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Customer Service Medical

Location:
United States
Posted:
June 11, 2014

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Resume:

Ronald L. Telles

**** ** **** *** ( Portland, OR 97215 541-***-**** (

********@*****.***

Objective

ADMINISTRATIVE/EXECUTIVE POSITION IN THE HEALTHCARE ENVIRONMENT.

Accomplishments

o FINANCIALLY AND OPERATIONALLY ADMINISTERED A FINANCIAL "TURN-

AROUND" FROM A "GOING CONCERN" TO A FINANCIALLY THRIVING

CORPORATION

o Partnered with several Accountable Care Organizations within

Oregon to negotiate shared savings contracts

o Developed and facilitated a regional networks of healthcare

providers and medical home model groups

o Ensures the prudent investment and management of corporation's

assets and designated funds.

o Obtained and issued Revenue Bonds for a hospital replacement

project and secured an S&P rating of >A.

o Lead the selection, financing and installation of new MRI, CT Scan

and teleradiology systems.

o Prepared financial models, proforma's and analysis to evaluate

existing service lines or develop new opportunities

o Initiated and implemented several flex budget, productivity and

cost accounting systems.

o Oversaw the selection and installation of an Electronic Health

Record System and Transcription system.

o Implemented the redesign of Hospital Supply Chain and Revenue

Cycle processes that improved financial performance

o Built a financial assistance package to support the recruitment of

new physicians to the community.

o Provided financial planning to implement new services: infusion

therapy, geriatric assistance, pediatric medical unit,

occupational therapy, outpatient clinics and rural services.

o Guided the operational changes during Carson-Tahoe Hospital's

transition from a County-owned facility to an IRS designation

501c(3), Not-for Profit Community Hospital.

Skills

o MAINTAIN POSITIVE WORKING RELATIONSHIPS WITH PHYSICIANS, BOARD

MEMBERS, PEERS AND SUBORDINATES.

o Control costs while maintaining and improving quality services.

o Develop long range financial and capital planning utilizing Kaufman

Hall ENUFF system.

o Build and participate in successful teams to resolve problems and

improve services.

o Maintain a personal commitment in my role as an industry and

community leader.

o Utilize excellent accounting practices and principals in carrying

out my duties.

o Negotiate union contracts and evaluate salary/wage proposals.

o Negotiate increased reimbursements from Medicare, Medicaid and

Commercial payors.

Experience

TRILLIUM GROUP, INC 2007 - MAY 2014

Chief Operations/Financial Officer

Responsible for the financial and operational support departments

of a not-for-profit healthcare firm that encompassed two

facilities. During my tenure, I have administered a complete

financial recovery. Responsible for the increase in Net Revenue by

26% through significant contractual reimbursement rate improvements

and revenue cycle improvements. In addition, reduced operational

expenses by 10% through a reduction in overhead, improvement to

staff productivity/workflow and evaluation of service lines.

Improved cash collections by 33% through effective coding,

documentation and billing process. This overhaul of the financial

system resulted in a company that had lost $7.5 million from

operations to a positive bottom line. In addition, partnered with

Accountable Care Organizations to improve the health of the

population served and negotiated a shared savings contract.

Accretive Health/Consultant 2005 - 2007

Revenue Cycle Director & Consultant

Responsible for working with Accretive Health client hospitals to

improve cash yield, upfront collections and operational

efficiencies in the Revenue Cycle Process. Developed new business

strategies, financial analysis and capital funding for new ventures

in the healthcare systems. In addition, I have made numerous

presentations to Board Members, Executive and Management Hospital

Teams. I have trained staff on Customer Service and Point of

Service collections. At client sites, I increased Point of Service

collections 300% and improved accurate registration for effective

billing and improved cash yields to reduce Accounts Receivable

days.

Ashland Community Hospital 2004 - 2005

Chief Operations/Financial Officer

Responsible for the financial and support operations of a not-for-

profit community hospital. In the year tenure at Ashland Community

Hospital, I developed and implemented a productivity and budgeting

system, cost accounting system and greater

communication/information with the Finance Committee and Board of

Directors. In addition, I was responsible for 35,000 sq. ft. new

construction/addition of our Surgical Suites. I completed a

Charge Master Review and developed both a Revenue Cycle and Supply

Chain Plan of Action.

