ROBISON J. BAKER

*** ************ *****, **** ***, Raleigh, NC 27603 270-***-****

aczz8m@r.postjobfree.com

Director of Physician Services

Seasoned and bottom-line focused healthcare administration professional with proven track record of 15 years in securing high-impact turn-around results within large, complex, and highly-matrixed healthcare organization. A broad base of knowledge in the structuring the physician/provider practice for maximization of efficiencies and productivity; while maintaining safety, quality, compassion, accountability, transparency and patient access. Excellent background in areas of physician/provider relations, organizational/business development, employee relations, staffing, patient access enhancement, expense management, revenue growth, billing, collections, marketing, information technology, fund raising, and project planning and execution. Key interest in organizational strategic planning including: system infrastructure design to enhance organizational standardization, integration, and efficiency; physician/provider recruitment, retention, and practice promotion.

Areas of Strength and Expertise

Vendor Management

Internal Consulting

Government Compliance

Internal Auditing

Recruitment & Retention

Strategic Planning & Analysis

Staff Development/Management

Joint Commission Compliancy

Budgeting/Expense Control

Contract Management

Process Improvement

Information Systems

Professional Experience

LifePoint Health, Brentwood, TN June 2013 to February 2016

Senior Director, Practice Management- VA/NC - Physician Services

Effectively controlled all physician employment agreements for physicians and contract provisions, updates, and revisions for Physician Practice Management. Led and directed Market Directors and Market Managers to oversee daily operations of the Group’s employed physicians. Supervised administrative activities such as systems to maintain accurate and comprehensive files for patient records; current operational procedures and policies; internal and external reports and correspondence; governmental and regulatory standards.

Key Accomplishments:

Successfully developed and implemented specific programs, products, and services to support the long-range strategic direction for the Group’s employed physicians.

Delivered assistance to the Group’s Employed Practice acquisitions, coordinated findings with Group, identified operational requirements and opportunities to incorporate post acquisition.

Recognized a course of action for approval to the Group President, Hospital, and Physician Services on organizational and/or operational problems requiring intervention or resolution.

Organized the preparation of the annual Practice Management operational and capital budgets; contributed in ongoing evaluation of the allocation of funds and expenses, and delivered statistical data, executed interpretation and variance reporting with immediate corrective action plans.

Confirmed that the Practice Management Service Line in positioned to optimize the performance of the EMR strategy with goals to improve quality, clinical outcomes, and productivity.

Executed LifePoint Physician Services’ “Meaningful Use Current State Assessment & Road Map to the Future” Business Plan. Designed to achieve Meaningful Use in the employed medical practices.

LifePoint Health, Brentwood, TN April 2012 to June 2013

Regional Director – NC/Duke, Physician Services

Established annual goals, capital needs, and staffing requirements for specific departments and group practices, produced budgets reflecting those needs while adhering to current and future organizational objectives and trends in health care; supervised actual financial performance compared to budget to ensure adherence to established guidelines and to realize opportunities for corrective action and improvement. Collaborated with all practice managers, billing/ coding manager, CMA’s, LPN’s, and Patient Access Representatives and worked with the HSC, local CEO’s, CFO’s, CNO’s, Controller’s, Risk Management, Director – Medical Records, Physician Recruitment Initiative Liaisons, and the Business Development Team to ensure excellent patient care.

Key Accomplishments:

YTD (12-31-12) DLP Maria Parham Physician Practices Outpatient Revenue/Patient Billings (Physician, Mid-Level, and Clinic Ancillary) of $9,504,367. DLP Person Physician Practices Outpatient Revenue Billings (Physician, Mid-Level, and Clinic Ancillary) of $1,276,475.

YTD (12-31-12) DLP Maria Parham Physician Practices Total Clinic Operating Expenses of $5,134,388. YTD (12-31-12) DLP Person Physician Practices Total Clinic Operating Expenses of $2,053,441 (DLP PDC Redesign).

Monitored 2 General Surgeons, 1 Endocrinologist, 2 Physiatrists, 1 Nephrology APRN, 2 Gastroenterologists, 1 Internal Medicine Physician, 2 Family Practice Physicians Startups. Acquisitions including 1 Internal Medicine Physician Practice.

