Manager Office
Resume:
Ed Gajudo
***** ******* ******. ******, ** *****
**** **** ****** **. *** Vegas, Nv 89113 Primary Residence
Cell no. 702-***-****
Email: *******@*****.***
PATIENT FINANCIAL SERVICES; REVENUE CYCLE OPERATIONS AND MANAGEMENT
Qualifications ● Over 25 years’ experience in Revenue Cycle Patient Financial Services Management
●Advance Knowledge on Hospital and Professional Billing (UB 04/1500), Healthcare
Reimbursement Methodologies including Charge Master Updates and maintenance. Advance knowledge of the hospital based operations related to the revenue cycle including HIM, Patient Access, Clinical Quality/Case Management, Management Information Systems, Accounting and Finance
●In depth and working knowledge of the of hospital revenue cycle flow, revenue cycle technology, revenue cycle metrics and drivers
Professional
Experience REVENUE CYCLE/DECISION SUPPORT MANAGER 10/2006 February 2016
Gardens Regional Hospital and Medical Center, dba. Tri City Regional Medical Center Hawaiian Gardens, CA
●Hands on assessment, planning, benchmarking, training, implementation and directing key revenue cycle processes and functions
●Managed day to day operations of the Revenue Cycle Process including billing, audit, collections, reimbursement, cash and adjustment posting and denial management
●Perform reimbursement audits and analysis, and direct supervision and management of billing.
●Manage and analyze A/R and Finance Reports. Identify and resolve issues in billing, collections, cash posting and adjustments.
●In depth analysis of new and existing businesses and programs including development of processes and flow, including new and existing contract negotiations
●Training and education of staff within the Revenue Cycle operations and process
●Use of report writer for ad hoc analysis and problem solving
BUSINESS OFFICE MANAGER 02/2006 – 01/2007
Compassion Care Hospice Las Vegas, NV
●Responsible in day to day operations of the Business Office including accounts payable, payroll and staff scheduling
●Preparation and maintenance of quarterly and annual report for board of directors
●Create and develop daily/weekly/monthly reporting process for both clinical and financial areas
HEALTHSOUTH CORPORATION – Employment History
Las Vegas, NV 06/2001 – 02/2006 (Various Divisions)
Regional Operations Manager – Central Business Office
06/2001 03/2002 – Central Business Office Relocated to Portland, OR 3/2002
Decision Support/Financial Analyst – Regional Office NV, CA, CO, AZ, WY, WA, OR
03/2002 – 02/2005 – Regional Office Closed
Business Office Manager – Healthsouth Surgery Center
04/2005 – 02/2006
Major Functions, Projects and Accomplishments:
●Develop and implemented key metrics and performance and quality improvement program.
●Automate and Centralize daily reports of PT clinics in 7 western states
●Improve the daily cash collection of the regional business office by 7% vs. prior year with less staff 2001 2002
●Develop on line tools, forms and reports resulting in improved efficiency and accuracy and on time reporting of daily transactions
●Implemented check and balance in cash posting and data processing resulting a 50% reduction in credit balance and resolution of identified payments within a 6-month period.
●In depth analysis of clinics within the region that are not meeting targeted goals and provide key indicators where the clinic administrator need to focus on to meet goal
BUSINESS OFFICE MANAGER 01/1999 – 06/2001
Dignity Health – Northridge Hospital Medical Center Northridge, CA
●Run day to day operations of the business office, including billing, collections, reimbursement, cash posting and adjustments
●Develop and implement Registration 101 training materials for Admitting and E.R. registration staff
●Root cause analysis and resolution of all PFS issues in billing and collections
●Communicates policies and procedures effectively and regularly to staff
●Key user of MS4 ad hoc report writer
●Instrumental in meeting the corporate A/R days’ goal
ASSISTANT PFS DIRECTOR 04/1998 – 01/1999
Granada Hills Community Hospital Granada Hills, CA
●Team leader of the Facility in finance on the system conversion
●Run day to day operations of the business office
●Develop training materials and in service the staff after the conversion
●Instrumental in reducing A/R days and bill hold days
EMPLOYMENT HISTORY with ORNDA and TENET HEALTHCORP
BUSINESS OFFICE COORDINATOR – Lake Mead Hospital
Las Vegas, NV 01/1996 – 03/1998
BUSINESS OFFICE COORDINATOR – Monterey Park Hospital Monterey Park, CA 02/1992 – 12/1995 Job Transfer to Las Vegas
MEDICARE BILLER – Monterey Park Hospital
10/1990 – 12/1992 Promoted to Business Office Coordinator
EDUCATION:
2016 UDEMY BUSINESS SCHOOL San Francisco, CA
Entire MBA in 1 Course
2016 UDEMY BUSINESS SCHOOL San Francisco, CA
SQL Basic
1979 UNIVERSITY OF THE EAST Manila, Philippines Accounting/Finance
1981 INT’L CENTER FOR COMPUTER STUDIES Manila, Philippines
Computer Programming Course
MEMBER – Healthcare Financial Management Association
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