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Customer Service Manager

Location:
Hattiesburg, MS
Posted:
October 01, 2012

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Resume:

Kenneth Naquin

Email: abowxr@r.postjobfree.com

Address: *** ** ***** **** *** 128

City: Hattiesburg

State: MS

Zip: 39402

Country: USA

Phone: 228-***-****

Skill Level: Management

Salary Range: 40

Primary Skills/Experience:

See Resume

Educational Background:

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Job History / Details:

KENNETH NAQUIN

147 98 Place Blvd. Apt. 128 Hattiesburg, MS 39402

228-***-**** abowxr@r.postjobfree.com

REVENUE CYCLE MANAGER WITH STRONG HR BACKGROUND

Patient Access Regulatory Compliance Multi-site Management Consulting

Patient-focused Revenue Cycle Manager with considerable hands on experience launching and improving revenue cycle operations to maximize patient access opportunities. Accomplished in compiling, analyzing and communicating financial data to senior management, including calculating net revenue for month-end reserve processing. Skillful in applying multifaceted billing, collections, insurance negotiations, reimbursement and customer service strategies in healthcare organizations. Accomplished in launching programs and technologies that lead to bottom-line success. Adept in simultaneously coordinating multiple, cross-functional projects in high pressure, highly regulated environments. Proven success interfacing at all levels, including clients, vendors, employees, and C-suite executives.

Revenue Cycle Management a Insurance Verification a Claims Reimbursement a Financial Management

Patient Scheduling a Budget Preparation & Cost Controls a Client Relations Management a Contract Management

Credit & Collections a Point of Service Estimation a Managed Care Contracting a Fee Schedule Management

Technology Proficiencies:

HBOC Mckesson, Siemens SMS-Invision, IMACS, Qualtrics, SSI, CareMedic, Passport Health, CPSI and MS Office (Word, Excel, PowerPoint)

PROFESSIONAL EXPERIENCE

CONSULTANT (INDEPENDENT CONTRACTOR) June 2011 to Aug 2012

Performance Accounts Receivable Hattiesburg, MS

Analyzed and recommended advanced processes related to pricing, billing, third-party payer relationships, and collections, supporting 3 hospitals and 2 clinics. Reconstructed revenue cycle management practices, completing numerous assessments to develop and implement metrics to accurately evaluate revenue cycle performance. Formed and cultivated meaningful client relationships to identify and recommend multilayered program enhancements. Defined resource requirements and project workflows as well as billing and collection techniques. Developed, implemented and administered employee satisfaction surveys. Consultant services were discontinued after numerous enhancements were successfully launched, resulting in a dramatically improved revenue cycle.

a Slashed operating costs by replacing 2 employees with better performing staff and radically restructuring department processes to improve employee workflow.

a Repeatedly acknowledged as a top performer due to several notable achievements as an effective communicator and strategist.

REVENUE CYCLE MANAGER Feb 2010 to Feb 2011

Medical Management Options Baton Rouge, LA

Designed and spearheaded targeted revenue acceleration workflows, including patient access, cash collection and posting, coding and charge capture and claims process and follow up as well as technology to support critical auxiliary processes. Developed, implemented and administered policies and procedures to maximize cash flow, department efficiency, and regulatory compliance. Supervised key personnel in day-to-day business operations in compliance with federal and state mandates. Guided personnel to load Managed Care contracts in adjudication system for proper estimation of net revenue. Supervised, trained, and coached 6 employees.

a Realized 108% cash collections within one year.

a Decreased payment delays by 2 months by restructuring billing profiles.

a Automated report compilation process used to file Medicare cost report, drastically reducing completion and submission timeframe from 2 weeks to 2 days.

a Conceived and implemented inclusive billing protocol to process physician fees and contracted billing vendor, improving collections from zero to $204,963 in a six-month period.

KENNETH NAQUIN 228-***-**** abowxr@r.postjobfree.com

PATIENT ACCOUNT DIRECTOR Mar 2009 to Dec 2009

Forrest General Hospital Hattiesburg, MS

Directed a myriad of billing and collections functions, including enforcement of quality and compliance standards for medical coding, charge capture, billing, accounts receivable management, payment posting, and denial management. Planned and managed integration of revenue cycle functions to ensure full implementation of critical workflows, policies, procedures, performance metrics and tracking methods. Trained, motivated, and evaluated staff to achieve best results for company objectives. Managed staff of 60 direct and indirect reports.

a Improved cash goal from 95% to 101% collection rate for five consecutive months.

a Revamped charitable giving write-off procedure to promote department efficiency.

a Increased cash days on hand from 155 to 163 days.

a Initiated and launched multifaceted training initiative designed to improve employee morale and patient experience by empowering employees to make front line decisions.

BUSINESS OFFICE DIRECTOR Jan 2007 to March 2009

NEA Baptist Memorial Hospital Triad, CHS Jonesboro, AR

Oversaw full spectrum of business office functions, patient access and revenue cycle activities, including billing, third party and patient follow up, HR and customer service, ensuring optimal billing and follow up standards. Promoted best practices in automation and workflow management used for claim submission. Utilized information technology to improve recoveries and reduce accounts receivable. Managed denial process to drive resolution of unpaid or underpaid claims. Implemented standard processes and quality monitoring to complement technology. Leveraged multiple department training initiatives to promote employee professional development. Monitored, tracked and evaluated staff productivity and performance. Instrumental in launching A/D/T and patient accounting systems. Implemented comprehensive revenue cycle management process for newly-acquired ambulatory surgery center.

a Decreased aging over 360 days from $941,016 to $338,597 and aging over 150 days from $5,731,824 to $4,447,138, increasing cash collections from 90% to over 100% in just a 2-month period.

a Reduced net account receivable days from 67 days to 58 days within 6-months, obtaining 100.4% in cash collections annually.

a Built strong working relationships with department directors utilizing good communication skills to resolve the numerous Revenue Cycle issues.

BUSINESS OFFICE DIRECTOR March 2003 to Jan 2007

Gulf Coast Medical Center, Health Management Associates (HMA), Tenet Biloxi, MS

Key player instrumental in installation of A/D/T and patient accounting systems. Successfully achieved 109.5% of overall cash collections goal with an EBITDA rate of 225%. Obtained net account receivables status of 44.4 days and discharge not final billed (DNFB) of 3.5 days with a bad debt rate of 5.5% below budget. Appointed to assist in oversight of surgery center.

Additional roles include: Director of Operations, Business Office Director, Patient Account Manager, and Manager of Insurance Follow-up and Collections

EDUCATION, CERTIFICATIONS & PROFESSIONAL DEVELOPMENT

Master of Business Administration, William Carey College, Hattiesburg, MS

Bachelor of Science in Personnel Administration, Nicholls State University, Thibodaux, LA

(Deanas List 5 Semesters, Presidentas List 2 Semesters)

AFFILIATIONS

Healthcare Financial Management Association

Personnel Club

Knights of Columbus



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