Successful centralization of Revenue Cycle Department at DLP Maria Parham Physician Practices. Achieved 93% of CY 2012 At Risk Annual Incentive Plan. Implemented New Provider Orientation at DLP Maria Parham Physician Practices and DLP Person Physician Practices.

Key Projects:

IT Business Analyst Physician Services – Drafted job description and implemented a position that will work proactively to improve revenue process and physician/provider retention and alignment.

Kerr Lake Orthopedics – Performed ROI for SonoSite M-MSK Ultrasound System, which will allow ultrasound, guided injections w/potential yearly revenue enhancement of $250,000.

Maria Parham Endocrinology – Executed ROI for iPro Professional CGM that will allow 7day monitoring of patient glucose levels w/potential yearly revenue enhancement of $18,000.

Trover Health System, Madisonville, KY January 2007 to April 2012

Director – Practice Operations

Designed monitoring tool to track availability of appointments by each physician/provider and by specialty to determine potential patient access. In 2011, the ability to close a schedule centralized and resulted in many physicians that are at 90% + utilization. System wide average is 77% utilization allowing for an additional 23% volume increase. Established a Trover Clinic Call Center/Central Scheduling Department and developed electronic tool to track employed physician/provider referral patterns. The tool provides for the employed referring physician/provider, medical record number of the patient, physician/provider or ancillary service referred to, referred facility if not Trover, and reason for referral if not Trover. Internal referrals increased by 43%.

Key Accomplishments:

YTD (9-30-11) Outpatient Revenue/Patient Billings (Physician, Mid-Level, and Clinic Ancillary) of $48,768,373. YTD (9-30-10) Outpatient Revenue/Patient Billings of $41,259,972.28.

YTD (9-30-11) Total Clinic Operating Expenses of $28,693,997.13. YTD (9-30-10) Total Clinic Operating Expenses of $35,400,339.96.

Ancillary services including laboratory and radiology demonstrated losses of approximately $900,000 on August 31, 2010 due to multiple factors including lack of documentation, inappropriate documentation, no precertification/preauthorization. After Pathway Compliance Advisor installation and implementation, the loss has been reduced to <$180,000 ytd (9-30-11).

Implemented tool to provide directors with “at a glance” look at department’s expense per unit on a monthly basis with trend visible. Total supplies and COGS less than 16.27% of Net Revenue goal each month. Collectively all clinic cost centers favorable with a positive variance of 15.14%.

Key Projects:

Physician Contract Project – Performed analysis of physician contracts and physician productivity to establish the current and appropriate compensation, productivity, and patient access, measured against current benchmarks from the Medical Group Management Association. Projected organizational savings/increased revenue of $1.8m.

Mid-Level Contract Project – Performed analysis to demonstrate the need for mid-level compensation increase. Resulted in a contract redesign with base annual salary determined by experience and the development of an annual bonus opportunity based on a tier system and productivity enabled the organization to effectively compete when recruiting mid-level providers.

Care Center Redesign Project – After completing a traffic flow study and review of patient complaints implemented a reduction of the hours of operations, eliminated staffing utilizing residents, utilized physicians and mid-level providers, maintained the number of encounters, reduced the number of patient complaints <= 25/year, and a projected reduction of operating expenses = $224,250.00.

Behavioral Health Redesign Project – Performed analysis to demonstrate the inadequate productivity and organizational loss incurred by the Behavioral Health Department and the opportunity that existed to lease space to a local outside entity. Fair market lease awarded to a local mental health center to provide onsite office hours for patient referrals, consultant services to THS Acute Rehab Unit, evaluation and placement for one–to–one patients, and delivered clinical rotation for third year medical students. Projected reduction in operating expenses of $400,000.

FTE Review Project – Project to combine and centralize like and complimentary services to achieve staffing efficiencies while utilizing flex scheduling. Project resulted in a reduction of 37 fte’s and/or fte equivalents for an annual cost savings of $1,154,400. Organization total of 122 fte’s and/or fte equivalents for an annual cost savings of $3,806,400.

