Manager Revenue Cycle
Resume:
D onna Royster
M asters Healthca re Admin istration
PO BOX 33805, DECATUR, GA 30033
404-***-**** – *************@*****.***
Professional Summary
A n Individual with consulting and practice management experience in oncology and
physician consulting seeking an opportunity in a challenging healthcare environment.
I nstrumental past experience includes managing a large metropolitan oncology practice
w ith full responsibility for operations, regulatory compliance, strategic budget and revenue
cycle. Additional expertise includes past and current consulting experience with a company
t hat specializes in operations assessments with emphasis on revenue cycle capture. I have
managed operations including contract negotiations with insurance payers, maximizing
b illing, and overseeing the revenue cycle process to managing a compliant program in
regards to compliance driven healthcare. I have knowledge of working with consultants and
audits from other companies during my professional career.
H aving launched my healthcare career on the clinical side of operations, with both clinical
and management experience, the opportunity to research clinical applications with regards
to implementation of EHR and EMR products has been invaluable. Consulting role
i ncludes minor Meaningful Use and CMS incentives insight.
A career utilizing my experience, optimism, and innovative ideas in a professional
operations environment is just the position I am seeking. Proficient with patient and
customer satisfaction focus while maximizing revenue potential.
P rofessional Experience
Sales/Business Development Manager
R admax Tyler, Texas
May 2012 to Cur rent
Consulting experience with a company that specializes in operations assessments with
emphasis on revenue cycle capture. I have managed operations from contract negotiations
w ith insurance payers, maximizing billing, and overseeing the revenue cycle process. I have
been involved in strategic planning to fur ther grow the practices from an electronic medical
record technology and market share perspective, evaluating opportunities for growth in the
a rea while emphasizing core clinical and quality measures to include consulting with
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Physicians in Regard to Meaningful Use and Medicare Incentives program. Vendor neutral
consultant for oncology information systems and electronic health records.
Consultant as needed
Radmax Tyler Texas
January 2010 to May 2012
o Consulting experience with a company that specializes in operations
assessments with emphasis on revenue cycle capture.
o Duties as needed for revenue cycle auditing, compliance review and coding for
r adiation oncology centers.
DeKalb Medical
Radiation Oncology Manager
October 2003 to May 2012
I managed a large metropolitan radiation oncology practice with full responsibility for
operations, strategic budget and revenue cycle. I managed the department to exponential
g rowth in both revenues and volume. I managed 14 employees while specializing in
operations assessments with emphasis on revenue cycle capture. Responsible for operations
to include 2 new releases of Electronic Medical Record for oncology, maximized billing and
responsible for overseeing the revenue cycle process. I planned and implemented advanced
technology and clinical practice to meet industry standards. I worked closely with
physicians and physician practice manager to maintain fiscal practice operations.
o Assessed the billing processes in the department and determined revenues were low,
denials high and expenses were not in line with revenue. Ini tiated procedures to
ensure the financial department would meet their revenue goals. Directed staff to
obtain insurance verification, revised front end process to have co-pays collected and
i mplemented monthly denial t racking to assess where improvement in processes
could be made. Incorporated charge reconciliation standards to assure charges were
reported in a timely manner.
o Created a spreadsheet for hospital financial department to give an estimate of
charges per case mix to commercial payers and hospital revenue departments.
o Created charge master and processes with the business office to start capturing E/M
charges. Based on auditing, adjusted two charges in the technical portion of the
b illing that were not capturing. Resulted in an increase of approximately $500,000
per year.
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o Helped with Charge master maintenance to incorporate new technology charges
being implemented into billing cycle appropriately.
o Ran at approximately 30% under budget with staffing costs. We were open staffing
w ith 4 physicians t reating at the facility.
o Assisted Revenue management department with Radiation Oncology contract rates
w hen insurance companies were renewing managed care contracts.
o Implemented a H igh Dose Rate program in March 2007, ensuring compliance with
T he Nuclear Regulatory Commission radioactive source guidelines.
o Purchased and implemented GE Li teSpeed Cat Scanner, electronic medical record
and verify software conversion and Rapid Arc t reatment implementation in prior 3
years.
o Handled capital budget responsibili ty for Radiation Oncology to include price and
contract negotiations. Project managed facility expansion of a dedicated HDR vault
Feb 2008.
o Cancer Services was identified in the five year strategic plan and Radiation oncology
department was identified to expand from 8,000 to 30,000 sq ft. Worked closely with
administration to provide input as to what new technologies will be included and
i nvolved in the coordination of space planning.
o Experience working with H IPAA regulations, ACR and Joint Commission. Familiar
w ith CMS regulations and guidelines.
o Established departmental protocols and revenue polices for the implementation for
A llscripts Eclipsys Nov 2011 hospital wide conversion for the department.
Radiotherapy Clinics of Georgia
Atlanta, Georgia
A ugust 2000 – March 2003
Senior Therapist/Clinical Manager
o Planned, directed, controlled and organized all functions of Radiation Oncology in
t he clinical aspect.
o Directed the delivery of patient care and ensured all patient care was provided
according to established policies and procedures.
o Coordinated and implemented Radiation Therapy programs, policies and procedures
and assumed the responsibility for ensuring that all programs met hospital
accreditation standards and regulatory compliance.
S t Josephs Hospital
Atlanta, Georgia
Sept 1987-August 2000
Radiation Therapist
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o Treatment delivery, block cutting, patient care
Education and T raining
West Georgia Technical College
P roject management course
Testing for certification March 2013
University of St. F rancis 2008
Healthcare Administration
Joliet, I l linois, USA
Masters Healthcare Administration
University of St. F rancis 1995
Health Arts
Joliet, I l linois, USA
Bachelor of Science Health Arts 1996
St Josephs School of Radiation Therapy 1987
Certificate radiation therapy technology
West Georgia Technical College 1985
Certificate radiologic technology
Columbus Technological School 1982
Certificate computer programming
West Georgia Technical College (cur rent)
Project management course
Testing for certification March 2013
Certifications
Radiology and Radiation Therapy
#208460 A.R.R.T. (R) (T) American Registry of Radiologic Technology
Skill H ighlights
o Possess the ability to develop thorough understanding of a problem before
considering a solution.
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o Effectively reach a resolution while seeking opportunities to exceed customer’s
expectations.
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