.

HCA Oklahoma UNIVERSITY HEALTH PARTNERS, OKC, OK

Special Projects Coordinator 8/1999 - 3/2000

Executed special projects for the Executive Teams of Columbia / HCA

Oklahoma

Operational Member of Executive Teams of six Hospitals.

Participated in Strategic Planning at all facilities and Oklahoma Division

Level.

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.

Consolidation of Materials Management - Savings: $45,000 per month.

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

Executive for 7 months at a newly opened 32-bed rural facility

Special Projects liaison 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.

UNIVERSITY HOSPITALS (The University of Oklahoma), OKC, OK 1997 - 1998

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

Administrator HIV/AIDS Clinic

Evolved into full Practice Management of six Infectious Disease physicians,

Included practice operations, billing, collections, and staff of 8-10.

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.

References Furnished Upon Request



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