Management Office

Page * of * Houston, TX ***** 832-***-**** *********@*****.***

A Experienced global strategist healthcare and proactive leader with catalyst revenue EXECUTIVE Bassam for growth cycle management MANAGEMENT M. Nabulsi skills proven to drive results in turning around operational challenges, and improving cash flow. Extensive experience in revenue cycle measurement and developing process improvement. Focused, assiduous, highly creative and resourceful leader who consistently delivers strong outcomes and maintains a superior level of customer satisfaction. Effective in gaining the trust of individuals, achieving consensus, and maintaining long-term, mutually-beneficial relationships. Excel in implementing efficiencies that improve organizational goals and monetize results. Forge and direct high-performing teams / STRATEGIC organizations. PLANNING • CORE POLICY COMPETENCIES DEVELOPMENT • BUDGETING SIGNATURE & FINANCIALS STRENGTHS • PROCESS AT A IMPROVEMENT GLANCE ATTRIBUTES • REGULATORY COMPLIANCE • RISK MANAGEMENT • SALES & MARKETING • NEW BUSINESS DEVELOPMENT • CLIENT RELATIONS • MEDICARE, MEDICAID, MANAGER CARE • CONTRACTS & CLAIMS NEGOTIATION • HUMAN RESOURCES MANAGEMENT • SUPPLIER RELATIONS • PUBLIC RELATIONS • TROUBLESHOOTING • ADVANCED SKILLS IN MS OFFICE

“Our company has achieved remarkable growth and “What success others this say year thanks, in part, to your contributions. We are well- positioned Dr. Hassan both Chahadeh, financially CEO and and operationally Chairman of to the continue Board, our UGHS growth (University during General 2013 and Health we are System) glad you are on our team.” CAREER TRACK & PERFORMANCE DRIVING FORCES

Ipsum Investments LLC: Sep.2016- Present

VP Revenue Cycle The Woodlands, TX

Purpose and scope: Transition 8 different clinics from a billing company and set up a central business office, chose a practice management and a clearing house, set up all billing information for the 8 clinics, and set up enrollments for all payers. Train the staff to use all software, and divide work load amongst them. Set up billing and collection manuals and procedures. Set up online accounts for all payers for follow ups. Review previously under-paid and denied claims and created appeal templets. Automated most daily procedures to expedite work flow and maximize collection.

Humble Vascular Access Center: March2016-Aug.2016

Revenue Was contracted Cycle Consultant to transition this clinic to a new practice management, set up all insurances and enrollments, Humble, TX update their business office manuals and billing procedures, set up KPIs and incentives for the staff. UNIVERSITY GENERAL HEALTH SYSTEM: DEC.2009-DEC.2015 VP FINANCE & REVENUE CYCLE MANAGEMENT / CORPORATE OFFICE HOUSTON, TX University General Health System was a public company comprised of multiple hospitals, ambulatory surgery centers, emergency rooms, toxicology labs, PT centers, and physicians’ practices. This health system was sold as of Dec. 31, 2015. In this position, I reported to both the CEO and the CFO, and my scope of work was but not limited to the following:

Monitor the revenue cycle operation, and work closely with the CFO to set up KPIs, operation manuals, implement policies, and incentive programs for the business office director and staff.

Supervised the director of charge integrity. Monitored, edited, and made changes to the change master to keep it up to date.

Page 2 of 3 Houston, TX 77082 832-***-**** *********@*****.***

In charge of all In-network contracts reviews, update, and negotiations.

Responded to all insurance inquiries, refund or recoupment requests.

Handled all out of Network claims negotiations requests.

Randomly audit claims payments to insure proper reimbursement.

Generates and analyze reports to determine profitability by physician, procedure, revenue code, DRG, or service code.

Help estimate reimbursement on special cases to determine profitability.

Monitor, maintain, and write rules for the clearing house (Zirmed) to insure high percentage of clean claims are submitted to the payers.

Actively participated in case management meetings. Bassam M. Nabulsi

PRESIDENT / AUTIMIS BILLING & CODING.

Purpose and Scope: Oversee, supervise, and manage the revenue cycle of multiple hospitals, ambulatory surgery centers, toxicology labs, physicians’ practices, PT centers, and emergency room operations. Provide strategic leadership to the Company by working with the Directors and other management to establish long-range goals, strategies, plans and policies. Steward the design and implementation of organizational processes and practices that promote the Company’s direction and strategy. Provide leadership and management direction related to strategic planning, operations improvement, operational management, organizational dynamics, and health Company development and management. Utilize a broad understanding of market forces and implementation strategies used to enhance the Company’s competitive position. Develop and effectively communicate and translate a strategic vision into actionable and deliverable strategies to enhance organizational success. Build and guide Organizational a senior Assumed executive Impact my team previous Contributions: to develop role as vice and president, monitor organizational and all the company’s goals and administrative objectives. functions. VICE PRESIDENT/ AUTIMIS BILLING & CODING.

Purpose and Scope: Quickly promoted from collections to VP due to exceptional vision, drive, and initiative. Directed all facets of the operations of this company with 120 managers and staff. Collaborated with and oversaw the activities of 11 directors. Oversaw the daily operation of the business office serving multiple Healthcare facilities: 4 hospitals, 5 ambulatory surgical centers, 8 PT centers, 3 imaging units, 3 laboratories, 2 ERs, Organizational and a Established physician Impact practices. and maintained Contributions: a highly productive working environment. Hired and integrated personnel with

specialized Developed, talents implemented, that reduced and championed payroll expenses continual while increasing improvement output of the and company’s quality. coding, billing and collections policies and procedures. Directed automation and other functions within the IT department. Created corporate best practices and maintained regulatory compliance and financial / accounting

transparency. Presented to and advised the Executive Board in areas of strategic planning, technology and operational enhancements, and risk analysis and management aligned to the organization’s financial and other business objectives.

Page 3 of 3 Houston, TX 77082 832-***-**** *********@*****.*** Bassam M. Nabulsi

Managed all claims (Medicare, Medicaid, Managed Care, commercial) submission and collection process that consistently met and exceeded short- and long-term goals, including lowering the overall days in accounts receivable 3 to 5 days below national average. In addition, utilized leadership and guidance in negotiating 3rd party claims negotiation agreements. This resulted in a 10% increase in annual revenues.

Continually improved staff competencies and expertise through ongoing training. Designed effective management classes that increased promotional rate and quality of personnel. Successfully lowered

turnover During tenure, rate while realized improving increased morale profitability and job for satisfaction all facilities. across departments. Gulf Medical Services, Inc. April 1996-August 2009 President & CEO Houston, TX

Provided services and assistance to international patients nationwide. Our services were but not limited to:

Referral of physicians and hospitals.

Scheduling appointment and procedures.

Providing translations

Negotiating prices, auditing claims, and making payments.

Assistance with room and board, and air and ground travel. LEARNING BACHELOR CREDENTIALS OF SCIENCE & • ENRICHMENTS 3.5 GPA University of Houston, Houston, TX

Certified Revenue Cycle Representative CERTIFICATES (CRCR) & • LICENSES Preventing Discrimination & Harassment HIPPA Privacy & Security

iSeries MS4 • HMS • eClinical COMPUTER Works • COMPETENCIES Allscripts • Braintree • Wound Expert • Paragon • McKesson • RPM • RAW • Go Rev • Zirmed

Fluent in PERSONAL French and Arabic

Contact this candidate