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General Counsel Business Development

Location:
Walton, KY, 41094
Posted:
December 27, 2023

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Resume:

RICHARD A. BECKNER, J.D.

C.R.C.R.

Address: *** ******** ** ******, ** 41094 Phone: 502-***-****

Email: ad184u@r.postjobfree.com LinkedIn: www.linkedin.com/in/RichardABeckerJD GENERAL COUNSEL

Professional Summary: Licensed Attorney in three states and possess meaningful experience in numerous areas, with proven results in corporate compliance, litigation, contracting, contract negotiation, and operations; known as analytical, pragmatic and methodical with an entrepreneurial mentality regardless of role; able to develop staff and create cohesive teams that operate at high levels of productivity and efficiency; able to work onsite, remote, and travel Skills and Expertise:

Contract Management CIPP Compliance Health RCM

Product Development Procurement Team Management Team Leadership HIPAA/HiTech Privacy Officer Training / Mentoring HR Support Workflow Creation FCRA Legal Research Managed Care Negotiation/Influence Legal Operations GLBA Process Improvement Career Highlights:

Trained multiple teams on compliance issues related to FCRA and HIPAA

Designed a compliant workflow for operations regarding hospital lien statutes in 30+ states

Collaborated with attorneys at Ensemble Health Partners to create a database for compliance with federal and state laws related to the COVID pandemic PROFESSIONAL EXPERIENCE

TSI Healthcare RCM, Fort Washington, PA 2023-Current VP, Business Development

Company / Role: Collaborates with company’s 50+ attorneys to create and support training workshops for prospective clients. Collaboratively work with former and current clients to identify opportunities for improving their processes. Company maintains a global staff of 14,000 and generates $2B annually

Leadership: Creating educational white papers to establish this employer as an industry leader. Routinely engage colleagues on compliant best practices eNhance CCM

VP& General Counsel INDEPENDENT 1099 CONTRACTOR 2023-Current

Role: Drafts, Modifies, and Reviews contracts with company and third parties. Also drafts communications for company to use that remain compliant with state and federal law Ensemble Health Partners, Cincinnati, OH 2017 – 2022 AVP Legal Services and Registered Corporate Counsel

Company / Role: Report to company’s General Counsel; collaborated with Privacy Officer to ensure advice to clients were sound and current with prevailing law; as the AVP of Legal Services and Registered Corporate Counsel I wore a minimum of two hats for this revenue cycle company for acute and non-acute providers; Company used a proven operational model, paired Richard A. Beckner, (Cont.)

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with technology and solution-driven approaches, to deal with all issues within revenue cycle; 14,0000+ staff generate $1.2B annually

Leadership: Transition between functioning as a Mentor, an Operations Team Leader, and Corporate Counsel; served as a mentor to a company paralegal; interviewed multiple candidates and worked on standard operating procedures with company’s HR Department; engaged as a mentor to a Leader in Training; engaged as a presenter to new hires and ensured employees possessed a clear understanding of compliance with applicable healthcare laws and rules

Compliance: Work closely with Customer Service Department and Early Out by providing legal support related to PHI and HIPAA, worked with leaders to develop and continuously enhance the Compliance Program

Provide legal and operational support in the lifecycle of a claim, including supporting processes healthcare providers use to identify, manage, and collect revenue from patients, insurance companies, and other payors; draft and modify contracts with company and client vendors

Conduct vendor management as the point of contact for all client vendors in other party liability and workers compensation; engaged outside counsel on an hourly and contingent basis

Read and interpreted a multitude of contracts related to Ensemble Health Partners and its clients; Read and interpreted a multitude of contracts related to clients’ managed care contracts with payers; Read and interpreted a multitude of contracts between Ensemble Health Partners and its vendors

Participate in monthly, weekly, and daily account management calls for issue resolution and recovery optimization; engage potential clients to identify areas for increasing efficiencies and opportunities for improvement; provide solutions to improve clients’ fiscal performance

Negotiated with Out of Network Health plans

Key Results:

Led redesign of an existing team; end-result was millions in savings to clients during tenure

Created a workflow for the proper and compliant handling of Third-Party Liability claims

Created and maintained a resource related to state and federal laws and regulations

Worked with leaders to develop and continuously enhance the Compliance Program

Led as the primary authority to resolve claims that required settlement for amounts that were less than expected; handled dozens of settlement requests per week Praxis Consulting, Muncie, IN 2015 – 2016

