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Revenue Cycle Management

Location:
Atlanta, Georgia, United States
Salary:
$75,000+
Posted:
February 15, 2018

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Matthew R. Woodall

**** ****** ****** ********, ** 30346

720-***-**** ac4hi6@r.postjobfree.com

Dynamic, articulate, and highly motivated Healthcare Revenue Cycle Management Professional with hands on experience as a claims resolution negotiator, contract compliance specialist, and central business office Director. Proven and highly recognized track record of exceeding financial and operational goals. Exceptional communication and interpersonal skills with the ability to excel in a fast paced working environment. Strong problem-solving and analytical skills with a genuine desire to achieve, excel, and evolve.

Core Competencies

Client Service

Financial Reporting & Analysis

Analytical Thinking

Regulatory Compliance

Coaching & Development

Decision Making

Quality Assurance

Policies & Procedures

Patient Accounting Systems

Process Improvement

Conflict Resolution

Persuasive Communication

Professional Experience

UNITED SURGICAL PARTNERS INTERNATIONAL, Denver, CO September 2013 – February 2018

Director, Central Business Office

Directed productivity and effectiveness of cross-trained business office associates, serving seven multi-specialty ASCs with combined net revenue of $60M in 2017.

Implemented financial and operational controls to increase productivity and revenue and drive increases in EBIDTA.

Established KPI monitoring resulting in boosted CBO performance and profitability by lowering %AR>90 days and decreasing days to bill and bad debt. Refined business office processes to achieve outstanding financial results year over year.

Responsible for the management, preparation, and analysis of financial reports. Monitored and reported on complex financial measures and variances.

Communicative, collaborative, and influential team leader with a proven ability to train, supervise, motivate, and evaluate direct reports.

CENTURA HEALTH, Englewood, CO January 2013 – September 2013

Contract Compliance Specialist

Oversaw monitoring of managed care payer obligations, ensuring compliance and fulfillment of all contractual payment obligations, as well as identified and resolved over $150K in underpaid claims in 2013.

Coordinated and managed tasks and responsibilities to achieve implementation of a contract management platform under targeted time frames and ensured goals were achieved.

Recommended reimbursement opportunities for specialty providers based on thorough contract review and consideration of provider contracting strategies.

Developed and maintained positive working relationships with contracted payers and internal departments to address and resolve any contract interpretation, operational, or reimbursement issues.

Gained considerable experience with Regulatory reimbursement and billing guidelines, as well as payer specific policies.

THE ASSIST GROUP, Lakewood, CO March 2010 – October 2012

Resolution Negotiator

Attained over $2 Million in payer savings through review and resolution of complex inpatient hospital claims for health insurance clients. Led resolution efforts and participated in the development and implementation of best practices for resolution of claims.

Analyzed claims for savings opportunities and resolved claims by establishing strong working relationships. Harmonized policies and procedures to promote a collaborative approach between providers and payers.

Negotiated fair settlements and worked across departments to monitor claim status updates and realized savings.

Recognized as a Rainbow Award recipient in 2011 for outstanding performance and exceptional client service.

ST. ANTHONY HOSPITAL, Lakewood, CO September 2012 – September 2015

Volunteer

Confidently served as a volunteer on the Cardiac Care Unit and ER assisting RNs and care staff with basic medical duties, routine daily tasks, and patient care needs. Supported the Clinical Mission by relieving administrative burden on clinicians.

Streamlined care through patient rounding and close attention to personal needs assistance; demonstrated ability to be self-motivated and competent in performing a wide variety of duties.

Cultivated a sense of purpose and value through mentorship of new volunteers with a focus on professional development in their individual roles. Supervised junior hospital volunteers.

Education and Credentials

Master of Health Administration, University of Phoenix (Phoenix, AZ), 2011

Bachelor of Science – Biology, Humboldt State University (Arcata, CA), 2007



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