Director of Patient Financial Services

Aimee Cagande

* ******* ***, *****, ** *****

Telephone (Home): 603-***-****; Cell: 609-***-****

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

Professional Profile

A talented, dedicated and well-regarded professional with more than 12 years’ experience in healthcare finance

and a proven passion for the industry. Possesses outstanding interpersonal, negotiation and leadership skills,

developing strong working relationships with senior management, associates and customers, working well

independently or in a team environment. Consistently performs beyond expectations with a natural aptitude for

learning and a strong determination to succeed, applying a problem-solving, strategic mind to all tasks, and

meeting challenges head on. Self-motivated and highly driven, combines a stron g sense of responsibility with

exceptional organizational skills, a logical, analytical mind and a proactive and positive work ethic.

Key Achievements and Awards

Bacharach Institute

Resolved 120-180 days In Patient (IP)/Out Patient (OP) Accounts Receivable of $2.1m, in less than 2

months; achieved significant reductions in A/R days

Streamlined productivity/efficiency resulting in cost reductions and performance improvements;

developed and implemented excel workbook for key business process improvement

Crozer-Keystone

Resolved 180 days IP Accounts Receivable of $1.9m, in less than a month

Huggins Hospital

Appointed Acting Director of Revenue Cycle within 2 weeks

Successfully revised Community Care, Cashier Department and Coding policy and procedure;

Overhauled Financial Assistance, Customer Service and Billing department processes

Virtua Home Care

Best Top 10 Employees Award 2006-2011; Leadership Award 2008 and 2011; Best Departmental

T.E.A.M. Award 2007-2011

Kennedy Healthcare System

Most Dependable Employee Award 2011

Career Summary

2014: Director of Patient Financial Services, Bacharach Institute for Rehabilitation, Pomona NJ

Led the Patient Financial Services team of 28 full time employees, mentored and coached staff and

managed supervisory personnel

Assessed and revised current operations and processes from the front and back end, working with CFO to

implement complex business process and operational improvements for hospital and satellites

Oversaw all finance functions including monthly close, revenue cycle reports, denial management,

payment posting, credits and refunds, and variances; monitoring hospital and physician billing and

maintaining and updating the hospital’s Charge Description Master

Ensured departmental compliance with all federal, state and managed care billing standards and

regulations; attended and participated in new system EHR Vendor user group meetings as required

2012-2014: Assistant Revenue Cycle Manager, Crozer-Keystone Acute Care Hospital, Chester PA

Managed all aspects of day-to-day operations for Patient Financial Services, including working with the

Director in establishing and revising existing policies, procedures and protocols

Recommended and implemented system and operational improvements, ensuring all work was completed

in line with objectives and strategic plans

Oversaw revenue cycle back -end processes, inclusive of pre-billing, billing, collections, customer service,

revenue integrity, vendor and denial management

Established protocols to effectively manage all applicabl e vendor relationships, including non-core

technology vendors and other third party business relationships

2011-2012: Patient Accounts Manager, Interim Director: Revenue Cycle, Huggins Hospital,

Wolfeboro NH

Responsible for front and back end revenue cycle management (RCM), overseeing two supervisors, three

leads and 33 staff members, including recruitment, training and managing disciplinary action as required

Managed all financial operations and reporting, including billing functions, accounts receivab le, financial

controls, internal/external compliance audits, and setting, tracking and maintaining departmental budgets

Ensured billing and follow-up was performed accurately to prevent/limit potential claim denials and avoid

issues with filing deadlines, including patients, hospital, physicians financial activities and budget planning

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Career Summary cont.

Project managed installation, development, support and testing of custom software applications within

hospital systems; implemented new systems and upgrades related to PBS

Set, monitored, and reported on key metrics such as cash collections, days out standing, unbilled, denials;

reviewed, recommended and implemented changes where appropriate

Managed work flow and modified processes as needed to address gap s in technology, collaborating with

IS department to develop solutions for problems that impeded work flow and cash flow

2006-2011: Patient Accounts Supervisor, Virtua Home Care, Mt. Laurel NJ

Supervised front and back end RCM, overseeing and performance managing 46 staff members, ensuring

departmental compliance to state and federal regulations, guidelines and definitions

Key responsibilities included: month end close, revenue cycle, charge capture analysis, compliance

management, external reporting, financial reporting, A/R, payable accounting, MEDICAID and MEDICARE

quarterly credit balance report

Investigated billing, coding and registration errors, performed Clinical Documentation Audit with Medical

Records, making adjustments or escalating issues as needed

Evaluated and monitored physicians' professional coding of evaluation and management (E&M) and other

CPT, ICD-9, and HCPCS procedural codes for accuracy, applying correct coding principles as defined by

regulatory agencies (such as CMS, AMA, The Coding Clinic) and standards of ethical coding

Resolved coding related denials such as medical necessity and bundling; accurately reviewed each record,

utilizing knowledge of ICD-9, CPT-4 and encoder to accurately code significant diagnoses and procedures

2004-2007: Medical Billing, Coding, A/R Coordinator & Accounts Resolution Supervisor,

Children’s Health Associates, Voorhees NJ

Oversaw posting payment for insurances and self -pays, processed unpaid claims, liaising with insurance

companies and patients; produced reports for new, unpaid, electronic, third party or hard copy claims

2002-2003: Business Office and Accounting Manager, Vernon Pediatrics, Vernon NJ

Ensured accuracy in registration, charge capture, c harge entry, claims submission, account adjudication;

assisted in patient scheduling and referrals, and managed patient files including insurance verification

Part Time Concurrent Employment

2009-2011: Lead Healthcare Patient Access ER, Kennedy Health System, Cherry Hill, Stratford

and Washington NJ Campuses

Undertook duties as P/T Team Lead for ER Registration department, overseeing 56 staff and assisting

personnel with IP/OP coding inquiries

Reviewed medical records and ensured accurate diagnosis and procedure coding in line with relevant

principles and guidelines

2007-2009: Medical Billing and Coding Supervisor, Continuum Health Alliance (formerly

Children’s Health Associates), Voorhees NJ

Employed in P/T position reviewing patient medical records and performing audits on IP/OP coding for a

number of specialties including ENT, Primary Care, Neurology, Pediatrics, Radiology, I.M., etc.

Education and Qualifications

Career Diploma: Medical Coding and Billing, Penn Foster Career School, PA (2009)

BS: Banking and Finance, University of the Philippines Diliman, Philippines (1992)

Professional Memberships and Certifications

AAHAM Member/Certified E/M Clinical Documentation Certificate

Lean Six Sigma (2013) Fundamentals of Management Certificate

Six Sigma, Green Belt (2010) Performance Management, Coaching and

Counseling Certificate

AAPC Member

HFMA Member

Key I.T. Skills

EHR/EMR, Web MD, Epremis, WebPT, MedHost, Kreg, eSolution, MedAssets, XClaims, Prism, Streamline,

Phreesia, Medi, Medical Manager & Mysis, IDX, Allscript, CIS Sorian Clinical, People soft, PICIS,

QuadraMed, Microdex, VisionShare, Analyzer, PC-ACEPro 32, Advance, Ability, PC Print, SMS, CPSI, GMT,

Automated Billing Systems, ENAD, INVISION, Code Correct, eCare, Siemens, Contract Manager, MS Office,

including W ord, PowerPoint, Pivot Table Excel and Access

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