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