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Revenue Cycle Management

Location:
Clearwater, FL
Salary:
$100,000
Posted:
July 13, 2017

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Resume:

Joyce Ringuet

**** ***** **., *******, ** *****/ 727-***-****/ ac1aiq@r.postjobfree.com

Objective

To obtain a challenging position in Healthcare Revenue Cycle management that will utilize my skills and experience to contribute to the success of the organization.

Skills & Abilities

MANAGEMENT

Over the past 20+ years I have held positions such as Billing/Collection Manager, Director of Patient Financial Services, Project Manager. Revenue Cycle Director and Chief Revenue Cycle Officer managing departments in both large (1200 beds) and small (150 beds) hospital and physician organizations. The departments included Patient Access, Business Office, Health Information Management, Outsourced Vendor Management, Financial Counseling and Customer Service.

Professional Experience

NEARTERM CORPORATION, Houston, Texas

Senior Revenue Cycle Consultant

2/17-3/17 – Interim Director of Billing, CHS Shared Service Center, Ft. Wayne, Indiana

Managed staff of 80 FTE’s billing for 22 facilities

1/16-10/16 – Interim Director, Patient Financial Services, Central Florida Health

Responsible for Hospital and Provider Based Billing and Collections

Managed Billing, Follow-up, Cash Posting, Customer Service and Outsourced Vendors

Major Accomplishments

Increased cash flow to >100% of net revenue over the last 5 months by implementing more efficient processes and filling vacant positions with experienced staff.

Implemented vendor reconciliation and monitoring resulting in better vendor performance and elimination of major vendor saving organization $400k.

6/14 – 12/15 – Project Director, Revenue Cycle, Southern Maine Healthcare

Responsible for Hospital and Provider Based Billing and Collections

Managed Billing, Follow-up, Cash Posting, Charity Application processing, Customer Service, Outsourced Vendors and consulting teams (Meditech and Collection staff)

Major Accomplishments

Increased cash flow by 25% by implementing remote team of billers/collectors with audit tools to monitor productivity and success and reorganizing internal staff workflow.

Improved clean claim rate from 62% to 92% by eliminating edit errors at the root cause.

Developed and implemented Outsource plans for self-pay, small balance third party receivables, Medicaid Eligibility and Specialty Billing/Collections.

Implemented Denial Management Software (Remit Web) for reporting, monitoring and appeal processing.

10/11-5/14 – Director and Consultant, Revenue Cycle, Chapters Healthcare (Hospice)

Responsible for Billing, Collections and Payment of Hospice Claims

Major Accomplishments

Implemented Self-pay billing practices after 2 unsuccessful attempts by the organization

Evaluated and Outsourced Financial Counseling. Medicaid Eligibility improving conversion rates by 20%

Implemented Third Party Administrator to assume processing of Hospice claims resulting in 40% FTE reduction and improving lag time for payment from 60+ days to 10 days from receipt.

01/08 – 5/11 – Interim Chief Revenue Cycle Officer, University of Mississippi Health Center

Responsible for Patient Access, Patient Financial Services, Chargemaster and Health Information Management for 1200 bed in-patient facility and 250+ clinics

Major Accomplishment

Increased cash collections by 48% by implementing Receivable Workstation with more efficient processes, training and monitoring internal staff and restructuring Revenue Cycle Department.

Reduced coding backlog by 20% or $10M utilizing remote staff and consolidating medical records

and coding with improved cohesive processes

Decreased days outstanding from high 70’s to low 50’s

8/06-10/07 – Interim Manager, Northwest Arkansas Hospitals

Interim Access Manager – Bentonville Campus

Project Manager - Credit Balance Clean-up Project - Springdale Campus

Interim Business Office Manager – Willow Creek Women’s Hospital

SCOTT & MATTHEWS, INC.

1994-1994, 2003-2006 – Revenue Cycle Consultant, Greenville Hospital System University Medical Center, South Carolina

Operations analysis/assessment designed to serve as the basis for planning and decision making.

Major Accomplishments

Interim Billing Manager – Filled position after difficult HIPAA system conversion.

oReduced 120 day backlog to 30 days processing 67,000 claims by developing front end edits and automated error tracking for timely resolution.

Interim Director, Patient Financial Services – Managed department re-organization and provided system upgrade and conversion assistance.

oAutomated Financial Counseling to identify potential Medicaid eligibility and process charity applications at bedside increasing patient visits from 72% to 94%.

oDeveloped, trained and implemented new Charity processing resulting in a more accurate reclassification of Bad Debt to Charity in a timely manner.

Other Consulting Roles with Scott & Matthews, Inc. 1990-2006 (not all inclusive)

Project Manager – Harris County Hospital District, Houston, Texas

Financial Counselling Automation at bedside as well as process/procedure development

Project Manager – HCA PAS Shared Services, Palm Harbor, Florida

Developed and managed 90 day early out process for facilities transitioning into the centralized environment (24 facilities) to prevent AR deterioration during the transfer of responsibilities.

Created reporting package for the CFO’s to track their AR performance.

Revenue Cycle Consultant – Georgia Baptist, Atlanta, Georgia

Performed operational assessment of the physician practices recently acquired

Performed operational assessment of newly acquired facility transitioning into the system

Interim Director, Patient Financial Services – St. David’s Healthcare System, Austin, Texas

Performed operational assessment and developed plan of action to facilitate change in processes and performance.

Facilitated transition of receivable processes to a centralized environment and managed team to work down old receivables reducing AR by 86% within 150 days.

Revenue Cycle Consultant – HCA PAS, San Antonio, Texas

Assisted with Commercial and Managed Care Collections’ projects as well as Refund process.

Interim Collections Manager – Mercy Hospital, Chicago, Illinois

Reduced cash posting backlog from 75 days to same day posting

Revenue Cycle Consultant – Santa Rose Medical Center, San Antonio, Texas

Performed operational assessment and developed plan of action for entire Revenue Cycle to increase cash flow, reduce collection cost, improve Customer Service and increase productivity.

Facilitated reorganization including consolidation of management positions.

AMERICAN MEDICAL INTERNATIONAL 1987-1990 - Director, Central Business Office – Baton Rouge, Louisiana

Managed Accounts Receivable for 10 hospitals in Louisiana, Georgia and Alabama

Professional Development

Louisiana State University, Baton Rouge, La.

Bristol Community College, Fall River, Ma.

Completed a variety of management and personal development courses at the above institutions.

References provided un request.



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