Revenue cycle professional

Jeffrey J. Wicks

***** ***** ******

Trevor, WI *3179

262-***-**** Cell

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

SKILLS AND ACHIEVEMENTS

Revenue Cycle Executive with extensive experience in the healthcare industry and

strong ability to develop and execute reimbursement strategies that optimize revenue.

Accomplishments illustrate capacity for managing diverse financial operations and

patient processes, achieve challenging goals with limited resources and enhance

reimbursement functions.

• Introduced new auditing tools that recouped $1.2 million in gross charges in my first year, and

another $1 million was recouped in missing invoice charges after a new system conversion four

years later.

• Quantified and recouped over $635,000 in charge capture by conducting an audit to review

manually processed surgical services cases involving O.R. supplies, implants and room charges.

• Discovered Blue Cross Uniform Payment Plan discrepancies that led to recoupment of revenue

for both outpatient and hospital claims.

• Improved Days Sales Outstanding and aged receivables by careful denial review and claim

submission tracking with our electronic carrier.

• Managed cash posting and contractual allowances and write offs to bad debt.

• Streamlined a manual documentation process and eliminated lost surgical records, thereby

reducing late charges.

• Set in place improved work processes that improved OR integration with other departments

hospital-wide.

• Created a new database for all material management contracts, agreements and consignments.

• Helped hire and train new personnel to improve inventory efficiencies and reduce waste.

• Simplified financial reporting processes and increased productivity by improving on

documentation of high-cost surgical implants and supplies.

• Chaired a Product Review Committee, sat on several committees/task forces for revenue

integrity, coding compliance and reimbursement.

• Provided data conversion software support for two system-wide system conversions.

• Represented Perioperative Services in a project to identify and assign appropriate leveling and

revenue charges for all possible procedures; achieved compliance with new government

regulations for EMR (electronic medical records) within allotted timeframe.

• Managed accounts receivables segment of two divestitures; the first in 2001 which sold off

portions of the business while maintaining others, and the second in 2005 ceasing all operations.

WORK HISTORY

UNITED HOSPITAL SYSTEM, Kenosha, WI

Financial Analyst, April, 2014 to Present

Primary focus has been budgeting, payor reimbursement, KPI statistics and Medicare cost reporting.

Heavy Excel data manipulation and statistical analysis centered on daily revenue reporting and

forecasting. Secondary responsibilities have included financial charge review, productivity analysis

and claim denial review.

WASHINGTON HOSPITAL HEALTHCARE SYSTEM, Fremont, CA

Financial Manager of Perioperative Services, January, 2009 – March, 2014

Responsible for all charge capture, auditing, revenue reporting, budgeting and

logistical support for 8 OR’s, 10 bed Recovery room, Endoscopy and Short Stay

departments; labor and budget cost management, and daily operational efficiency

and financial performance. Managed 55 FTE employees with seven direct reports.

Overall hospital Net Patient Service Revenue was $464M.

CHILDREN’S MEMORIAL HOSPITAL, Chicago, IL

Revenue Cycle Coordinator, August, 2005 – August, 2008

Responsible for accurate charge capture, auditing and revenue reporting for 17 operating rooms in

three different locations. Tracked supply costs and procedural code usage for daily revenue

production.

Billing Manager, February, 1998 – August, 2005

Managed outpatient home health claim batching, submissions, collections and financial reporting as

well as cash position statements and bank reconciliations. Managed 23 FTE subject matter experts

on billing and collections for skilled visits, private duty nursing, therapy visits, home infusion drug and

durable medical equipment charges in Illinois and Indiana.

ARCVENTURES, LLC, Chicago, IL

Financial Analyst, December, 1996 to February, 1998

Submitted and collected payments for home infusion claims to governmental and private payers.

Key member of team that successfully transitioned billing activities in-house from an external vendor

within 90 days. Reviewed old claims and determined appropriate next steps of collections or write-

offs. Improved aged receivables by 26 days within three months.

ABBOTT LABORATORIES, North Chicago, IL

Reimbursement Specialist, September, 1995 to November, 1996

In a supervisor capacity, managed and reported on three accounts which provided home infusion

sales to client pharmacies nationwide. Oversaw claims submissions, collections, and payments

posted to payers. Managed one FTE patient account clerk.

CAREMARK, Northbrook, IL

Reimbursement Coordinator, January, 1995 – September, 1995

Obtained subject matter expertise in Medicare billing, collection and coding requirements. Undertook

sweeping account consolidations from various locations nationwide when the company sold the

division in mid-1995 to Coram Healthcare, based in Denver, CO.

EDUCATION AND TRAINING

MS, University of Pennsylvania, Philadelphia, PA

BA, University of Wisconsin - Parkside, Kenosha, WI

LICENSURE, TRAINING, CERTIFICATES, AWARDS

• HFMA member, Wisconsin chapter

• Completed and passed the HFP course in 2012

Contact this candidate