PROFILE

MHA/MBA graduate with over **+ years of healthcare administration

experience including:

o Creation and development of efficient policies and procedures

o Extensive knowledge of billing, collection, and revenue cycles for

both government and non-government payers

o Streamlining processes and procedures in revenue recognition, billing,

and collections to ensure maximum effectiveness and increase cash flow

o Developing, facilitating, and maintaining training material for all

Associates responsible for billing and collections from both a system

and process perspective

o Cultivating relationships with both internal and external clients

o Proven negotiation skills

o Instrumental in facilitating and leading associates in community

charity work

EDUCATION

University of South Florida, Tampa, FL

o Master of Health Administration, August 2009

o Master of Business Administration, August 2009

o BA, Psychology, August 1995

PROFESSIONAL EXPERIENCE

Senior Home Care, Clearwater, FL 2012

Director of Reimbursement

Managed all reimbursement operations, including insurance verification,

authorizations, billing, collections, and cash posting for 46 home

healthcare locations in the states of FL and LA.

o Led a Team of fifteen Associates, including two Supervisors

o Managed over $168 million in annual home healthcare receivables; 97%

Medicare and 3% Non-Medicare

o Reviewed all new managed care contracts to ensure insurance

verification, authorization, billing and collection compliance

o Developed billing and collection strategies to ensure accurate billing

and increased cash flow which resulted in reduced outstanding

accounts receivable and cost reduction

o Cultivated and maintained relationships with Directors of Operations,

Regional Administrators, and insurance companies to troubleshoot,

negotiate and resolve exceptional reimbursement issues

o Maintained knowledge of current regulations, policies, and procedures

of state, federal, and other third-party reimbursement programs

o Ensured staff training, evaluated staff performance, and recommended

hiring, termination, promotion, and salary actions

TechHealth, Tampa, FL 2009 - 2010

Project Manager of Collections

Managed all reimbursement operations for care provided to Injured Workers.

Service lines included diagnostic imaging, home health, and outpatient

rehabilitation, along with DME, pharmacy, orthotics, prosthetics,

transportation, and translation services.

o Led a Team of twenty-five Associates, including two Supervisors

o Managed over $89 million of Workers Compensation receivables a year

o Reduced A/R over 120 days from 32% to 18% in 10 months

o Developed collection strategies and plans to ensure accounts

receivable balances were within stated objectives while minimizing

cost and increasing effectiveness, quality, and service

o Monitored receivables to identify reimbursement trends, recommending

and implementing actions for resolution

o Interacted with other department managers to improve

processes/procedures from both an operational and billing perspective

with the primary objectives of accurate billing, reimbursement

maximization, and increasing cash flow

o Maintained relationships with major payers to establish mutually

acceptable procedures to resolve reimbursement issues

o Created, compiled, analyzed and presented A/R performance metrics to

CFO and Executive Leadership

o Coached and mentored staff utilizing specific and measurable

objectives as well as positive reward recognition techniques

Gentiva Health Services, Tampa, FL 1996 - 2009

Billing & Collections Supervisor (2006 - 2009)

Directed all reimbursement operations for 19 home health locations in the

state of AL, managed accounts receivable to maximize reimbursement levels

and attain optimal financial results.

o Led a Team of eleven Associates

o Ensured staff training, evaluated staff performance, and recommended

hiring, termination, promotion, and salary actions

o Managed over $79 million of Medicare, Medicaid, Other Government, and

Commercial receivables a year

o Cultivated and maintained relationships with Branch Directors, Area

Vice Presidents, and insurance companies to troubleshoot, negotiate

and resolve exceptional reimbursement issues

o Reduced DSO from 66 to 50 days and A/R over 92 days from 22% to 14%

and consistently maintained Cash to Lagged Revenue of 100% or higher

o Maintained knowledge of current regulations, policies, and procedures

of state, federal, and other third-party reimbursement programs

Training Specialist, HealthCare (2004 - 2006)

Developed training plans, measured the need for training of Financial

Service Unit (FSU) staff, and was the primary trainer for all Corporate HR

and related training. Trained all levels of FSU employees on FSU systems,

processes, orientation, performance management, and other skill building

programs.

o Collaborated with operations management to assist in meeting their

financial business needs

o Provided expertise and consultation in answering questions from

administrative and field associates regarding policy, regulation,

procedures, and documentation processes

o Instrumental in the design, application, and implementation of Quality

Assurance Program for billing and collections Associates company wide

o Supervised the Quality Assurance Program for non-Medicare, Medicare,

Gentiva Consulting, and Cash Department Associates

Billing and Collections Supervisor (2002-2003)

Supervised daily billing/collections operations and accounts receivable

portfolios to ensure maximum efficiency and adherence to all policies and

procedures.

o Led a Team of six Associates

o Ensured staff training, evaluated staff performance, and recommended

hiring, termination, promotion, and salary actions

o Acted as a Company liaison and troubleshooter to negotiate and resolve

exceptional reimbursement problems

Lead Collector (2001 - 2002)

Guided the team towards the successful collection of invoice processing

activities for designated branch locations and assigned national contracts

to ensure receivables were reimbursed on an accurate and timely basis.

Primary collector for all Tricare billing and collections.

o Worked directly with payers points of contact, internal and external

customers, and other contract clients toward effective and efficient

collection results

o Evaluated, analyzed, and monitored the processing of invoices and on-

line notes

o Monitored team results to ensure alignment with departmental goals

o Provided input on accounts receivable plans and process improvement

and assisted with implementation

o Assisted Supervisor in work distribution and completion of special

projects

Billing Analyst (2001)

Established and maintained billing guidelines within the system, acted as a

liaison between the FSU, Contracts, and I/S staff to implement payer

billing requirements, and provided training to FSU staff on new payers as

well as modifications to billing formats of existing payers.

o Worked closely with the Contracts and individual Sales Representatives

to develop and implement appropriate billing formats to ensure

appropriate presentation to prospective payers

o Reviewed specific billing, pricing, and coverage rules of a payer

during contract negotiations to ensure contracts can be effectively

serviced by the system, mitigating the risk of lost revenue

Training Specialist, HealthCare (1999 - 2000)

Developed training plans, measured the need for training of FSU staff, and

was the primary trainer for all Corporate HR and related training.

Trained all levels of FSU employees on FSU systems, processes, orientation,

performance management, and other skill building programs.

o Responsible for all new hire General Company Orientation including

Corporate Compliance Training and Business Compliance and Ethics

o Developed and maintained current training material for all company

Associates responsible for billing and collections

o Kept abreast of new corporate policies/systems, state/federal

regulations and information relevant to FSU operations and the home

care industry

SYSTEM SKILLS

Word, Excel, PowerPoint, Outlook, PtCT, HomeCareHomeBase, Oracle,

Connections, AS400

AWARDS

Pinnacle Gold Award Winner, Gentiva, 3rd Quarter 2008

Caring the Gentiva Way, Gentiva Financial Operations Bronze Medal Winner,

July 2006

Improving Efficiency & Effectiveness, Gentiva Financial Operations Bronze

Medal Winner, May 2005

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