Project Manager Revenue Cycle

Thomas Koerner

Email: *********@********.***

Address: **** *. ******* **

City: Ann Arbor

State: MI

Zip: 48105

Country: USA

Phone: 734-***-****

Skill Level: Director

Salary Range: $120,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

iTHOMAS J. KOERNER

3616 N. Dixboro Road, 734-***-****

Ann Arbor Michigan 48105 *********@********.***

Revenue Cycle Improvement a Financial Turnaround a Expense Reduction

Healthcare financial executive and consultant with a background in all areas of revenue cycle operations in both corporate and consulting environments.

Specific areas of expertise include patient accounting, patient access, managed care, scheduling and physician billing.

Ability to turn around the financial performance of a hospital business office in a short time period using staff education, process improvement and technology implementation.

Bad Debt Reduction Lean Six Sigma Staff Right Sizing

Physician Billing Denial Management Self Pay Improvement

Vendor Management Increased Cash Collection Improved Staff Productivity/ Cleanup Net Revenue Improvement Accounts Receivable POS Cash Collections Enhanced Medicaid Screening Enhanced Patient Scheduling

EDUCATION

MSHA, 1992, Central Michigan University, Troy, MI Campus

BBA, 1982, Walsh College, Troy Michigan

PROFESSIONAL EXPERIENCE

OPTUM INSIGHT, Eagan, MN.

National health care consulting firm specializing in hospital operations improvement using lean Six Sigma methods; Business office site lead for two end to end revenue cycle projects.

Solution Specialist Revenue Cycle Services, 2/11 to 8/12

Six hundred Bed Hospital, Florida

Achieved a $24 million decrease in unbilled receivables due to improved operations in coding and insurance verification.

Delivered a 50% improvement in clean claims through validation and removal of billing edits. Implementation was achieved through an employee led improvement team.

Developed a series of dashboards that track and balance billing activity. Established billing productivity standards for both organizations.

Major Medical Center, Arizona

Redesigned self-pay services resulting in increased patient collections at both organizations.

Re-negotiated vendor contracts to achieve an annual $200,000 decrease in expenses.

Implemented a asafety neta Medicaid approval program that has resulted in a monthly $35,000 net cash improvement.

Integrated clientas contract management system to develop underpayment reports that can be worked by the client. Current opportunity for client exceeds $2 million in cash

Began the implementation of a denial improvement team that has the potential to reduce avoidable denials by $3 to $4 million per year.

SPARROW HEALTH SYSTEM, Lansing MI

Multi hospital health system with over $1 billion in annual revenue

Executive Director, Revenue Cycle 5/08 to 11/10

Administrative lead for all revenue cycle areas including patient financial services (2 hospitals), patient access, central scheduling, CDM pricing, home health billing, medical supply billing, and contract negotiating

Achieved a $72 million increase in cash and achieved a 17 day drop in AR days by improving collections over a 10-month period. Twenty two percent greater than previous year.

Redesigned revenue cycle departments to achieve a 20 FTE reduction while maintaining increased cash collections and reducing AR. The net result was an $800,000 a year savings.

Created a financial clearance unit that will save $7-10 million per year in avoidable denials. Progress to date has been $3 million over previous year.

Developed self-pay outsourcing function decreasing bad debt by $3 million from previous yearas levels.

KOERNER HEALTH, Ann Arbor, MI

Independent Consultant specializing in revenue cycle management: 7/2005 to 5/2008

Interim Director of Patient Financial Services,

Reduced AR days from 72 to 65.

Initiated a redesign project that will result in a $7 million net revenue impact and a $12 million cash improvement.

Redesigned systems to streamline work processes.

Achieved a $15 million reduction in unbilled receivables through redesigned work flow process.

Patient Accounts Manager for a county hospital in central California

Implemented an AR reduction plan to reduce accounts receivable by $10 million.

Organized Six Sigma work teams to focus on elimination of registration errors.

Participated in a denial management program that resulted in an additional $2 million in cash collections.

Interim Director of Patient Financial Services for a regional hospital located in Montana

Reduced AR days from 68 to 55.

Increased cash collections by $1.2million in a 4-month time frame by improving collection processes.

Restructured agency contract to save the organization $200,000 per year.

Reduced FTEas by 4 while maintaining increased cash by implementing streamlined work precesses.

Developed a Point of Service collections program that increased monthly collections from $20,000 to $50,000 per month.

Interim Director Patient Financial Services for a 2- hospital system located in New Jersey.

Developed and implemented a 90 day program that successfully brought back the business office from an outsourcing agency.

Redesigned PFS management structure as well hiring a complete business office staff for follow-up and collections.

Implemented a six-sigma program that successfully reduced an unbilled backlog from $18 million down to $3 million in 2 months.

Have successfully maintained the unbilled below goal.

ZIMMERMAN, New Berlin, WI

Nationally known consulting firm specializing in revenue cycle turnaround

Senior Architect 11/2003 to 7/2005

Project lead for several revenue cycle projects.

Delivered $6 million dollar cash improvement as well as a $2.2 million dollar bad debt improvement for a New York Hospital through a redesign of their patient accounting and patient access functions.

Assisted in the outsourcing of self-pay and small commercial receivables to ensure that all accounts were being followed up on.

Developed a state of the art pre-registration call center that assisted the client in improving customer relations as well as decreased the number of accounts with incorrect or bad insurance information.

Assisted in a proof of concept process for front-end address and employment verification system.

CAP GEMINI ERNST & YOUNG, Detroit Michigan

Worldwide health care consulting firm providing services to academic medical centers, multifaceted healthcare organizations and multi-specialty physician groups

Manager Healthcare Consulting, 1/ 98 to 9/03,

Project manager that assisted clients in revenue cycle improvement projects.

Achieved an annual reduction of over $6 million in bad debt by reorganizing patient access functions to create a scheduling center.

Implemented a apoint of servicea collection system that improved cash flow by $50,000 per month and reduced bad debt by over $300,000 per year for a 250-bed community medical center.

Orchestrated an 18-day accounts receivable reduction through elimination of unbilled backlogs and improved follow-up activity in a 350-bed hospital.

Improved cash flow for a 600 bed, multi-campus facility by $12 million through a cash acceleration program.

Achieved a 20% drop in bad debt by developing an online insurance verification program and enhancing information gathering.

PROVIDENCE HOSPITAL AND MEDICAL CENTERS, Southfield, Michigan

Administrative Director Patient Financial Services, 1/93 to 1/98

Director of Patient Accounting, 11/90 to 1/98

MT. CLEMENS GENERAL HOSPITAL, Mt. Clemens, Michigan

Administrative Director Patient Accounting, 7/88 to 11/90

HURLEY MEDICAL CENTER, Flint, Michigan

Director Patient Business Services, 11/86 to 7/88

WILLIAM BEAUMONT HOSPITAL, Royal Oak Michigan

Patient Registration Services, 1982 a 1986

PROFESSIONAL AFFILIATIONS

Past faculty member, University of Phoenix, facilitating undergraduate classes in

Quality Management, Healthcare Finance, and Operations Management

Hospital Financial Management Association/ HFMA

Certified Six Sigma Greenbelt

HEALTHCARE SYSTEMS EXPERIENCE

Siemens Invision / Siemens Signature / Meditech / Eclypsis / McKesson STAR

Healthquest 2000 / EPIC / Care Medic eFR

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