Karen Valandra

Newburgh, IN ***** 812-***-**** ad0vxg@r.postjobfree.com

Director of Patient Financial Services & Business Office Manager Highly motivated, dedicated, and accomplished healthcare professional with extensive experience in healthcare services coordination, operations supervision, Medicaid, and financial management. Equipped with outstanding interpersonal communication skills to liaise and collaborate within all levels of the organization. A dynamic leader and collaborative team member with the ability to streamline daily operations and processes through work organization, time management, and process enhancement. With a proven track record of solid work ethic, accountability, professionalism, and integrity to deliver top-notch services and promote organizational success. Core Expertise

Medicare Commercial Insurance Revenue Cycle Management Accounts Receivable Project Management Healthcare Coordination HIPAA Credentialing Revalidation & License Renewal IN DSH Audits/WPS Audits Financial Management Operations Supervision Project Management Compliance Management AIDET/HEAT CMS/WPS IHCP/DFR Care Management

Service Delivery Health System Clinical Care Coordination Marketing Contract Management People Management Requirement Gathering Customer Satisfaction Data Analysis Contract Negotiation Project Documentation Innovation Leadership & Collaboration Cost-Effective Strategies Cultural Sensitivity & Awareness Professional Experience

Travelling Business Office Manager

Quorum Health Resources – Wilbarger General Hospital, Vernon, TX February 2022 – May 2022

§ Directed the hiring and onboarding of 12 remote employees while training them to become proficient billers, collectors, and posters. ü Administrated various processes, including managing the hospital’s revenue cycle while ensuring efficient daily operations. ü Established robust relationships, collaborations, and partnerships while directly reporting to the hospital’s CEO and CFO. ü Provided outstanding leadership and management while maintaining a conducive and productive work environment. Business Office Manager

Riverview Surgery Center, Rockport, IN July 2021 – October 2021

§ Facilitated all aspects of the center’s business office operations, including monthly reconciliations with the German American Bank. ü Oversaw the center’s account payables and account receivable while maintaining updated and accurate QuickBooks. ü Demonstrated keen attention to detail and work organization by encoding numerous vendor invoices and cut checks weekly. ü Directed the payroll and monthly physician distribution while providing month-end closing reports to the Executive Director. Business Office Manager

American Senior Care/Columbia Healthcare, Evansville, IN September 2018 – June 2021

§ Administrated daily financial operations, including accounts payable, accounts receivable, payroll, and resident trust, while streamlining the processing and statement transmission for all Medicare, Medicaid, Insurance, VA, Hospice, and Private pay. ü Proactively collaborated with the Admitting Director in managing referrals and new admissions for long-term and short-term care. ü Conducted month-end billing and closing procedures while collecting all amounts and maintaining aging under 90 days. ü Created daily census and reported to the management team regarding new admissions, individualized care plans, and discharges. ü Processed the resident’s medical application and follow through by gathering all necessary documents for Medicaid approval. ü Established robust relationships with residents and family members to deliver outstanding services and ensure satisfaction. ü Managed the resident’s trust accounts and income while performing daily post checks to banks 1, 4, 5, and 6. Director of Patient Financial Services and Access/ Contract Compliance Director/ HIPAA Privacy Officer/ACO Champion Perry County Memorial Hospital, Tell City, IN August 2007 – May 2017

§ Directed all aspects of contract agreements with commercial insurance while managing care organizations, HMOs, PPOs, Medicare Advantage Programs, IN and KY Medicaid and their MCOs, ancillary departments, and market exchange plans. ü Managed and ensured the compliance of contract agreements while directly reporting to the CFO and CEO of KatzBrunner Healthcare. ü Boosted daily operations by utilizing a master spreadsheet for the hospital and 6 clinics owned by PCMH, consequently streamlining the enrollment and credentialing process of physicians and NPIs and renewing licenses. ü Oversaw all EO and bad debt transactions while monitoring monthly collection activity and providing support to the financial counselor. Karen Valandra

Newburgh, IN 47630 812-***-**** ad0vxg@r.postjobfree.com ü Reinforced the standard operating procedures, regulations, and policies through counseling, implementing disciplinary actions for breaches, and developing immediate action plans to prevent future occurrences while monitoring compliance for all payor types. ü Functioned as a HIPAA Privacy Officer to facilitate training on HIPAA, Compliance and Patient Rights during new employee orientation while researching and reviewing online HIPAA documentation to ensure updated knowledge and proficiencies. ü Served as an ACO Champion/Project Manager and enrolled the hospital and its constituents into the NRACO Caravan Health. ü Supported the hiring of RN Care Coordinators and facilitated training for AWVs, CCM, TCM, and Medicare Depression screening. ü Participated during quarterly ACO workshops, set-up of steering committees, and board meetings with Caravan Health. ü Coordinated ACO meetings with the CEO, CFO, physicians, directors, and care coordinators while accomplishing 100% report card status. ü Directed the 340b Prescription Drug Program as its Project Manager by enrolling the hospital and its constituents to maintain a prescription panel, allowing significant savings to self-paying patients and providing substantial reimbursement to the hospital monthly. ü Hosted the University of Southern Indiana internship programs for graduate candidates in Healthcare Administration. ü Spearheaded various processes, including assessing, directing, and coordinating all aspects of the revenue cycle for the business office, admitting department, and the financial counselor while managing 25+ employees and directly reporting to the CFO. ü Directed all business operations, including billing monitoring, patient account collection, third-party billing, insurance follow-up, cash posting, remittance reconciliation, customer service, and goal setting while keeping track of the total monthly amount collected. ü Offered extensive support and assisted in the open enrollment with the marketplace exchanges while serving as a certified IN Navigator in charge of maintaining excellent customer service with EO and Bad debt business partnerships. ü Developed and implemented standard operating procedures for all three departments while conducting annual reviews, DSU conversations, rounding, AIDET/HEAT monitoring, and setting quarterly goals for the departments through LEM. ü Participated in various meetings, seminars, and conferences, including HFMA seminars, monthly PEPCI & Management meetings, quarterly Leadership Development institute meetings, and staff meetings while facilitating revenue cycle team meetings and auditing. ü Conceptualized and reported quality improvement measures while coordinating with insurance representatives to discuss denials. Professional Experience

Supervisor Deaconess Hospital, Evansville, IN June 2004 – August 2006 Manager Omicare Respiratory Services, LLC, Mason, OH March 2004 – May 2004 Group Leader /Supervisor Consolidate Health Services/American Nursing Care, Milford, OH March 1998 – March 2004 Billing Coordinator PartnersFirst Management/ Olsten Kimberly Quality, Orlando, FL March 1990 – December 1997 Medical Record Clerk/Correspondence Secretary/PAR Welborn Baptist Hospital, Evansville, IN June 1987 – May 1988 Education & Professional Development

Bachelor of Arts in Spanish and Communication, University of Southern Indiana, Evansville, IN 1986 Leadership & Other Activities

Host – NRACO Caravan Health

Member – Healthcare Financial Management Association Host – U.S.I. Internship Programs

Computer & Technical Skills

Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), HMS/MedHost. RelayHealth, ePremis, Ahi, Invision/Siemens, CPSI, Quadax