General Counsel, Privacy Officer, and VP Business Development

Company / Role: Reported to the Chief Operating Officer as the General Counsel, Privacy Officer, and VP of Business Development; Praxis is a recovery service provider specializing in benchmarking, outsourcing, and closed file review through facilitating the recognition and recovery of missed billing opportunities; ~150 staff generated millions annually

Financial Management: Managed budgets up to $2M and monitored expenses

Leadership: Trained ~150 employees on HIPAA and other compliance related issues; personally mentored three employees

General Counsel

Created written policies and procedures for compliance with company’s Business Associates

Wrote policies and procedures that enabled company to obtain a SOC II Type 2 clean opinion Privacy Officer

Drafted and negotiated written agreements related to a technology vendor and Praxis customers Key Results:

Worked with operations staff to create process improvement

Partnered with a collections vendor that purchased debt; used this data, and the results of an identification vendor, to secure meetings with hospital systems Richard A. Beckner, (Cont.)

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Secured a long-term engagement with the 4th largest hospital system in the United States; end result brought millions to company’s bottom line

Trover Solutions, Louisville, KY 2011 – 2015

Of Counsel Gibson and Sharps, VP Senior Account Executive

Company / Role: Reported to the SVP of Business Development; Company was a leading provider of technology-enabled, data-driven solutions ensuring accurate payment integrity across healthcare industries; 200 staff generated $25M annually

Of Counsel for Gibson and Sharps, reporting to General Counsel at a captive law firm

Supported law firm’s Mass Tort product; collaborated with company’s in-house counsel for contract modification(s)Assisted in multi-district litigation

Provided key leadership and strategic direction to streamline and optimize marketing operations

Worked with cross-functional teams to create and deliver impactful learning content for clients

Collaborated with team to engage prospective clients; maintained and updated client contracts Key Results:

Consistently exceeded revenue goals y-o-y; finished year with $9M above projected revenue

Revitalized and effectively sold a multi-million-dollar product

Developed a new product for market introduction related to COB for Disability Plans; this product resulted in engagements with the 5th and 10th largest Disability companies in the U.S. Rawlings and Associates, PLLC, La Grange, KY 2005 – 2011 Director of Legal Services

Company / Role: Reported to the company’s General Counsel as the Director of Legal Services’ Firm is a company dedicated to medical claims recovery, mass tort litigation, and pharmaceutical claims recovery; ~200 staff generated $40+M annually

Financial Management: Monitored expenses of hired litigation counsel

Leadership: Supervised a team of 8 attorneys, trained new hires on HIPAA; mentored ~24 employees in best practice file handling

Led the creation of policy and direction to ~200 employees of The Rawlings Company

Led and collaborated to create policy, training, and direction for employees

Worked with and retained outside counsel for clients

Reviewed clients’ Third-party Administrative Agreements with employer groups to suggest modifications to plan language compliant with state and federal law

Supported department tasked with drug claim payment integrity and Medicare compliance

Created curriculum and conducted presentations to staff related to pharmacy billing and privacy

Engaged as the Company representative for strategic client business meetings Key Results:

Personally recovered on accounts with average recoveries in excess of $750,000 annually

Redeveloped and sold a product that increased overall recoveries by 250% from previous years

Retained all clients and facilitated the clients’ keeping of their employer groups

During tenure, 8 attorneys hired were promoted, and no one left the company

Worked with legal team to update annual 50 state survey of Third-Party Liability, Workers Compensation, and Coordination of Benefits

Education and Training:

Bar Memberships: Registered Corporate Counsel Ohio Bar #97304, Member of Kentucky Bar

#91133, Member of West Virginia Bar #8512

Degree: Juris Doctorate (J.D.), WVU College of Law, Morgantown, WV Member of the Clinical Law Program

Elected and served as President of an organization called Public Interest Advocates (P.I.A.) Richard A. Beckner, (Cont.)

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Employed by former law school Dean, Joyce McConnell to conduct legal research on a specific area of law

Degree: M.A. Psychology (With Progress), Marshall University, Huntington, WV Member of Psi Chi National Honor Society

Teacher of undergraduate students

Developed controlled testing to measure responses to sexual harassment scenarios. Findings presented at the Eastern Psychological Conference

Degree: B.A. Psychology, Marshall University, Huntington, WV Co-Founded the Marshall University Literary Society Walk-On to University’s Track & Field Program

Certification: HFMA Certified Revenue Cycle Representative (CRCR) 2017-Current, CSRP 2006- 2011, Six Sigma Green Belt, Designing Compelling Presentations

Software and Technology: Sales Force, Microsoft Office Suite: Word, Excel, PowerPoint, Power BI, Outlook



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