Management Accounts Receivable
Resume:
MIRIAM BLAKES
Baton Rouge, LA *****
************@*****.***
SUMMARY
Expert Revenue Cycle and Financial Management leader in Healthcare with more than 25 years of experience in all phases of Physician Services
EXPERIENCE
MCKESSON CORPORTATION (PER SE TECHNOLOGIES), Alpharetta, GA 2002 – 2017 Leadership roles include:
Director of Operations (2014-2017)
Senior Director of Client Management (2007-2014)
Director of Account Management (2002-2007)
Director of Operations Management:
• Managed two operational offices servicing 15 clients with $400 Million in Gross Revenues.
• Responsible for Operational Budget for 200 onshore/offshore employees.
• Developed cash flow forecasts for clients to set collection targets and identify payer deficiencies.
• Implemented staff budget and operational goals based on charge volume, payer mix and contractual reimbursements. Reduced overhead cost by 20% while increasing revenue.
• Assisted clients with new Practice Management system conversions which included review of software and development of pathways for training.
• Developed Denial Management reporting to improve turnaround on denials and reduce preventable denials with improved training protocols.
• Streamlined billing/collection processes to more efficiently process claims in compliance with payer guidelines.
• Experience with GE (IDX), EPIC, Allscripts, Practice Plus/MMIS, Athena Practice Management systems.
• Supervised 8 Account Managers and facilitated partnership arrangement between Client and Center of Excellence in Lewiston, ME.
Senior Director of Client Management:
• Lead client engagement and development for the Business Services Division. This included recruitment of client- facing managers and oversight of client performance. Developed quarterly presentations of metrics, goals, and compliance with contractual obligations.
• Managed 8 direct reports working with 20 clients.
• Facilitated review and renegotiation of client contracts.
• Worked with practice management and operational teams to ensure goals and revenue targets achieved.
• Guided clients on system efficiencies, coding and compliance trends and areas of development.
• Created reporting package with data on trends of payer responses for non-reimbursement, evaluation of performance goals and staff productivity standards.
• Reorganized staff ratios and resource allocation between onshore/offshore staff.
• Developed practice management tools to review front-end processes, eligibility and charge tracking.
• Clients included large academic physician groups, hospital employed and contract physicians, and individual group practices.
Miriam Blakes
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TENET HEALTH CORPORATION PHYSICIAN SERVICES DIVISION (TPS), New Orleans, LA 1997 – 2002 Director of Reimbursement- Gulf States Region:
Managed Billing and Accounts Receivable functions in a Centralized Business Office for Employed and Contracted Physicians.
• Implemented a CBO in New Orleans to process all Revenue Cycle Functions for 105 physician practices in the Gulf States Region (Louisiana, Mississippi, and Alabama).
• Managed staff of 85 team members working all aspects of business office.
• Converted various Practice Billing Systems to a centralized Billing system within 120 days of acquisition.
• Reduced A/R days to collection from 100+ to less than 45 days. EDUCATION
Bachelor of Science in Accounting
REFERENCES
Available upon Request
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