Trover Health System, Madisonville, KY August 2005 to January 2007

Manager - Occupational Medicine Department - Occucare

Supervised and administered the business operations for all areas and aspects of Trover Health System Occupational Medicine Department – Occucare, which included the strategic planning, management, marketing and aligning business practices with financial and operational goals of the organization. Actively established and retained the industrial relationships for increased occupational health services with employer based client facilities within the service area.

Key Accomplishments:

Effectively executed annual budgeting and financial administration. Interpreted, formulated, and examined the financial and other reports to reflect departmental activity and performance.

Successfully increased department revenue by 100% within first month and improved department revenue by $800,000 within first year. Positively increased COHC Mobile Hearing revenue by 100% within first six months.

Recognized database containing each industry client and the specific protocol for each job classification. Instigated various levels of clinical and on-site service contracts. Managed and coordinated daily clinical division, physicians, nursing, technical, and administrative services.

Designed and executed strategies to enhance patient and employer satisfaction levels and related volume of service activity. Delivered departmental leadership to effectively communicate goals and expectations to employees in order to improve processes and efficiencies.

Established “best practices” to maximize efficiency and exceed the expectations of our clients. Developed and supervised the communication and financial reporting to demonstrate the value of services provided. Established protocols necessary to make and track referrals of occupational medicine patients to ancillary services.

Developed and instigated strategies to establish and maintain service relationships with all clients including business development. Produced reports that reflect the activity of the department both operationally and financially including trends highlighting changes in activity and financial performance by service, provider, and client.

Trover Health System, Madisonville, KY January 2001 to August 2005

Foundation Patient Financial Services Manager

Directed complete aspects of the Patient Financial Services Department for Regional Medical Center and Trover Clinic and managed the business activities of the Foundation Patient Financial Services Supervisor, DSH Coordinator, Reimbursement Coordinator and the Collections/Bad Debt Coordinator and all applicable staff. Collaborated with Billing Manager and Registration Supervisor.

Key Accomplishments:

Managed successful combination of RMC and Trover Clinic Patient Financial Services Departments. Restructured and standardized all staff positions, pay grades, and job descriptions. Implemented a career ladder and educational opportunities.

Delivered assistance to staff in gross reduction of outstanding accounts receivable of approximately $4.5 million within first ten months.

Facilitated the staff in the consistent realization of monthly multi-million dollar receivables including monthly billings of $7 million and monthly collections of $3.5 million with greater than 50% Medicare/Medicaid and uninsured population.

Member of the 2001 PPM PLUS system conversion team. Member of 2002-06 STAR upgrade team. Key member of the 2002-06 PPM PLUS upgrade team.

Directed the development and implementation of the Foundation Credit and Collection Module. Coordinated with administration in development of revenue enhancing business processes and organizational development. Instrumental in structuring and directing policy and procedure.

Directed staff on decreasing accounts receivable days from 65 to 42 within ten months. Assisted staff in realizing budgeted bad debt placement, recovery goals and budgeted DSH and charity goals.

Education, Certifications and Trainings

Master of Business Administration, Murray State University, Murray, KY

Bachelor of Science, Business Administration, University of Southern Indiana, Evansville, IN

OSHA 10-Hour Course Certification

BAT (Breath Alcohol Technician) Certification

Trover Foundation Train the Trainer-PPM PLUS/STAR Certification

The Customer-Trover Educational Services

Leadership Continuity Series

Supervisory Certificate Training, Madisonville Community College

Leaders Ought to Know – A Comprehensive Leadership Development Initiative

Organizations/Community Involvement

ACHE – American College of Healthcare Executives

American Cancer Society-Relay for Life Executive Committee

United Way-Executive Committee

James Madison Days-Board of Directors

Leadership Hopkins County-Board of Directors

Hopkins County Chamber of Commerce – Ambassador

Hopkinsville – Christian County Chamber of Commerce – Diplomat

Rotary Club – Board of Directors

Hopkins County Community Clinic – Board of Directors

Contact this candidate