ROBIN DANIELS, CRCS-I

Cell: 515-***-****

acxtyj@r.postjobfree.com

I am a passionate and purposeful leader with proven results as a change-agent with the ability to positively impact the culture and operations of any organization. I bring more than 15 years of progressive management experience in the healthcare industry, to include exceptional skills and abilities in Leadership and Management, Coaching, Organization, Collaboration, Analysis, Strategic Planning, Training, Client Relationships, Mentoring and Motivation.

Full-cycle Healthcare Revenue Cycle experience in various leadership roles, as well as hands-on experience in the billing and collection of Medicare and commercial receivables, system conversions, provider credentialing, credit balance reporting, and denials management. Excellent working knowledge of healthcare coding and reimbursement methodologies. Understand and maintain current on the

latest billing requirements for inpatient and outpatient services performed in various healthcare settings, including Outpatient Dialysis, Skilled Nursing/Sub-Acute, Community Mental Health, Critical Access Hospitals, Federally Qualified Health Centers, End Stage Renal Disease, Clinical Trials, and Comprehensive Cancer Centers.

UNITYPOINT HEALTH SYSTEM 11/2013-04/2016 BILLING MANAGER, CBO (16 HOSPITALS) 04/2014-04/2016 PERFORMANCE IMPROVEMENT PROJECT MANAGER 11/2013-04/2014

• Organizing and conducting CBO-wide initiatives, events and projects of varying size and complexity.

• Managed the day-to-day billing operations of 15-hospital for-profit health system

• Responsible for developing billing staff to improve overall department performance

• Developed tools and training resources for all revenue cycle staff in the CBO

• Developed and maintained quality audit and performance standard program for billing staff

• Overseeing successful and timely completion of projects related to Performance Improvement plans through first line support to other system-wide teams

• Developing and applying effective and efficient administrative project services

• Developing and maintaining activity and project documentation

• Moving improvement initiatives forward and accelerating progress

• Scheduling and managing meetings and web technologies, data collection and reporting

• Facilitated interdepartmental project initiatives to positively impact organization financial objectives

• Identified areas of opportunity through assigned project work streams

• Managing knowledge content and related technologies

• Sending and receiving resources for teams via multiple technologies

• Providing input and assisting in the development of project materials and tools

• Providing guidance to teams by learning enough about the topics

• Developed effective relationships with internal and external customers, vendors and payer community.

• Identifying activities or situations that may adversely impact the project; providing solutions and serving as a Subject Matter Expert

SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM 02/2013-10/2013 REVENUE CYCLE MANAGEMENT CONSULTANT

• Assisted and developed end-user training material for Cerner and Epic patient accounting platforms for large multi-hospital health systems

• Assisted in training and staff development of physician and hospital business office staff

• Implemented effective policies and procedures that met and exceeded departmental revenue goals and reduction of receivable days

• Responsible for the performance of revenue cycle management activities developed to enhance resolution-oriented billing and follow-up activities for maximum cash recovery for physician and hospital receivables

• Responsible for identifying correct coding initiatives that impacted hospital Medicare reimbursement, updating invalid or erroneous HCPCS and CPT codes on rejected claims, and identified missing diagnosis coding to increase inpatient and outpatient revenue, while managing timely electronic billing and follow-up activities for billing office staff

• Provided sales and marketing experience when necessary to meet corporate goals

• Managed staff development program and compliance training for business office and patient access areas

• Identified/recognized and reported processing and payment trends to client senior management

• Assisted with design and implementation of policies and procedures for accomplishing monthly productivity goals

• Advanced level of expertise on several major electronic claims billing systems, including Health Logics, SSI Click On, Emdeon, Caremedic, and ePremis

• Resolved coding errors present on billing validation reports in hospital setting, assigned diagnostic and procedural coding in physician and clinic setting prior to billing

HEALTHCARE RESOURCE GROUP 01/2012-10/2012 INTERIM REVENUE CYCLE PROJECT DIRECTOR/MANAGER

Clients: Iowa Health System

• Organizing and conducting system-wide initiatives, events and projects of varying size and complexity

• Overseeing successful and timely completion of projects related to PI plans through first line support to system-wide teams

• Developing and applying effective and efficient administrative project services

• Developing and maintaining activity and project documentation

• Moving improvement initiatives forward and accelerating progress

• Scheduling and managing meetings and web technologies, data collection and reporting

• Scheduling and managing the logistics of face to face meetings

• Managing knowledge content and related technologies

• Sending and receiving resources for teams via multiple technologies

• Providing input and assisting in the development of project materials and tools

• Providing guidance to teams by learning enough about the topics

• Developing effective relationships with internal and external customers

• Identifying activities or situations that may adversely impact the project; providing solutions and input to management

EXPEDITIVE, INC. 03/2009-12/2011 OPERATIONS CONSULTANT- INTERIM REVENUE CYCLE MANAGEMENT

Clients: Littleton Regional Hospital, Southern Inyo Healthcare District, Caritas Healthcare, Grant Memorial Healthcare

• Assist in training and staff development of business office staff; Implementation of effective policies and procedures that meet and exceed departmental revenue goals and reduction of receivable days

• Responsible for assisting with overseeing the performance of revenue cycle management activities developed to enhance resolution-oriented billing and follow-up activities for maximum cash recovery for physician and hospital receivables

• Responsible for identifying correct coding initiatives that impact hospital Medicare reimbursement, updating invalid or erroneous HCPCS and CPT codes on rejected claims, and identified missing diagnosis coding to increase inpatient and outpatient revenue, while managing timely electronic billing and follow-up activities for billing office staff

• Provided sales and marketing experience when necessary to meet corporate goals

• Managed staff development program and compliance training for business office and patient access areas

• Identify/recognize and report processing and payment trends to client senior management

• Assisted with design and implementation of policies and procedures for accomplishing monthly productivity goals

PEROT SYSTEMS- ARS 12/2007-10/2008 PROJECT MANAGER-OPERATIONS

Clients: WellPoint Blue Cross of California, Wise Regional Hospital, St. Joseph Medical Center

• Responsible for performing resolution-oriented billing and follow-up to achieve cash recovery and A/R goals of assigned Medicare hospital receivables

• Completed timely electronic billing and follow-up activities, in a compliant manner

• Identify/recognize and report processing and payment trends within assigned inventory

• Responsible for execution of functions of internal reporting

• Maintain an appropriate level of productivity, as defined by project scope

• Reliably assisted in training and staff development, when appropriate

• Kept Project Director informed of any problems or issues

• Completed work accurately and timely with appropriate documentation

OTHER RELATED EXPERIENCE:

NATIONAL MEDICAL CODERS/ALLIANCE ONE, INC 2/1998-8/2007 A/R CONSULTANT

Education

Barry University /Public Administration/Information Technology (BPursued)

Certified Professional Coder- American Academy of Professional Coders 09/2009

Professional Affiliations

Healthcare Financial Management Association

American Association of Professional Coders

American Association of Healthcare Administrative Management

System & Billing Platform Experience

Extensive end-user experience with Epic, Cerner, McKesson, HBOC, Health Logics, IDX, SMS, SSI, Eclipse, Medical Manager, Claim Gear, Medisoft, Patcom, Meditech, Vista Keane, FISS-DDE, ASAP-LTC, A+, Companion, Budget, Lytec, e-Premis, HMS, Medisoft, Kareo, ImaCs, Siemens Invision, McKesson Star, Kareo, Paragon, CPSI, eClinical Works, LSS, Carecast, AS400, Healthquest.

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