Universal Health Services, Inc. 2002 - 2004

Chief Operations/Financial Officer

Responsible for the clinical operation and financial success of

Northern Nevada Medical Center, a for-profit facility. Negotiated

contract rates with Managed Care and HMO payers that increased

reimbursement by 15%. Reduced account receivable and bad debt

expense through appropriate collection efforts. Developed a

financial plan that increased volumes and revenue while decreasing

variable expenses. In collaboration with the Chief Executive

Officer, we developed a long-range plan that will encourage

specialist to increase utilization within our health system.

Carson Tahoe Health System 1994 - 2002

Chief Operations Officer

Responsible for the administration and operations of a two-hospital

campus. Administrator of a 30 bed Acute Rehab Hospital and

Operations Officer of the 128 bed Acute Hospital. As the Health

Systems Operations Officer, responsible for all Ancillary/Clinical

service areas, Case Management, Cancer Center, Marketing, Human

Resources, Information Services, Quality, Risk and Physician

Services. In addition, responsible for the financial/capital

planning and functional/schematic design of a replacement hospital

for a new regional healthcare campus. Oversaw the Human Resource,

Information Systems and Marketing changes during the hospital

conversion from a County to Not-for-Profit Hospital.

Chief Financial Officer

Developed and facilitated a regional network of providers,

including physicians, ambulatory services, home health, sub-acute

facilities and other healthcare providers, to effectively manage

utilization and cost in the capitated/at-risk market. Orchestrated

several financing opportunities to construct a Medical Office

Building (MOB), Acute Care Rehab Hospital and the remodel of the

existing 30-year-old acute care facility. Responsible for the

leadership, performance and success of several departments

including the Hospital's financial planning and forecasting, case

management, human resources, financial services, information

systems (MIS), patient accounting, registration, communications,

medical records, materials management, laundry and linen,

engineering, food service and housekeeping functions.

Director of Finance promoted from Controller

Responsible for general accounting, budget, reimbursement, medical

records and information systems (MIS). Accomplishments include the

selection and installation of the flex budget and productivity

system, cost accounting system, medical chart tracking and

transcription system.

Watsonville Community Hospital 1989 - 1994

Controller promoted From Financial Analyst

Responsible for general accounting, accounts payable, payroll,

budgets and reimbursement. Responsible for implementing systems to

prepare the hospital for capitated contracts. Worked with Hospital

executives and managers to implement a plan to reduce cost and

increase productivity and quality. Assisted the Hospital

management team with returning the facility to a profitable status.

Dominican Santa Cruz Hospital 1988 - 1989

Budget Analyst

Responsible for the budget and financial analysis of the Hospital

and other related entities. Responsible for maintaining the

integrity of the flex budget system. Responsible for the

Hospital's Medicare and Medi-Cal Cost Reports along with the

quarterly and annual OSHPD reports. Developed and improved the

monthly presentation of the Hospitals' financial reports and

statistics.

Lockheed Missiles and Space Co. 1983 - 1988

Budget Analyst

Responsible for the budgetary performance of several manufacturing

departments within this Defense and Space Corporation.

Education

MASTERS OF BUSINESS ADMINISTRATION, HEALTHCARE EMPHASIS ENROLLED

Concordia University Portland, OR

Bachelor of Science, Economics with a minor in business 1983

San Jose State University San Jose, CA

Associate of Arts, Liberal Arts 1981

West Valley Community College Saratoga, CA

Associations/Affiliations

NEVADA HOSPITAL ASSOCIATION (NHA), BOARD OF DIRECTORS, TREASURER 1996 -

2001

Nevada Healthcare Data and Finance Committee, Board of Directors, Chair

1996 - 2001

Healthcare Financial Management Association (HFMA), Member 1990 -

present

Healthcare Financial Management Association, NV Chapter, Board of

Directors 1996 -1998

American College of Healthcare Executives (ACHE), Associate 1997 -

present

ACHE Nevada Regents Advisory Council, Board of Directors 2000 - 2004

Healthcare Information & Management Systems Society (HIMSS), Member

2000 - present

Rotary Club of America, Minden, NV Chapter, Member 1996 - 2004

Douglas County Education Foundation, Board of Directors 2002 - 2004



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