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Manager Customer Service

Location:
Scottsdale, AZ
Salary:
$65k
Posted:
April 27, 2014

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Resume:

MICHAEL J. HELENIC, CHFP, CMPA, CPAM, CCAM

***** *. ** ******, **********, AZ 85260 – Phone 480-***-****– Email: acdvx1@r.postjobfree.com

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PROFILE:

A dynamic, entrepreneurial, executive who provides strong and synergistic

leadership in areas of:

Finance/Accounting Strategic Planning

• •

Reimbursement Revenue Generation/Cost Reductions

• •

Cost Reporting Creating Financial Health

• •

Debt Structuring Contract Negotiations

• •

Broad based knowledge/experience in the healthcare industry with proven expertise in:

• Contract negotiations.

• Financial reporting both internally and externally, as related to all standard government

and healthcare entities.

• Medicare cost reporting. Maximizing reimbursement while minimizing audit risk

exposure.

• Investment management. Debt structuring and acquisition. Risk management.

• Operational cost reductions without compromising the quality of care or production.

• Managing relationships with banks, insurance companies, vendors, boards, and

executive staff.

• Staff development and team building. Creating an upbeat positive environment and

improving staff retention.

• Creating new systems, methods and procedures. Extensive computer conversion

experience.

• HUD

EXPERIENCE:

12/10 Scottsdale, Arizona

AMAZING GRACE AIR

Pres AMBULANCE INC.

Director – Revenue Cycle

Management Patient

Financial Services (PFS),

Managed Care

Contracting, Principal

Negotiated all

Managed Care

Contract rates

*Nationwide

Contract related

Year to Date

revenues to

expenses

improved to

$754,750/$187,50

0 from 50% of

that in the prior

year

Developed all

Revenue Cycle

process

improvement

methods.

Authored all the

P&P’s for Patient

financial Services

Directed a

complete IT

System

installation and

conversion

TRAUMA FLIGHT

01/07 Scottsdale, Arizona

01/11 INC.

Director – Revenue Cycle

Management –

Patient Financial

Services (PFS),

Managed Care

Contracting,

Principal

Improved prior year profits by 240% or $760k

Negotiated new and more profitable Insurance Contracts

Developed all Revenue Cycle process improvement methods.

Accounting

Patient Accounting

PFS and Billing software development and implementation

Billing Staff training and education

NATIVE AMERICAN AIR AMBULANCE INC.

04/02 Mesa, Arizona

01/07

Contracting Officer

Acquired and negotiated contracts

Increased profit from breaking even to an excess of $2.5M per month

Created the Patient Financial Services, Medical Records, Coding

Compliance, and Customer Service departments from the ground up

Directed all recruitment and training

Developed all relevant Policies & Procedures

Managed all OIG Audits, and had significant influence on compliance

issues, and Accounting and Information Systems development

AIR EVAC ARIZONA

04/01 Director – Revenue Cycle Management Patient Financial Services,

04/02 Managed Care Contracting

Increased Net Revenues by circa $5M per month via improved

contractual relationships with the Insurance Companies

Improved net revenues and profits by more than $800K/mo. after first

few months in the position

03/97 Glendale,

ALLIANCE ANCILLARIES

04/01 Arizona

Chairman and Executive Officer

Grew this entrepreneurial venture focused on consolidating the provision of all ancillary services for

Skilled Nursing Facilities (SNF’s), Assisted Living, and Home Health. This significantly reduced both

costs, and financial risks for the member facilities.

Developed the PFS department and authored the P&P’s

Negotiated all reimbursement contracts

Established financial controls for all physical and financial assets

Developed the Business Plan, obtained licensure, hired executive staff, and departmental

directors for Pharmacy, X ray, Therapy, Laboratory, and DME.

• Provided consultation services for contracted clients in areas of:

Medicare Cost Reporting, MIS Development, Reimbursement, and Operations.

Our primary client added $12 15K per month to their bottom line after contracting their ancillary

services with Alliance. And, this additional net income was completely risk free.

03/96 Glendale,

GLENCROFT RETIREMENT COMMUNITY

03/97 Arizona

Chief Financial Officer

Directed Accounting and Finance, Budgets, MIS, Managed Care and Vendor contract negotiations, and

Strategic Planning for this 40 acre CCRC that included a 224 bed Skilled Nursing Facility, and

Assisted Living.

Restructured and publicly placed $6 million in debt. Reducing debt service expense by $50K

per month.

Purchased and directed installation of fully integrated computer system that reduced

administrative hours, improved financial reporting and improved the ability to monitor the flow

of goods through organization.

Reworked past Medicare Cost Reports and received $180K in previously unclaimed

reimbursement that was due to the company. Designed and implemented a plan to capture in a

timely fashion, additional monies that would be owed by HCFA on a going forward basis.

Reduced dietary cost by 37%, by implementing systems control utilization, waste and spoilage.

Negotiated rates, and risk, for all contracts with vendors, insurance companies, and HMO’s

06/92 New London,

MARINER HEALTHCARE

02/96 Connecticut

Regional Finance Manager

Specialized in saving distressed facilities. Was responsible for nine facilities in a

seven state area.

Supervised and supported facilities accountants and administrators in the areas of:

• • Budget Variance Analysis

Information Systems

• • General Ledger Accounting

Accounts Payable

• • Payroll

Financial Review

• • Reimbursement Techniques

Cost Reporting

• Accounts Receivable management including billing, credit and collections

03/89 Pittsburgh,

PHYSICIANS RESOURCE INC.

06/92 Pennsylvania

Senior Practice Consultant

Trained both the professional medical, and clerical staff on the best coding and billing techniques

for optimum reimbursement in a Managed Care environment. Designed information systems that

focused on the needs specific to each practice. Led all Managed Care contract negotiations.

EDUCATION:

University of South Carolina –

1987

Bachelors of Science – Finance

*Only Student to ever complete a BS *University Distinction Award.

in less than two years at USC. 3.5 *Who’s Who Among Students in

GPA * Chaired Several Committees. American Colleges and Universities.

* Racquetball Champion.

Professional Development • Past Member, Board of

Directors of the Arizona

Ambulance Association

• Past Regional Member,

Board of Directors of the

“American Association of

Healthcare Administrative

Management” AAHAM

• Certified Healthcare

Financial Management

Professional (CHFP)

designation with a

concentration in Managed

Care, HFMA.

• Certified Manager of Patient

Accounts (CMPA)

designation, HFMA.

• Certified Patient Accounts

Manager (CPAM) AAHAM

• Certified Clinic Account

Manager (CCAM) AAHAM

Strengths

Patient Financial Services (PFS), Compliance, and Accounting.

Innovative thinker with instincts and positive success with overhauling/restructuring departments and

organizations for greater productivity and profits.

Works well in group settings, especially for large projects.

Inspire teamwork and best individual performance. Recognized for high level of staff retention.

Effecting financial controls to maximize bottom line results.

English, Spanish, and Brazilian Portuguese

Languages



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